Naga Mazen Ibrahim, Suleiman Dalia Nader
Kasr El-Eini Faculty of Medicine, Cairo University, Cairo, Egypt.
Gastrointest Endosc. 2004 Mar;59(3):427-32. doi: 10.1016/s0016-5107(03)02367-8.
Choledochal cyst is an uncommon anomaly of the biliary tract. Experience with this disorder, with emphasis on the role of ERCP in management, is presented.
All pertinent data for 13 patients with choledochal cyst seen between 1987 and 1998 were reviewed, retrospectively.
Cholangitis, either alone or associated with other findings, was the main presenting feature (69.23% of patients). Bilobar Caroli's disease was the most common cyst type (46.15% of patients). ERCP was diagnostic alone in 46.15% of patients and therapeutic in 53.85%.
Choledochal cyst is a complex condition that requires early diagnosis. Long-term management remains controversial, and guidelines for treatment require revision. Whether interventional ERCP will obviate the need for surgery or alter the malignant potential of the disorder remains uncertain.
胆总管囊肿是一种罕见的胆道异常。本文介绍了对该疾病的诊治经验，重点阐述了内镜逆行胰胆管造影术（ERCP）在其治疗中的作用。
回顾性分析了1987年至1998年间诊治的13例胆总管囊肿患者的所有相关资料。
胆管炎单独出现或与其他表现并存是主要的临床表现（占患者的69.23%）。双叶型卡罗利病是最常见的囊肿类型（占患者的46.15%）。46.15%的患者仅通过ERCP即可明确诊断，53.85%的患者通过ERCP进行了治疗。
胆总管囊肿病情复杂，需要早期诊断。长期治疗方案仍存在争议，治疗指南需要修订。介入性ERCP是否能避免手术或改变该疾病的恶变潜能尚不确定。
