Multiple Intrahepatic Biliary Cysts in Children with Biliary Atresia
Resource
JOURNAL OF PEDIATRIC SURGERY v.37 n.8 pp.1183-1187
Journal
JOURNAL OF PEDIATRIC SURGERY
Journal Volume
v.37
Journal Issue
n.8
Pages
1183-1187
Date Issued
2002
Date
2002
Author(s)
BU, LING-NAN
CHEN, HUEY-LING
NI, YEN-HSUAN
PENG, SHINN-FORNG
JENG, YUNG-MING
LAI, HONG-SHIEE
CHANG, MEI-HWEI
Abstract
Purpose : The aim of this study was to investigate the incidence, clinical course, and outcome of multiple intrahepatic biliary cysts in patients with biliary atresia. Methods : From 1992 to 2000， 154 patients with biliary atresia were examined for intrahepatic cysts. They were followed and examined routinely using abdominal ultrasonography. Results : Twenty-three patients had single intrahepatic cysts, and 16 patients had multiple cysts. The incidence of intrahepatic cysts in these patients were 25.3% (39 of 154) for all kinds of cysts and 10.4% (16 of 154) for multiple intrahepatic cysts. Of the 16 patients with multiple cysts, 13 ( 81.3%) had jaundice, and 15 (93.8%) had a history of cholangitis before cysts were detected. Image studies showed multiple discrete ovoid or round intrahepatic biliary cysts with various sizes along the biliary trees. The cysts decreased in size or number in 7 patients after antibiotic treatment and disappeared in only one patient. The mortality rate was higher in patients with multiple cysts than in those with single cysts (P= 0.37). Conclusions: Multiple intrahepatic biliary cysts are a common complication in patients with biliary atresia and suggests a poor prognosis. Prolonged parenteral antibiotics treatment should be administered when signs of biliary infection appear.
Subjects
Hepatic Portoenterostomy
Cholangitis
Biliary cysts
HEPATIC PORTOENTEROSTOMY
TRACT ABNORMALITIES
HEPATOPORTOENTEROSTOMY
Type
journal article