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Pediatric gastroenterology, hepatology & nutrition v.21 no.3, 2018년, pp.203 - 208   KCI
본 등재정보는 저널의 등재정보를 참고하여 보여주는 베타서비스로 정확한 논문의 등재여부는 등재기관에 확인하시기 바랍니다.

Management of Pediatric Patients Presenting with Acute Abdomen Accompanying Dilatation of the Common Bile Duct

Kim, Young A   (Department of Pediatrics, Pusan National University Yangsan Hospital  ); Kim, Gyung Min   (Department of Pediatrics, Good Gang-An Hospital  ); Chun, Peter   (Department of Pediatrics, Pusan National University Yangsan Hospital  ); Hwang, Eun Ha   (Ulsan University Hospital, University of Ulsan College of Medicine  ); Mun, Sang Wook   (Department of Pediatrics, Pusan National University Yangsan Hospital  ); Lee, Yeoun Joo   (Department of Pediatrics, Pusan National University Yangsan Hospital  ); Park, Jae Hong   (Department of Pediatrics, Pusan National University Yangsan Hospital  );
  • 초록

    Purpose: The aim of this study was to describe our treatment experiences with patients who had acute abdomen (AA) with common bile duct (CBD) dilatation. Methods: The treatment outcomes in children with AA and CBD dilatation were retrospectively reviewed. According to the shape of the intrahepatic bile ducts on ultrasonography (US), the origin of the pain was estimated as choledochal cyst (CC) complication or choledocholithiasis in normal CBD. Patients with complicated CC underwent surgery, and patients with choledocholithiasis in a normal appearing CBD underwent symptomatic treatment initially. Results: Of the 34 patients, 30 (88.2%) were female. The mean age of the patients was $6.4{\pm}4.9$ (range, 0.8-17) years. Seventeen (50.0%) patients had CBD stones and 17 (50.0%) did not. Surgical treatment was performed in 20 (58.8%) patients, 2 of whom underwent preoperative stone removal with endoscopic retrograde cholangiopancreatography and an operation. Conservative treatment was applied in 12 (35.3%) patients (8 with and 4 without stones), 1 of whom developed symptom relapse and underwent an operation. Among the 8 patients with CBD stones, 4 (4/17, 23.5%) had complete resolution of the stones and recovery of the CBD diameter after conservative treatment. US findings of patients with stone showed a fusiform or cylindrical shape of the CBD in 14 (82.4%) patients. Conclusion: The presence of stones in the distal CBD and the US features of CBD dilatation may be helpful to diagnose and treat the causes of biliary dilatation. Conservative treatment can be considered as initial therapy in patients with uncomplicated CBD dilatation with stone.


  • 주제어

    Common bile duct .   Choledochal cyst .   Choledocholithiasis .   Ultrasonography .   Child.  

  • 참고문헌 (15)

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