FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2969473208> ?p ?o ?g. }

• W2969473208 endingPage "460" @default.
• W2969473208 startingPage "458" @default.
• W2969473208 abstract "Choledochal cysts are rare congenital dilations of the biliary system. They are more common in East Asia than in the West. Choledochal cysts have been traditionally classified into 5 types.1Todani T. Watanabe Y. Narusue M. et al.Congenital bile duct cysts: classification, operative procedures, and review of thirty-seven cases including cancer arising from choledochal cyst.Am J Surg. 1977; 134: 263-269Abstract Full Text PDF PubMed Scopus (1147) Google Scholar A 6th type of choledochal cyst has been described as either a cyst arising off the cystic duct or a dilation of the cystic duct (Fig. 1). Data on type VI choledochal cysts are limited, with fewer than 25 cases reported. Malignant transformation of these cysts has been described; from a review of the literature, malignancy was found in 2 of 15 adult patients and 0 of 9 pediatric patients.2Bode W.E. Aust J.B. Isolated cystic dilatation of the cystic duct.Am J Surg. 1983; 145: 828-829Abstract Full Text PDF PubMed Scopus (31) Google Scholar, 3Champetier P. Partensky C. Ponchon T. Cystic malformations of the cystic duct.Surg Radiol Anat. 1987; 9: 287-291Crossref PubMed Scopus (10) Google Scholar, 4Kise Y. Uetsuji S. Takada H. et al.Dilatation of the cystic duct with its congenital low entry into the common hepatic duct.Am J Gastroenterol. 1990; 85: 769-770PubMed Google Scholar, 5Serena Serradel A.F. Santamaría Linares E. Herrera Goepfert R. Cystic dilatation of the cystic duct: a new type of biliary cyst.Surgery. 1991; 109: 320-322PubMed Google Scholar, 6Bresciani C. Gama-Rodrigues J. Santos V.R. Video-laparoscopic treatment of a sizeable cyst of the cystic duct: a case report.Surg Laparosc Endosc. 1998; 8: 376-379Crossref PubMed Scopus (15) Google Scholar, 7Loke T.K. Lam S.H. Chan C.S. Choledochal cyst: an unusual type of cystic dilatation of the cystic duct.AJR Am J Roentgenol. 1999; 173: 619-620Crossref PubMed Scopus (36) Google Scholar, 8Conway W.C. Telian S.H. Wasif N. et al.Type VI biliary cyst: report of a case.Surg Today. 2009; 39: 77-79Crossref PubMed Scopus (20) Google Scholar, 9Chan E.S. Auyang E.D. Hungness E.S. Laparoscopic management of a cystic duct cyst.JSLS. 2009; 13: 436-440PubMed Google Scholar, 10Yoon J.H. Magnetic resonance cholangiopancreatography diagnosis of choledochal cyst involving the cystic duct: report of three cases.Br J Radiol. 2011; 84: e18-e22Crossref PubMed Scopus (22) Google Scholar, 11De U. Das S. Sarkar S. Type VI choledochal cyst revisited.Singapore Med J. 2011; 52: e91-e93PubMed Google Scholar, 12Maheshwari P. Cystic malformation of cystic duct: 10 cases and review of literature.World J Radiol. 2012; 4: 413-417Crossref PubMed Google Scholar, 13Shah O.J. Shera A. Shah P. et al.Cystic dilatation of the cystic duct: a type 6 biliary cyst.Indian J Surg. 2013; 75: 500-502Crossref PubMed Scopus (15) Google Scholar The overall rate of malignancy ranges from 5% to 7.5%, with the highest rates reported in types I and IV, and the lowest rates in types II and III.14Ten Hove A. de Meijer V.E. Hulscher J.B.F. et al.Meta-analysis of risk of developing malignancy in congenital choledochal malformation.Br J Surg. 2018; 105: 482-490Crossref PubMed Scopus (42) Google Scholar Type VI choledochal cysts are typically managed with cholecystectomy. The definitive diagnosis of type VI choledochal cysts is usually made intraoperatively; the differentiation between type VI and type II cysts can be challenging on preoperative imaging. Here we present the case of a type VI choledochal cyst diagnosed by ERCP with direct cholangioscopy, allowing for preoperative planning for laparoscopic cholecystectomy, instead of cyst resection with bile duct reconstruction by means of Roux-en-Y hepaticojejunostomy appropriate for a type II choledochal cyst. A 62-year-old Korean woman was evaluated for abdominal pain. Her liver function test results were as follows: alkaline phosphatase 84 U/L, aspartate aminotransferase 20 U/L, alanine aminotransferase 12 U/L, and total bilirubin 0.6 mg/dL. MRCP imaging revealed a 2- × 2-cm cystic structure adjacent to the cystic duct, common bile duct, and duodenum, suggestive of a type II choledochal cyst; however, a diagnosis could not be definitively made by radiology (Fig. 2). Attendees of a multidisciplinary meeting, which included gastroenterology, surgical oncology, and radiology services, made the decision to proceed with EUS and ERCP to further characterize the cyst, inasmuch as differentiation of a type II from a type VI choledochal cyst would significantly change surgical management. The patient underwent EUS and ERCP with direct cholangioscopy (SpyGlass DS II; Boston Scientific, Inc, Marlborough, Mass, USA) (Video 1, available online at www.VideoGIE.org). EUS demonstrated a 2-cm cystic structure adjacent to the common bile duct; no obvious mass was seen. ERCP with sphincterotomy and cholangioscopy identified an opening 4 cm distal to the bifurcation, which led to the cystic duct, and a cyst arising from the cystic duct; the ductal epithelium appeared normal, decreasing concerns for malignancy. A cholangiogram confirmed the cystic duct as the origin of the cyst and demonstrated contrast material filling the cyst followed by filling of the gallbladder immediately afterward. The patient tolerated EUS/ERCP without adverse events. Subsequently, the patient underwent outpatient robotic multiport cholecystectomy with an intraoperative cholangiogram with the use of indocyanine green and the Da Vinci FireFly fluorescence system without adverse events (Fig. 3). The gallbladder and choledochal cyst were resected en bloc (Fig. 4). The patient was seen 2 weeks postoperatively and was asymptomatic. The final pathologic report confirmed the diagnosis of type VI choledochal cyst without dysplasia (Fig. 5).Figure 4Resected en bloc specimen; Debakey forceps on the cystic duct (arrow), tonsil forceps inside the choledochal cyst, and gallbladder stones (*).View Large Image Figure ViewerDownload Hi-res image Download (PPT)Figure 5A, Type VI choledochal cyst without dysplasia (H&E, orig. mag. ×20). B, Type VI choledochal cyst without dysplasia (H&E, orig. mag. ×200).View Large Image Figure ViewerDownload Hi-res image Download (PPT) All authors disclosed no financial relationships relevant to this publication. The authors thank Dr Michael J. Crabtree and Dr Samuel W. French of the Department of Pathology and Dr Alisa S. Han of the Department of Radiology for assisting with the interpretation of images for this case. https://www.videogie.org/cms/asset/bf13aa4d-2106-4f31-b66e-9e36ddfdf65f/mmc1.mp4Loading ... Download .mp4 (47.66 MB) Help with .mp4 files Video 1EUS and ERCP with direct cholangioscopy diagnosing type VI choledochal cyst." @default.
• W2969473208 created "2019-08-29" @default.
• W2969473208 creator A5012441813 @default.
• W2969473208 creator A5022031856 @default.
• W2969473208 creator A5028465874 @default.
• W2969473208 creator A5051279281 @default.
• W2969473208 creator A5078015097 @default.
• W2969473208 date "2019-10-01" @default.
• W2969473208 modified "2023-10-17" @default.
• W2969473208 title "Type VI choledochal cyst diagnosed on ERCP with direct cholangioscopy" @default.
• W2969473208 cites W122545472 @default.
• W2969473208 cites W1505084580 @default.
• W2969473208 cites W1991701851 @default.
• W2969473208 cites W2032024381 @default.
• W2969473208 cites W2047178071 @default.
• W2969473208 cites W2053198534 @default.
• W2969473208 cites W2089512058 @default.
• W2969473208 cites W2091313584 @default.
• W2969473208 cites W2404156960 @default.
• W2969473208 cites W2409625795 @default.
• W2969473208 cites W2414914793 @default.
• W2969473208 cites W2415529637 @default.
• W2969473208 cites W2792396952 @default.
• W2969473208 cites W4254000018 @default.
• W2969473208 cites W57738948 @default.
• W2969473208 doi "https://doi.org/10.1016/j.vgie.2019.07.005" @default.
• W2969473208 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/6831943" @default.
• W2969473208 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/31709329" @default.
• W2969473208 hasPublicationYear "2019" @default.
• W2969473208 type Work @default.
• W2969473208 sameAs 2969473208 @default.
• W2969473208 citedByCount "2" @default.
• W2969473208 countsByYear W29694732082022 @default.
• W2969473208 crossrefType "journal-article" @default.
• W2969473208 hasAuthorship W2969473208A5012441813 @default.
• W2969473208 hasAuthorship W2969473208A5022031856 @default.
• W2969473208 hasAuthorship W2969473208A5028465874 @default.
• W2969473208 hasAuthorship W2969473208A5051279281 @default.
• W2969473208 hasAuthorship W2969473208A5078015097 @default.
• W2969473208 hasBestOaLocation W29694732081 @default.
• W2969473208 hasConcept C126838900 @default.
• W2969473208 hasConcept C141071460 @default.
• W2969473208 hasConcept C142724271 @default.
• W2969473208 hasConcept C2776884468 @default.
• W2969473208 hasConcept C2776909730 @default.
• W2969473208 hasConcept C2777153553 @default.
• W2969473208 hasConcept C2779241435 @default.
• W2969473208 hasConcept C2779399171 @default.
• W2969473208 hasConcept C2779777945 @default.
• W2969473208 hasConcept C2780597408 @default.
• W2969473208 hasConcept C2781212128 @default.
• W2969473208 hasConcept C61434518 @default.
• W2969473208 hasConcept C71924100 @default.
• W2969473208 hasConcept C90924648 @default.
• W2969473208 hasConceptScore W2969473208C126838900 @default.
• W2969473208 hasConceptScore W2969473208C141071460 @default.
• W2969473208 hasConceptScore W2969473208C142724271 @default.
• W2969473208 hasConceptScore W2969473208C2776884468 @default.
• W2969473208 hasConceptScore W2969473208C2776909730 @default.
• W2969473208 hasConceptScore W2969473208C2777153553 @default.
• W2969473208 hasConceptScore W2969473208C2779241435 @default.
• W2969473208 hasConceptScore W2969473208C2779399171 @default.
• W2969473208 hasConceptScore W2969473208C2779777945 @default.
• W2969473208 hasConceptScore W2969473208C2780597408 @default.
• W2969473208 hasConceptScore W2969473208C2781212128 @default.
• W2969473208 hasConceptScore W2969473208C61434518 @default.
• W2969473208 hasConceptScore W2969473208C71924100 @default.
• W2969473208 hasConceptScore W2969473208C90924648 @default.
• W2969473208 hasIssue "10" @default.
• W2969473208 hasLocation W29694732081 @default.
• W2969473208 hasLocation W29694732082 @default.
• W2969473208 hasLocation W29694732083 @default.
• W2969473208 hasLocation W29694732084 @default.
• W2969473208 hasOpenAccess W2969473208 @default.
• W2969473208 hasPrimaryLocation W29694732081 @default.
• W2969473208 hasRelatedWork W1988887408 @default.
• W2969473208 hasRelatedWork W2187569636 @default.
• W2969473208 hasRelatedWork W2381311866 @default.
• W2969473208 hasRelatedWork W2401100391 @default.
• W2969473208 hasRelatedWork W2408273252 @default.
• W2969473208 hasRelatedWork W2434713265 @default.
• W2969473208 hasRelatedWork W2890883900 @default.
• W2969473208 hasRelatedWork W4293660328 @default.
• W2969473208 hasRelatedWork W4385446564 @default.
• W2969473208 hasRelatedWork W3031585325 @default.
• W2969473208 hasVolume "4" @default.
• W2969473208 isParatext "false" @default.
• W2969473208 isRetracted "false" @default.
• W2969473208 magId "2969473208" @default.
• W2969473208 workType "article" @default.