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J R Soc Med 1986;79:22-24
© 1986 Royal Society of Medicine

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Journal of the Royal Society of Medicine, Vol 79, Issue 1 22-24, Copyright © 1986 by Royal Society of Medicine

ORIGINAL ARTICLES

Management of choledochal cysts in adults

JA Pain, CJ Cahill and ME Bailey

The management of 7 adults with choledochal cysts is described. Three patients presented with abdominal pain, 3 with jaundice and one with cholangitis. Three patients underwent total or partial cyst excision and the remaining patients underwent cyst drainage into a Roux-en-Y jejunal loop. There was no operative mortality and all patients have remained well for up to 6 years following surgery. It is argued that total cyst excision is the treatment of choice, but where this is not possible a Roux-en-Y choledochocystojejunostomy is the recommended alternative.
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