Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
CONGENITAL CYSTIC ENLARGEMENT OF THE MAIN BILIARY DUCT - RADIO-PATHOLOGICAL COMPARISON IN 14 PATIENTS
Autore:
VULLIERME MP; VILGRAIN V; ZINS M; SIBERT A; DENYS A; BELGHITI J; MENU Y;
Indirizzi:
HOP BEAUJON,SERV RADIOL,100 BLVD GEN LECLERC F-92110 CLICHY FRANCE HOP BEAUJON,SERV CHIRURG DIGEST F-92110 CLICHY FRANCE
Titolo Testata:
Gastroenterologie clinique et biologique
fascicolo: 3, volume: 21, anno: 1997,
pagine: 201 - 208
SICI:
0399-8320(1997)21:3<201:CCEOTM>2.0.ZU;2-K
Fonte:
ISI
Lingua:
FRE
Soggetto:
CHOLEDOCHAL CYST; BILE-DUCT; SURGICAL-MANAGEMENT; CARCINOMA; CLASSIFICATION; COMPLICATIONS; DILATATION;
Keywords:
BILE DUCTS, CYSTS; BILE DUCTS, ENLARGEMENT; BILE DUCTS, NEOPLASIA; BILE DUCTS, RADIOLOGY; BILE DUCTS, SURGERY; CHOLANGIOGRAPHY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
27
Recensione:
Indirizzi per estratti:
Citazione:
M.P. Vullierme et al., "CONGENITAL CYSTIC ENLARGEMENT OF THE MAIN BILIARY DUCT - RADIO-PATHOLOGICAL COMPARISON IN 14 PATIENTS", Gastroenterologie clinique et biologique, 21(3), 1997, pp. 201-208

Abstract

Objectives. -- The aim of this study was to compare imaging and pathological results of congenital cystic enlargement of the biliary tract to determine the best preoperative management strategy. Patients and methods. -- Radiological findings of 14 cases created by surgery were reviewed. Radiological examinations were reviewed: ultrasound (n = 20),computed tomography (n = 13), endoscopic ultrasound (n = 8), endoscopic retrograde cholangiopancreatography (n = 10), percutaneous transhepatic cholangiography (n = 3), peroperative cholangiography (n = 11). Imaging and surgical or pathological correlations were obtained with regard to topographical type using Todani's classification, pancreatobiliary junction, and associated diseases, especially biliary malignancies (cystic wall and gallbladder). Results. -- Cystic enlargement of thebiliary tract was type Ia in 2 patients, type Ib in 1, type Ic in 4, type IVa in 5, and type IVb in 2. The radio-pathological correlation was excellent for the topographical type, and quite good for intrahepatic extension. An abnormal pancreatobiliary junction was identified in 5 cases, and visualized before surgery in 1 case. This junction was not opacified pre- or per-operatively in 7 cases. Gallbladder stones were present in 2 cases, choledocal stones in 2 cases, and intrahepatic stones in one case, always seen on ultrasound. Malignant degeneration was present in the cyst in one case in the pathological specimen, but was not visualized by imaging procedures or peroperatively; one intrahepatic degeneration was visualized on CT and histologically proven in the surgical specimen. Conclusion. -- Ultrasound and CT allow positive diagnosis of cystic enlargement of the biliary tract, and diagnosis ofintrahepatic cyst and associated diseases. The bifurcation extension and the study of pancreatobiliary junction require peroperative or retrograde cholangiography.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 28/09/20 alle ore 18:44:58