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Biliary Tract Abnormalities in Children: From the view-point of choledocho-pancreatic elongated common channel disorders T. Miyano 1 , K. Suruga 1 , K. Suda 2 1Department of Pediatric Surgery, Juntendo University, School of Medicine 2Department of Pathology, Yamanashi Medicical College pp.1201-1208
Published Date 1981/11/25
DOI https://doi.org/10.11477/mf.1403108274
  • Abstract
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 As for the etiology and pathogenesis, cholangitis due to the pancreatic juice reflux and also the anatomical (mechanical) and functional stenosis of the distal common bile duct, caused by the abnormality of the choledocho-pancreatic elongated common channel formation, are considered to be most important factors.

 The type of congenital biliary dilatation (C.B.D.) is classified into two groups according to the shape of the dilated biliary tract. Type I is that the shape of dilated common bile duct is cystic, while fusiform dilatation is seen in type II.

 The so-called “infantile jaundice type”, which is seen in babies under one year of age with persistent jaundice after birth, presents similar clinical feature to congenital biliary atresia.

 Concerning the treatment of C.B.D., the necessity of primary excision is stressed. When the excision is impossible to perform, the internal biliary drainage operation without excision of the cyst should never be attempted because of so much postoperative serious complications. We, tress the necessity of early-staged excision after temporary external biliary drainage procedure in these cases.


Copyright © 1981, Igaku-Shoin Ltd. All rights reserved.

基本情報

電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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