Modified method of T-tube placement in cases of ruptured choledochal cyst having complete loss of anterior wall
Survival rates for infants and children who have choledochal cyst with or without spontaneous rupture have improved dramatically in the past decades. Despite excellent long-term survival for patients with choledochal cyst who undergo elective surgery, many significant complications can occur in the...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2011-01-01
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| Series: | The Saudi Journal of Gastroenterology |
| Subjects: | |
| Online Access: | http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2011;volume=17;issue=1;spage=77;epage=79;aulast=Intezar |
| _version_ | 1819206144203161600 |
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| author | Ahmed Intezar Rawat D Jile Anshuman Sharma Anand Pandey Ashish Wakhlu Shiv N Kureel |
| author_facet | Ahmed Intezar Rawat D Jile Anshuman Sharma Anand Pandey Ashish Wakhlu Shiv N Kureel |
| author_sort | Ahmed Intezar |
| collection | DOAJ |
| description | Survival rates for infants and children who have choledochal cyst with or without spontaneous rupture have improved dramatically in the past decades. Despite excellent long-term survival for patients with choledochal cyst who undergo elective surgery, many significant complications can occur in the patients being operated in emergency for rupture of the cyst. Spontaneous rupture of the cyst is one such problem resulting in considerable morbidity and mortality in these patients. Majority of surgeons manage these cases with T-tube external drainage. The conventional methods of T-tube placement for long period has remained simple as described in choledochotomies where there is no deficit of the walls of common bile duct (CBD). The present technique has been designed specially for the cases of ruptured choledochal cyst, where the wall of the CBD gets necrosed leaving behind a long gap between the two ends. In these cases, placement of T-tube with conventional method is not possible because there is no wall to suture together, and make the CBD water tight again to prevent leakage of bile. We found only two patients of spontaneous rupture of choledochal cyst with a long gap between two ends of CBD because of necrosed anterior wall. In both of these patients, it was not possible to put T-tube with traditional method and one would have to opt for primary definitive repair despite poor general condition of patients. |
| first_indexed | 2024-12-23T05:02:55Z |
| format | Article |
| id | doaj.art-e98cddc412e144bc9f7866374da6d6c7 |
| institution | Directory Open Access Journal |
| issn | 1319-3767 1998-4049 |
| language | English |
| last_indexed | 2024-12-23T05:02:55Z |
| publishDate | 2011-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | The Saudi Journal of Gastroenterology |
| spelling | doaj.art-e98cddc412e144bc9f7866374da6d6c72022-12-21T17:59:11ZengWolters Kluwer Medknow PublicationsThe Saudi Journal of Gastroenterology1319-37671998-40492011-01-01171777910.4103/1319-3767.74452Modified method of T-tube placement in cases of ruptured choledochal cyst having complete loss of anterior wallAhmed IntezarRawat D JileAnshuman SharmaAnand PandeyAshish WakhluShiv N KureelSurvival rates for infants and children who have choledochal cyst with or without spontaneous rupture have improved dramatically in the past decades. Despite excellent long-term survival for patients with choledochal cyst who undergo elective surgery, many significant complications can occur in the patients being operated in emergency for rupture of the cyst. Spontaneous rupture of the cyst is one such problem resulting in considerable morbidity and mortality in these patients. Majority of surgeons manage these cases with T-tube external drainage. The conventional methods of T-tube placement for long period has remained simple as described in choledochotomies where there is no deficit of the walls of common bile duct (CBD). The present technique has been designed specially for the cases of ruptured choledochal cyst, where the wall of the CBD gets necrosed leaving behind a long gap between the two ends. In these cases, placement of T-tube with conventional method is not possible because there is no wall to suture together, and make the CBD water tight again to prevent leakage of bile. We found only two patients of spontaneous rupture of choledochal cyst with a long gap between two ends of CBD because of necrosed anterior wall. In both of these patients, it was not possible to put T-tube with traditional method and one would have to opt for primary definitive repair despite poor general condition of patients.http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2011;volume=17;issue=1;spage=77;epage=79;aulast=IntezarBiliary peritonitischoledochal cystT-tube |
| spellingShingle | Ahmed Intezar Rawat D Jile Anshuman Sharma Anand Pandey Ashish Wakhlu Shiv N Kureel Modified method of T-tube placement in cases of ruptured choledochal cyst having complete loss of anterior wall The Saudi Journal of Gastroenterology Biliary peritonitis choledochal cyst T-tube |
| title | Modified method of T-tube placement in cases of ruptured choledochal cyst having complete loss of anterior wall |
| title_full | Modified method of T-tube placement in cases of ruptured choledochal cyst having complete loss of anterior wall |
| title_fullStr | Modified method of T-tube placement in cases of ruptured choledochal cyst having complete loss of anterior wall |
| title_full_unstemmed | Modified method of T-tube placement in cases of ruptured choledochal cyst having complete loss of anterior wall |
| title_short | Modified method of T-tube placement in cases of ruptured choledochal cyst having complete loss of anterior wall |
| title_sort | modified method of t tube placement in cases of ruptured choledochal cyst having complete loss of anterior wall |
| topic | Biliary peritonitis choledochal cyst T-tube |
| url | http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2011;volume=17;issue=1;spage=77;epage=79;aulast=Intezar |
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