|Discussion in 'All Categories' started by Mrs Anjum - Jul 27th, 2012 8:54 am.|
|I am 59 years old. Since last 3 months I had developed pain in my abdomen; felt indigestion. Upon consulting doctor, I was diagnosed with choledochal cyst type 1. However, doctors here are not sure what to be done to it. While gastroentesologist suggest a surgery if patient (myself) ask so, surgical specialist does not recommend surgical removal. Please advise me what to do since I feel more and more pain and indigestion.|
re: Choledochal cyst type 1 by Dr M C Gupta - Jul 29th, 2012 1:33 pm
Dr M C Gupta
|Dear Mrs Anjum
Bile contains digestive enzymes as well as the breakdown products of old red blood cells, which can no longer fulfill their function. When there is any disturbance in bile flow, liver damage may result. If there is a blockage, bile builds up in the blood and the patient becomes jaundiced with a yellow color to the eyes and skin.
If there is partial blockage, mild jaundice may result, as well as infection and inflammation, which is termed cholangitis. Repeated cholangitis leads to scarring within the liver, which is called cirrhosis, and eventually a bad outcome for the patient. Choledochal cyst is one of the common abnormalities that affect the biliary system of children who present with complaints of upper abdominal pain and jaundice.
Type I choledochal cyst which is dilation (ballooning) of the common bile duct, represents 85 to 95 percent of cases. In this form of choledochal cyst abnormality, the gallbladder usually enters the choledochal cyst itself, which is really a very dilated common bile duct. The right and left bile ducts and the ducts within the liver are usually normal in size in these instances, and the common duct itself is greatly enlarged.
In all reported series, most of the patients with types I and IV choledochal cysts have been female with a ratio of four females to one male, but the number of males to number of females in types II, III and V has been noted to be equal. This large number of females is suggestive of a sex-linked genetic problem.
The treatment of choledochal cyst has changed through the years as information has been accumulated about how patients have fared following each given approach. Additionally, improved diagnostic techniques and surgical and anesthetic management as well as pre- and postoperative care have permitted approaches that were not possible many years ago.
So in this case you need surgery for choledochal cyst. Actually the surgery of choledochal cyst is not very easy so may be some surgeons are not recommending if the patient is asymptomatic.
M C Gupta
re: Choledochal cyst type 1 by Vitor - Aug 7th, 2012 10:34 am
|It will probably be eesiar to recover from than a c-section, actually especially if it's a vaginal hyst, though with large fibroids, maybe they can't do it that way. Just make sure you take it easy anyway, and don't lift anything heavy. By the way, I don't think the birth control pills were making the fibroids any bigger than they would have been if you didn't take the pills. Fibroids grow in the presence of hormones, and you would have those whether you took birth control pills or from your own ovaries. Oh, and while you're in the hospital (unless they make you go home the same day), they should be giving you IV morphine, so you won't have to take the Vicodin or Percocet. Tell the anesthesiologist about the situation to be sure you get what you need. It's extremely painful to vomit after abdominal surgery, so that needs to be avoided at all costs (from personal experience). And you won't need those painkillers for long. You can take 600mg of Ibuprofen instead. It's maybe a little less good than Percocet, but given the bad pain you've been in up till now, there's just no comparison. Even if you have NO painkillers after the first day, I will bet your pain will still be less than it currently is. You might wonder to yourself how much pain will I be in? and if this is what I feel like WITH a painkiller, then it must be SO much worse without one. But it's not true in most cases of gyn surgery. The pain diminishes really fast in the days after surgery. I had a friend who had no painkillers (surgery was in a foreign hospital). The first day hurt a lot. Afterwards, she was fine. I myself in the days before IV morphine was the norm, only used percocet until the day after surgery.|
re: Choledochal cyst type 1 by Gayatri - Jul 18th, 2018 10:09 pm
|I am gayatri kaushal 44 years old female and I am diagnosed with choledochal cyst with calculus.the extrahepatic Hilary duct is displayed.it is fusiform dilation up to approx 19.8 mm.there is no severe pain however it feels something is there.i have been suggested open bile reconstruction surgery. I want to know if it can be done laproscopic,which is less invasive. Kindly advise.
I will advice you to go for robotic surgery for your choledochal cyst. We can perform this surgery for you but you need first to come to our hospital for evaluation and some more investigations.
Dr J S Chowhan
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