Quistes del colédoco
DOI:
https://doi.org/10.30944/20117582.379Palabras clave:
conducto colédoco, quiste del colédoco, ampolla hepatopancreática, neoplasias del sistema biliar, anastomosis quirúrgicaResumen
Los quistes del colédoco son una condición médica poco frecuente, la cual se caracteriza por presentar dilatación de la vía biliar intrahepática y extrahepática; se postulan en su etiología la anomalía de la unión pancreáticobiliar, lo que favorece el reflujo del jugo pancreático al árbol biliar, y la aganglionosis del árbol biliar. Tiene una amplia gama de presentación de síntomas, y entre los principales se encuentran el dolor abdominal, la ictericia y una masa abdominal palpable. Son lesiones premalignas y, por ende, el tratamiento de elección es la resección quirúrgica completa con seguimiento a largo plazo.
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Referencias bibliográficas
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https://doi.org/10.1001/archsurg.1924.01120050145008
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https://doi.org/10.1016/0011-3840(92)90025-X
3. Powell CS, Sawyers JL, Reynolds VH. Management Of Adult Choledochal Cysts. Ann Surg. 1981;193:666.
https://doi.org/10.1097/00000658-198105000-00018
4. Nagorney D, Mcilrath D, Adson M. Choledochal Cysts In Adults: Clinical Management. Surgery. 1984;96:656-63.
5. Ono J, Sakoda K, Akita H. Surgical Aspect Ot Cystic Dilatation Of The Bile Duct. An Anomalous Junction Of The Pancreaticobiliary Tract In Adults. Ann Surg. 1982;195:203.
https://doi.org/10.1097/00000658-198202000-00014
6. Gigot J, Nagorney D, Farnell M, Moir C, Ilstrup D. Bile Duct Cysts: A Changing Spectrum Of Presentation. J Hepatobiliary Pancreat Surg. 1996;3:405-11.
https://doi.org/10.1007/BF02349784
7. López RR, Pinson CW, Campbell JR, Harrison M, Katon RM. Variation In Management Based On Type Of Choledochal Cyst. Am J Surg. 1991;161:612-5.
https://doi.org/10.1016/0002-9610(91)90911-V
8. Chijiiwa K, Koga A. Surgical Management And Long-Term Follow-Up Of Patients With Choledochal Cysts. Am J Surg. 1993;165:238-42.
https://doi.org/10.1016/S0002-9610(05)80518-5
9. Alonso-Lej F, Rever WB Jr, Pessagno DJ, Congenital choledochal cyst, with a report of 2, and an analysis of 94, cases Int Abstr Surg. 1959;108:1-30.
10. Todani T, Watanabe Y, Narusue M, Tabuchi K, Okajima K. Congenital bile duct cysts: Classification, operative procedures, and review of thirty-seven cases including cancer arising from choledochal cyst. Am J Surg. 1977;134:263-9.
https://doi.org/10.1016/0002-9610(77)90359-2
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https://doi.org/10.1001/archsurg.2011.243
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https://doi.org/10.1016/S0039-6060(03)00133-8
13. Ochiai K, Kaneko K, Kitagawa M, Ando H, Hayakawa T. Activated pancreatic enzyme and pancreatic stone protein (PSP/reg) in bile of patients with pancreaticobiliary maljunction/choledochal cysts. Dig Dis Sci. 2004;49:1953-6.
https://doi.org/10.1007/s10620-004-9599-7
14. Narita H, Hashimoto T, Suzuki T, Kamiya Y, Murata Y, Hayashi S, et al. Clinical and experimental studies on the activation mechanism of pancreatic enzymes refluxing into the biliary tract with an anomalous pancreatico-biliary ductal junction. Nippon Shonika Gakkai Zasshi. 1990;26:609-15.
https://doi.org/10.1016/0022-3468(91)90762-I
15. Mizuno M, Kato T, Koyama K. An analysis of mutagens in the contents of the biliary tract in pancreaticobiliary maljunction. Surg Today. 1996;26:597-602.
https://doi.org/10.1007/BF00311663
16. Davenport M, Stringer M, Howard E. Biliary amylase and congenital choledochal dilatation. J Pediatr Surg. 1995;30:474-7.
https://doi.org/10.1016/0022-3468(95)90059-4
17. Kamisawa T, Kuruma S, Tabata T, Chiba K,Iwasaki S, Koizumi S, Pancreaticobiliary maljunction and biliary cáncer, J Gastroenterol. 2015;50:273-9..
https://doi.org/10.1007/s00535-014-1015-2
18. Kamisawa T, Anjiki H, Egawa N, Kurata M, Honda G, Tsuruta K, Diagnosis and clinical implications of pancreatobiliary reflux. World J Gastroenterol. 2008;14:6622-6
https://doi.org/10.3748/wjg.14.6622
19. Horaguchi J, Fujita N, Kamisawa T, Honda G, Chijiiwa K, Maguchi H, Tanaka M, Pancreatobiliary reflux in individuals with a normal pancreaticobiliary junction: a prospective multicenter study. J Gastroenterol. 2014;49:875-81.
https://doi.org/10.1007/s00535-013-0837-7
20. de Courcy Wheeler WI. An unusual case of obstruction to the common bile-duct (choledochocele?) Br J Surg 1940;27:446-8. Article first published online: 6 Dec 2005
https://doi.org/10.1002/bjs.18002710705
21. Mousson C, Rabec M, Cercueil J, Virot J, Hillon P, Rifle G. Caroli's disease and autosomal dominant polycystic kidney disease: A rare association? Nephrol Dial Transplant. 1997;12:1481-3.
https://doi.org/10.1093/ndt/12.7.1481
22. Ninan VT, Nampoory MR, Johny KV, Gupta RK, Schmidt I, Nair PM, et al. Caroli's disease of the liver in a renal transplant recipient. Nephrol Dial Transplant. 2002;17:1113-5.
https://doi.org/10.1093/ndt/17.6.1113
23. Yonem O, Bayraktar Y. Clinical characteristics of Caroli's syndrome. World J Gastroenterol. 2007;13:1934-7.
https://doi.org/10.3748/wjg.v13.i13.1934
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https://doi.org/10.1016/S0016-5107(98)70247-0
25. Hosoki T, Hasuike Y, Takeda Y, Michita T, Watanabe Y, Sakamori R, et al. Visualization of pancreaticobiliary reflux in anomalous pancreaticobiliary junction by secretin-stimulated dynamic magnetic resonance cholangiopancreatography. Acta Radiol. 2004;45:375-82.
https://doi.org/10.1080/02841850410005462
26. Kinjo T, Aoki H, Sunagawa H, Kinjo S, Muto Y. Congenital absence of the portal vein associated with focal nodular hyperplasia of the liver and congenital choledochal cyst: A case report. J Pediatr Surg. 2001;36:622-5.
https://doi.org/10.1053/jpsu.2001.22303
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29. Chaudhary A, Dhar P, Sachdev A, Kumar N, Vij J, Sarin S, et al. Choledochal cysts differences in children and adults. Br J Surg. 1996;83:186-8.
https://doi.org/10.1002/bjs.1800830212
30. Lee HC, Yeung CY, Fang SB, Jiang CB, Sheu JC, Wang NL. Biliary cysts in children--long-term follow-up in Taiwan. J Formos Med Assoc. 2006;105:118-24.
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https://doi.org/10.2214/ajr.173.2.10430145
37. Hussain SZ, Bloom DA, Tolia V. Caroli's disease diagnosed in a child by MRCP. Clin Imaging. 2000;24:289-91.
https://doi.org/10.1016/S0899-7071(00)00215-1
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39. Arshanskiy Y, Vyas PK. Type IV choledochal cyst presenting with obstructive jaundice: Role of MR cholangiopancreatography in preoperative evaluation. AJR Am J Roentgenol. 1998;171:457-9.
https://doi.org/10.2214/ajr.171.2.9694475
40. Matos C, Nicaise N, Devière J, Cassart M, Metens T, Struyven J, et al. Choledochal cysts: Comparison of findings at MR cholangiopancreatography and endoscopic retrograde cholangiopancreatography in eight patients. Radiology. 1998;209:443-8.
https://doi.org/10.1148/radiology.209.2.9807571
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https://doi.org/10.1016/0002-9610(94)90243-7
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https://doi.org/10.1001/archsurg.1924.01120050145008
2. O'Neill Jr JA. Choledochal Cyst. Curr Prob Surg. 1992;29:361- 410.
https://doi.org/10.1016/0011-3840(92)90025-X
3. Powell CS, Sawyers JL, Reynolds VH. Management Of Adult Choledochal Cysts. Ann Surg. 1981;193:666.
https://doi.org/10.1097/00000658-198105000-00018
4. Nagorney D, Mcilrath D, Adson M. Choledochal Cysts In Adults: Clinical Management. Surgery. 1984;96:656-63.
5. Ono J, Sakoda K, Akita H. Surgical Aspect Ot Cystic Dilatation Of The Bile Duct. An Anomalous Junction Of The Pancreaticobiliary Tract In Adults. Ann Surg. 1982;195:203.
https://doi.org/10.1097/00000658-198202000-00014
6. Gigot J, Nagorney D, Farnell M, Moir C, Ilstrup D. Bile Duct Cysts: A Changing Spectrum Of Presentation. J Hepatobiliary Pancreat Surg. 1996;3:405-11.
https://doi.org/10.1007/BF02349784
7. López RR, Pinson CW, Campbell JR, Harrison M, Katon RM. Variation In Management Based On Type Of Choledochal Cyst. Am J Surg. 1991;161:612-5.
https://doi.org/10.1016/0002-9610(91)90911-V
8. Chijiiwa K, Koga A. Surgical Management And Long-Term Follow-Up Of Patients With Choledochal Cysts. Am J Surg. 1993;165:238-42.
https://doi.org/10.1016/S0002-9610(05)80518-5
9. Alonso-Lej F, Rever WB Jr, Pessagno DJ, Congenital choledochal cyst, with a report of 2, and an analysis of 94, cases Int Abstr Surg. 1959;108:1-30.
10. Todani T, Watanabe Y, Narusue M, Tabuchi K, Okajima K. Congenital bile duct cysts: Classification, operative procedures, and review of thirty-seven cases including cancer arising from choledochal cyst. Am J Surg. 1977;134:263-9.
https://doi.org/10.1016/0002-9610(77)90359-2
11. Lee SE, Jang JY, Lee YJ, Choi DW, Lee WJ, Cho BH, et al. Choledochal cyst and associated malignant tumors in adults: A multicenter survey in South Korea. Arch Surg. 2011;146: 1178-84.
https://doi.org/10.1001/archsurg.2011.243
12. Sugiyama M, Haradome H, Takahara T, Izumisato Y, Abe N, Masaki T, et al. Biliopancreatic reflux via anomalous pancreaticobiliary junction. Surgery. 2004;135:457-9.
https://doi.org/10.1016/S0039-6060(03)00133-8
13. Ochiai K, Kaneko K, Kitagawa M, Ando H, Hayakawa T. Activated pancreatic enzyme and pancreatic stone protein (PSP/reg) in bile of patients with pancreaticobiliary maljunction/choledochal cysts. Dig Dis Sci. 2004;49:1953-6.
https://doi.org/10.1007/s10620-004-9599-7
14. Narita H, Hashimoto T, Suzuki T, Kamiya Y, Murata Y, Hayashi S, et al. Clinical and experimental studies on the activation mechanism of pancreatic enzymes refluxing into the biliary tract with an anomalous pancreatico-biliary ductal junction. Nippon Shonika Gakkai Zasshi. 1990;26:609-15.
https://doi.org/10.1016/0022-3468(91)90762-I
15. Mizuno M, Kato T, Koyama K. An analysis of mutagens in the contents of the biliary tract in pancreaticobiliary maljunction. Surg Today. 1996;26:597-602.
https://doi.org/10.1007/BF00311663
16. Davenport M, Stringer M, Howard E. Biliary amylase and congenital choledochal dilatation. J Pediatr Surg. 1995;30:474-7.
https://doi.org/10.1016/0022-3468(95)90059-4
17. Kamisawa T, Kuruma S, Tabata T, Chiba K,Iwasaki S, Koizumi S, Pancreaticobiliary maljunction and biliary cáncer, J Gastroenterol. 2015;50:273-9..
https://doi.org/10.1007/s00535-014-1015-2
18. Kamisawa T, Anjiki H, Egawa N, Kurata M, Honda G, Tsuruta K, Diagnosis and clinical implications of pancreatobiliary reflux. World J Gastroenterol. 2008;14:6622-6
https://doi.org/10.3748/wjg.14.6622
19. Horaguchi J, Fujita N, Kamisawa T, Honda G, Chijiiwa K, Maguchi H, Tanaka M, Pancreatobiliary reflux in individuals with a normal pancreaticobiliary junction: a prospective multicenter study. J Gastroenterol. 2014;49:875-81.
https://doi.org/10.1007/s00535-013-0837-7
20. de Courcy Wheeler WI. An unusual case of obstruction to the common bile-duct (choledochocele?) Br J Surg 1940;27:446-8. Article first published online: 6 Dec 2005
https://doi.org/10.1002/bjs.18002710705
21. Mousson C, Rabec M, Cercueil J, Virot J, Hillon P, Rifle G. Caroli's disease and autosomal dominant polycystic kidney disease: A rare association? Nephrol Dial Transplant. 1997;12:1481-3.
https://doi.org/10.1093/ndt/12.7.1481
22. Ninan VT, Nampoory MR, Johny KV, Gupta RK, Schmidt I, Nair PM, et al. Caroli's disease of the liver in a renal transplant recipient. Nephrol Dial Transplant. 2002;17:1113-5.
https://doi.org/10.1093/ndt/17.6.1113
23. Yonem O, Bayraktar Y. Clinical characteristics of Caroli's syndrome. World J Gastroenterol. 2007;13:1934-7.
https://doi.org/10.3748/wjg.v13.i13.1934
24. Elton E, Hanson BL, Biber BP, Howell DA. Dilated common channel syndrome: Endoscopic diagnosis, treatment, and relationship to choledochocele formation. Gastrointest Endosc. 1998;47:471-8.
https://doi.org/10.1016/S0016-5107(98)70247-0
25. Hosoki T, Hasuike Y, Takeda Y, Michita T, Watanabe Y, Sakamori R, et al. Visualization of pancreaticobiliary reflux in anomalous pancreaticobiliary junction by secretin-stimulated dynamic magnetic resonance cholangiopancreatography. Acta Radiol. 2004;45:375-82.
https://doi.org/10.1080/02841850410005462
26. Kinjo T, Aoki H, Sunagawa H, Kinjo S, Muto Y. Congenital absence of the portal vein associated with focal nodular hyperplasia of the liver and congenital choledochal cyst: A case report. J Pediatr Surg. 2001;36:622-5.
https://doi.org/10.1053/jpsu.2001.22303
27. Tsuchiya R, Harada N, Ito T, Furukawa M, Yoshihiro I, Kusano T, et al. Malignant tumors in choledochal cysts. Ann Surg. 1977;186:22-8.
https://doi.org/10.1097/00000658-197707000-00004
28. Bismuth H, Krissat J. Choledochal cystic malignancies. Ann Oncol. 1999;10(Suppl.4):S94-8.
https://doi.org/10.1093/annonc/10.suppl_4.S94
29. Chaudhary A, Dhar P, Sachdev A, Kumar N, Vij J, Sarin S, et al. Choledochal cysts differences in children and adults. Br J Surg. 1996;83:186-8.
https://doi.org/10.1002/bjs.1800830212
30. Lee HC, Yeung CY, Fang SB, Jiang CB, Sheu JC, Wang NL. Biliary cysts in children--long-term follow-up in Taiwan. J Formos Med Assoc. 2006;105:118-24.
https://doi.org/10.1016/S0929-6646(09)60332-6
31. O'Neill Jr JA, Templeton Jr JM, Schnaufer L, Bishop HC, Ziegler MM, Ross 3rd A. Recent experience with choledochal cyst. Ann Surg. 1987;205:533.
https://doi.org/10.1097/00000658-198705000-00012
32. Moss RL, Musemeche CA. Successful management of ruptured choledochal cyst by primary cyst excision and biliary reconstruction. J Pediatr Surg. 1997;32:1490-1.
https://doi.org/10.1016/S0022-3468(97)90572-8
33. Shi L-B, Peng S-Y, Meng X-K, Peng C-H, Liu Y-B, Chen X-P, et al. Diagnosis and treatment of congenital choledochal cyst: 20 years experience in China. World J Gastroenterol. 2001;7:732-4.
https://doi.org/10.3748/wjg.v7.i5.732
34. Visser BC, Suh I, Way LW, Kang SM. Congenital choledochal cysts in adults. Arch Surg. 2004;139:855-62.
https://doi.org/10.1001/archsurg.139.8.855
35. Germani M, Liberto D, Elmo G, Lobos P, Ruiz E. Choledochal cyst in pediatric patients: A 10 years single institution experience. Acta Gastroenterol Latinoam. 2011;41:302-7.
36. Lam WW, Lam TP, Saing H, Chan FL, Chan KL. MR cholangiography and CT cholangiography of pediatric patients with choledochal cysts. AJR Am J Roentgenol. 1999;173:401-5.
https://doi.org/10.2214/ajr.173.2.10430145
37. Hussain SZ, Bloom DA, Tolia V. Caroli's disease diagnosed in a child by MRCP. Clin Imaging. 2000;24:289-91.
https://doi.org/10.1016/S0899-7071(00)00215-1
38. Arrieta A, Manzano A, Navarro D, Durango R. Dilema en el diagnóstico de quiste de colédoco: reporte de un caso. Gen. 2011;65:237-9.
39. Arshanskiy Y, Vyas PK. Type IV choledochal cyst presenting with obstructive jaundice: Role of MR cholangiopancreatography in preoperative evaluation. AJR Am J Roentgenol. 1998;171:457-9.
https://doi.org/10.2214/ajr.171.2.9694475
40. Matos C, Nicaise N, Devière J, Cassart M, Metens T, Struyven J, et al. Choledochal cysts: Comparison of findings at MR cholangiopancreatography and endoscopic retrograde cholangiopancreatography in eight patients. Radiology. 1998;209:443-8.
https://doi.org/10.1148/radiology.209.2.9807571
41. Arenas-Jiménez JJ1 , Gómez-Fernández-Montes J, Mas-Estellés F, Cortina-Orts H. Large choledochocoele: difficulties in radiological diagnosis. Pediatr Radiol. 1999;29:807-10.
https://doi.org/10.1007/s002470050700
42. Purandare D, Thakkar H, Lolge S, Purandare N. Intraluminal portal vein sign in Caroli's syndrome. Indian J Gastroenterol.2004;23:158.
43. Scudamore CH, Hemming AW, Teare JP, Fache JS, Erb SR, Watkinson AF. Surgical management of choledochal cysts. Am J Surg. 1994;167:497-500.
https://doi.org/10.1016/0002-9610(94)90243-7
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2015-01-01
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Sánchez, J. A.; Gómez, S.; Morales, C.; Hoyos, S. I. Quistes Del colédoco. Rev Colomb Cir 2015, 30, 296-305.
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