Item type |
itemtype_ver1(1) |
公開日 |
2021-11-12 |
タイトル |
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タイトル |
Late postoperative complications of congenital biliary dilatation in pediatric patients: a single-center experience of managing complications for over 20 years |
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言語 |
en |
著者 |
Amano, Hizuru
Shirota, Chiyoe
Tainaka, Takahisa
Sumida, Wataru
Yokota, Kazuki
Makita, Satoshi
Takimoto, Aitaro
Tanaka, Yujiro
Hinoki, Akinari
Kawashima, Hiroki
Uchida, Hiroo
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アクセス権 |
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アクセス権 |
open access |
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アクセス権URI |
http://purl.org/coar/access_right/c_abf2 |
内容記述 |
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内容記述 |
Purpose: To investigate late complications after surgery for congenital biliary dilatation (CBD). Methods: We retrospectively reviewed the patients treated for late postoperative complications of extrahepatic bile duct resection with bilioenteric anastomosis for CBD at our hospital between 1999 and 2019. Results: Twenty-seven complications, including bile duct stenosis with (n = 19) or without (n = 3) hepatolithiasis, remnant intrapancreatic bile duct (n = 2), intestinal obstruction (n = 2), and refractory cholangitis (n = 1) were treated in 26 patients. The median age at radical surgery and the initial treatment of complications was 3 years, 2 months and 14 years, 5 months, respectively. The median period from radical surgery to initial treatment of complications was 7 years, 1 month. Before 2013, bile duct stenosis was initially treated with bile duct plasty (n = 11) or hepatectomy (n = 3), and 71.4% (n = 10) of patients needed further treatment; after 2013, double-balloon endoscopic retrograde cholangiography (DBERC) was used (n = 8), and 25% (n = 2) of patients needed further treatment. Patients with remnant intrapancreatic bile duct, intestinal obstruction, and refractory cholangitis required surgery. Conclusion: Long-term follow-up is necessary after surgery for congenital biliary dilatation. DBERC is thus considered to be useful for bile duct stenosis management. |
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言語 |
en |
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内容記述タイプ |
Abstract |
出版者 |
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言語 |
en |
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出版者 |
Springer |
言語 |
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言語 |
eng |
資源タイプ |
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資源タイプresource |
http://purl.org/coar/resource_type/c_6501 |
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タイプ |
journal article |
出版タイプ |
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出版タイプ |
AM |
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出版タイプResource |
http://purl.org/coar/version/c_ab4af688f83e57aa |
関連情報 |
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関連タイプ |
isVersionOf |
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識別子タイプ |
DOI |
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関連識別子 |
https://doi.org/10.1007/s00595-021-02238-0 |
収録物識別子 |
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収録物識別子タイプ |
PISSN |
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収録物識別子 |
0941-1291 |
書誌情報 |
en : Surgery Today
巻 51,
号 9,
p. 1488-1495,
発行日 2021-09
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ファイル公開日 |
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日付 |
2022-09-01 |
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日付タイプ |
Available |