How to treat congenital common bile duct dilatation

Congenital common bile duct dilatation is a common disease in newborns. For newborns with severe jaundice, congenital common bile duct dilatation must be ruled out first. It should be noted that jaundice and abdominal masses are typical symptoms of congenital common bile duct dilatation. Only early treatment of congenital common bile duct dilatation can ensure the healthy growth of the child. So how to treat congenital common bile duct dilatation?

The most common symptoms include abdominal pain, jaundice, and an abdominal mass. These are the three most common clinical manifestations. Physical examination revealed a palpable cystic mass in the right upper abdomen. However, not all patients have all three symptoms when they seek medical attention. Clinically, they often present with one or two symptoms, and only 20%-30% have more than three. In addition, patients may experience fever, vomiting and other symptoms when infected, which are similar to acute hepatitis and should be carefully differentiated. After the cyst ruptures, symptoms of peritonitis may occur. Diagnosis of congenital bile duct dilatation

1. Abdominal pain, jaundice, and abdominal mass.

2. Abnormal liver function, increased direct bilirubin and increased jaundice index.

3. Upper gastrointestinal tract angiography, endoscopic retrograde cholangiopancreatography (ERCP), and percutaneous transhepatic cholangiography (PTC).

4. Ultrasound, CT, and ECT.

Once congenital biliary dilatation is diagnosed, surgical treatment should be performed as soon as possible. If it is delayed too long, troublesome complications may occur. This disease can also cause cancer, so it should be treated as soon as possible. The canceration rate of this disease increases with age, so the disease should be diagnosed and treated early. The surgical methods include open surgery and laparoscopic surgery. With the improvement of laparoscopic surgical skills, laparoscopic minimally invasive surgery has become the best surgical method for treating this disease. Laparoscopic surgery is less traumatic and provides a faster recovery for patients, but it is not suitable for cases with complex lesions or when combined with infection that makes the anatomy difficult to identify.

1. Dilated bile duct, cholecystectomy, and Roux-Y surgery of the common hepatic duct. Dilated bile duct, cholecystectomy, and pedicled jejunal interposition with common hepatic duct-duodenal anastomosis.

2. If there is dilatation of the intrahepatic bile duct, angiography can be performed during the operation to understand the extent of the dilatation, and then internal drainage or hepatic lobectomy can be performed accordingly.

3. Complications of acute suppurative cholangitis, liver failure, cyst rupture, abdominal distension, and external cyst drainage are performed.

The cause of congenital common bile duct dilatation is relatively complex. The most common clinical factor is that the child's bile duct is not well developed. If the disease is not actively treated, it will affect the life of the newborn. Some children cannot be completely cured even with active treatment. Therefore, family members of patients with congenital common bile duct dilatation must be mentally prepared.