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Asked by : rajesh60 on Thu, 25 Mar 2010
Asked in :Pancreatitis
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My relative who is a female child aged 15 years, suffered from pancreatis about 5 years back. She was admitted to hospital for 10 days where doctors managed her pain only. Now she has some pain in abdomen, it is diagnosed she has choledochal cyst Type IVA. Doctors suggest she should be operated upon and her INtrahepatic, UBD and Common bile Duct including gall bladder should be removed. As it is a major operation, I want to know who is best surgeon in Delhi or in India for this kind of surgery. Moreover I want to know if DUCTS are removed then surgically from small intestine a piece would be removed and surgically another DUCT will be created and put between Liver and DOUDENUM and how pancreas duct will be joined with this surgically created duct or it will be straight connected to DUODENUM. Nature has given us Ampulla and sphincter which open when DUCT sends bile and enzyem into doudenum and then it closes preventing back flow of DUODENUM content into BILE. After surgery how such back flow will be prevented and what precautions surgeon take that BILE does not leak?
Even if best surgeons are avaialble abroad, their names and hospitals details may please be provided.
If someone has already experienced this situation, his experience will be of great value.


Answered by : DrPradeepsaxena on Wed, 14 Apr 2010

Hi Mr Rajesh, Choledochal cyst is an uncommon congenital anomaly that requires surgical treatment. Type IVa choledochal cyst is dilation of the extrahepatic and intrahepatic biliary tree.
Severe hepatobiliary complications may result from long-standing biliary cysts if left untreated. The incidence of biliary carcinoma in the choledochal cyst ranges from 2.5% to 26%. The goals of management are to relieve symptoms and prevent long-term complications of biliary cysts such as infections, pressure upon the portal vein, liver failure, and potential cancer in the bile ducts. Resection of the extrahepatic cyst is recommended for type IV cysts. If the intrahepatic cysts are confined to one side of the liver a concomitant liver resection may also be required.
Management involves complete assessment of the disease, surgical resection and surveillance for development of carcinoma.
You can contact Dr Vinay Kumaran, Liver Transplant and Gastrointestinal Surgeon at Sir Ganga Ram Hospital, New Delhi. Their team, infrastructure and interdisciplinary interaction for management of Hepatobiliary diseases are the available best in this subcontinent.
Phone: 9910852626
Email: kumaranvinay@yahoo.com
Website: http://vkumaran.net/


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Answered By :

Dr. Pradeep Saxena

General Surgery

 

Total Answered : ( 3 )

Providing regular services in Gastrointestinal surgery, Hepato-biliary and Pancreatic Surgery, Cancer Surgery, Endocrine & breast surgery, Laparoscopic surgery besides General Surgery
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