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Case ReportOpen Access
Hepaticojejunostomy Aftet Excision of Choledochal Cyst in Two Children with Previous Biliary Surgery
Thepcharoennirund S 
Hepaticojejunostomy Roux-en-Y after excision of choledochal cyst is the treatment of
choice for children with choledochal cyst, to prevent the risk. of postoperative cholangitis, stone
formation and malignancy. The author reports two children with previous biliary surgery for
choledochal cyst, one with cystojejunostomy without cholecystectomy and the other with cholecystectomy
alone. Two children were admitted to the Pediatric Surgical Unit, Ratchaburi Hospital,
with the complaint of chronic abdominal pain. After investigation the two children had cyst
excision and hepaticojejunostomy Roux-en-Y. After six and one year follow-up the patients
remain asymptomatic. The aim of this report was to show the complication of two previous
biliary surgeries for choledochal cyst and support total cyst excision combined with hepaticojejunostomy
Roux-en-Y being the treatment of choice for choledochal cyst.
Key word : Choledochal Cyst, Hepaticojejunostomy, Children with Previous Biliary Surgery
choice for children with choledochal cyst, to prevent the risk. of postoperative cholangitis, stone
formation and malignancy. The author reports two children with previous biliary surgery for
choledochal cyst, one with cystojejunostomy without cholecystectomy and the other with cholecystectomy
alone. Two children were admitted to the Pediatric Surgical Unit, Ratchaburi Hospital,
with the complaint of chronic abdominal pain. After investigation the two children had cyst
excision and hepaticojejunostomy Roux-en-Y. After six and one year follow-up the patients
remain asymptomatic. The aim of this report was to show the complication of two previous
biliary surgeries for choledochal cyst and support total cyst excision combined with hepaticojejunostomy
Roux-en-Y being the treatment of choice for choledochal cyst.
Key word : Choledochal Cyst, Hepaticojejunostomy, Children with Previous Biliary Surgery
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