{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T17:16:06Z","timestamp":1791998166594,"version":"4.4.0"},"reference-count":23,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[1986,2,1]],"date-time":"1986-02-01T00:00:00Z","timestamp":507600000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[1986,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:bold>We have done a retrospective study of the clinical features, complications, surgical treatment, histological findings, and outcome of 27 adults with choledochal cyst (congenital biliary dilatation) whom we have encountered in the past 11 years. In 24 (88.9%) of them, an anomalous connection between the choledochus and the pancreatic duct was found by direct cholangiography, or during operation or autopsy; three also had carcinoma of the biliary tract. In congenital biliary dilatation, this anomalous connection seems to be a major factor in causing cholangitis and carcinoma of the biliary tract. For this reason, congenital biliary dilatation must be treated surgically. This involves resection of the dilated bile duct and the gallbladder to remove the place where bile stasis had been present, and reconstruction of the biliary tract to stop reflux of pancreatic juice in the bile duct<\/jats:bold>.<\/jats:p>","DOI":"10.1007\/bf01656096","type":"journal-article","created":{"date-parts":[[2005,5,8]],"date-time":"2005-05-08T02:47:37Z","timestamp":1115520457000},"page":"102-108","source":"Crossref","is-referenced-by-count":41,"title":["Choledochal cyst: Complications of anomalous connection between the choledochus and pancreatic duct and carcinoma of the biliary tract"],"prefix":"10.1002","volume":"10","author":[{"given":"Eiichi","family":"Nagata","sequence":"first","affiliation":[{"name":"Second Division Department of Surgery Osaka City University Medical School 1\u20105\u20107 Asahimachi, Abeno\u2010ku Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katsuji","family":"Sakai","sequence":"additional","affiliation":[{"name":"Second Division Department of Surgery Osaka City University Medical School 1\u20105\u20107 Asahimachi, Abeno\u2010ku Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroaki","family":"Kinoshita","sequence":"additional","affiliation":[{"name":"Second Division Department of Surgery Osaka City University Medical School 1\u20105\u20107 Asahimachi, Abeno\u2010ku Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazuhiro","family":"Hirohashi","sequence":"additional","affiliation":[{"name":"Second Division Department of Surgery Osaka City University Medical School 1\u20105\u20107 Asahimachi, Abeno\u2010ku Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[1986,2]]},"reference":[{"key":"e_1_2_1_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-197803000-00011"},{"key":"e_1_2_1_3_1","first-page":"19","article-title":"Dissertation in Auguralis. Medica Proes","volume":"70","author":"Vater A.","year":"1723","journal-title":"Diss quascirrhis viscerum dissert c.s. exlerus."},{"key":"e_1_2_1_4_1","first-page":"1","article-title":"Collective review: Congenital choledochal cyst, with report of two and analysis of 94 cases","volume":"108","author":"Alonso\u2010Lej F.","year":"1959","journal-title":"Int. Abstr. Surg."},{"key":"e_1_2_1_5_1","first-page":"71","article-title":"Three cases of congenital dilatation of the biliary tract presented as cylindrical dilatation","volume":"44","author":"Okamura K.","year":"1983","journal-title":"Nippon Rinshogeka Igakkai Zasshi (Tokyo)"},{"key":"e_1_2_1_6_1","first-page":"1161","article-title":"Surgical therapy for congenital dilatation of biliary tract, especially concerning its untypical cylindrical dilatation","volume":"9","author":"Azuma Y.","year":"1977","journal-title":"Syoni Geka (Tokyo)"},{"key":"e_1_2_1_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-198105000-00018"},{"key":"e_1_2_1_8_1","first-page":"327","article-title":"Congenital biliary dilatation\u2014Comparison between pediatric cases and adult cases","volume":"3","author":"Komi N.","year":"1982","journal-title":"Tan to Sui (Tokyo)"},{"key":"e_1_2_1_9_1","first-page":"601","article-title":"Contributions to the aetiology and pathogeny of idiopathic cystic dilatation of the common bile\u2010duct with report of three cases. A new aetiological theory based on supposed unequal epithelial proliferation at the stage of the physiological epithelial occlusion of the primitive choledochus","volume":"30","author":"Yotsuyanagi S.","year":"1936","journal-title":"G ANN"},{"key":"e_1_2_1_10_1","first-page":"231","article-title":"Congenital choledochal cysts. New etiological concept based on anomalous relationships of the common bile duct and pancreatic bulb","volume":"12","author":"Babbitt D.P.","year":"1969","journal-title":"Ann. 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