{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T23:29:25Z","timestamp":1790983765708,"version":"4.1.0"},"reference-count":24,"publisher":"Elsevier BV","issue":"12","license":[{"start":{"date-parts":[[2020,12,1]],"date-time":"2020-12-01T00:00:00Z","timestamp":1606780800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2020,12,1]],"date-time":"2020-12-01T00:00:00Z","timestamp":1606780800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jpedsurg.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Pediatric Surgery"],"published-print":{"date-parts":[[2020,12]]},"DOI":"10.1016\/j.jpedsurg.2020.05.017","type":"journal-article","created":{"date-parts":[[2020,5,22]],"date-time":"2020-05-22T21:31:19Z","timestamp":1590183079000},"page":"2642-2646","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":18,"title":["Insights into the pathophysiology and classification of type 4 choledochal malformation"],"prefix":"10.1016","volume":"55","author":[{"given":"Rania","family":"Kronfli","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"Davenport","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jpedsurg.2020.05.017_bb0005","doi-asserted-by":"crossref","first-page":"100","DOI":"10.1308\/003588409X391947","article-title":"Congenital choledochal malformation: not just a problem for children","volume":"91","author":"Dabbas","year":"2009","journal-title":"Ann R Coll Surg Engl"},{"key":"10.1016\/j.jpedsurg.2020.05.017_bb0010","doi-asserted-by":"crossref","first-page":"1568","DOI":"10.1053\/jpsu.2002.36186","article-title":"Choledochal cysts: age of presentation, symptoms, and late complications related to Todani\u2019s classification","volume":"37","author":"De Vries","year":"2002","journal-title":"J Pediatr Surg"},{"key":"10.1016\/j.jpedsurg.2020.05.017_bb0015","doi-asserted-by":"crossref","first-page":"637","DOI":"10.1007\/s00383-017-4083-6","article-title":"Pediatric choledochal cysts: diagnosis and current management","volume":"33","author":"Soares","year":"2017","journal-title":"Pediatr Surg Int"},{"key":"10.1016\/j.jpedsurg.2020.05.017_bb0020","doi-asserted-by":"crossref","first-page":"644","DOI":"10.1097\/00000658-199411000-00007","article-title":"Choledochal cyst disease. A changing pattern of presentation","volume":"220","author":"Lipsett","year":"1994","journal-title":"Ann Surg"},{"key":"10.1016\/j.jpedsurg.2020.05.017_bb0025","doi-asserted-by":"crossref","first-page":"700","DOI":"10.1016\/S0022-3468(98)90190-7","article-title":"Antenatal diagnosis of congenital anomalies of the biliary tract","volume":"33","author":"Redkar","year":"1998","journal-title":"J Pediatr Surg"},{"key":"10.1016\/j.jpedsurg.2020.05.017_bb0030","doi-asserted-by":"crossref","first-page":"474","DOI":"10.1016\/0022-3468(95)90059-4","article-title":"Biliary amylase and congenital choledochal dilatation","volume":"30","author":"Davenport","year":"1995","journal-title":"J Pediatr Surg"},{"key":"10.1016\/j.jpedsurg.2020.05.017_bb0035","doi-asserted-by":"crossref","first-page":"331","DOI":"10.1016\/j.jpedsurg.2004.10.015","article-title":"Under pressure: choledochal malformation manometry","volume":"40","author":"Davenport","year":"2005","journal-title":"J Pediatr Surg"},{"key":"10.1016\/j.jpedsurg.2020.05.017_bb0040","doi-asserted-by":"crossref","first-page":"1319","DOI":"10.1002\/bjs.7588","article-title":"Role of pressure and pancreatic reflux in the aetiology of choledochal malformation","volume":"98","author":"Turowski","year":"2011","journal-title":"Br J Surg"},{"key":"10.1016\/j.jpedsurg.2020.05.017_bb0045","first-page":"e61","article-title":"Normograms for the extrahepatic bile duct diameter in children","volume":"64","author":"Feng","year":"2017","journal-title":"J Pediatr Gastrol Nutr"},{"key":"10.1016\/j.jpedsurg.2020.05.017_bb0050","doi-asserted-by":"crossref","first-page":"299","DOI":"10.1016\/j.jpedsurg.2010.11.008","article-title":"Intrahepatic duct dilatation in type 4 choledochal malformation: pressure-related, postoperative resolution","volume":"46","author":"Hill","year":"2011","journal-title":"J Pediatr Surg"},{"key":"10.1016\/j.jpedsurg.2020.05.017_bb0055","doi-asserted-by":"crossref","first-page":"138","DOI":"10.1016\/S0022-3468(85)80286-4","article-title":"Changes of intrahepatic bile duct dilatation after surgery for congenital dilatation of the bile duct","volume":"20","author":"Ohi","year":"1985","journal-title":"J Pediatr Surg"},{"key":"10.1016\/j.jpedsurg.2020.05.017_bb0060","doi-asserted-by":"crossref","first-page":"1417","DOI":"10.1016\/S0022-3468(96)90843-X","article-title":"Hepaticoenterostomy after excision of choledochal cyst in children: a 30-year experience with 180 cases","volume":"31","author":"Miyano","year":"1996","journal-title":"J Pediatr Surg."},{"key":"10.1016\/j.jpedsurg.2020.05.017_bb0065","doi-asserted-by":"crossref","first-page":"540","DOI":"10.1016\/j.jpedsurg.2009.08.013","article-title":"Laparoscopic repair for choledochal cyst: lessons learned from 190 cases","volume":"45","author":"Liem","year":"2010","journal-title":"J Pediatr Surg."},{"key":"10.1016\/j.jpedsurg.2020.05.017_bb0070","doi-asserted-by":"crossref","first-page":"529","DOI":"10.1016\/j.hpb.2016.04.005","article-title":"Congenital bile duct cyst (BDC) is a more indolent disease in children compared to adults, except for Todani type IV-A BDC: results of the European multicenter study of the French Surgical Association","volume":"18","author":"Ouaissi","year":"2016","journal-title":"HPB (Oxford)."},{"key":"10.1016\/j.jpedsurg.2020.05.017_bb0075","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1016\/j.hpb.2019.07.001","article-title":"Management strategies and treatment results of pediatric choledochal malformations in the Nordic countries","volume":"22","author":"Hukkinen","year":"2020","journal-title":"HPB (Oxford)."},{"key":"10.1016\/j.jpedsurg.2020.05.017_bb0080","doi-asserted-by":"crossref","first-page":"2631","DOI":"10.1007\/s00268-017-4064-x","article-title":"Choledochal malformation in children: lessons learned from a Dutch national study","volume":"41","author":"van den Eijnden","year":"2017","journal-title":"World J Surg"},{"key":"10.1016\/j.jpedsurg.2020.05.017_bb0085","series-title":"Mecanique Celeste","first-page":"695","author":"Laplace","year":"1939"},{"key":"10.1016\/j.jpedsurg.2020.05.017_bb0090","first-page":"863","article-title":"The law of Laplace","volume":"48","author":"Stillwell","year":"1973","journal-title":"Mayo Clin Proc"},{"key":"10.1016\/j.jpedsurg.2020.05.017_bb0095","doi-asserted-by":"crossref","first-page":"263","DOI":"10.1016\/0002-9610(77)90359-2","article-title":"Congenital bile duct cysts. Classification, operative procedures, and review of thirty-seven cases including cancer arising from choledochal cyst","volume":"134","author":"Todani","year":"1977","journal-title":"Am J Surg"},{"key":"10.1016\/j.jpedsurg.2020.05.017_bb0100","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1053\/jpsu.2002.30243","article-title":"Development of intrahepatic biliary stones after excision of choledochal cysts","volume":"37","author":"Tsuchida","year":"2002","journal-title":"J Pediatr Surg"},{"key":"10.1016\/j.jpedsurg.2020.05.017_bb0105","doi-asserted-by":"crossref","first-page":"379","DOI":"10.1016\/j.jpedsurg.2009.10.083","article-title":"Intraoperative endoscopy during choledochal cyst excision: extended long-term follow-up compared with recent cases","volume":"45","author":"Takahashi","year":"2010","journal-title":"J Pediatr Surg"},{"key":"10.1016\/j.jpedsurg.2020.05.017_bb0110","doi-asserted-by":"crossref","first-page":"243","DOI":"10.1111\/j.1440-1746.2012.07260.x","article-title":"Risk of subsequent biliary malignancy in patients undergoing cyst excision for congenital choledochal cysts","volume":"28","author":"Ohashi","year":"2013","journal-title":"J Gastroenterol Hepatol"},{"key":"10.1016\/j.jpedsurg.2020.05.017_bb0115","doi-asserted-by":"crossref","first-page":"482","DOI":"10.1002\/bjs.10798","article-title":"Meta-analysis of risk of developing malignancy in congenital choledochal malformation","volume":"105","author":"Ten Hove","year":"2018","journal-title":"Br J Surg."},{"key":"10.1016\/j.jpedsurg.2020.05.017_bb0120","doi-asserted-by":"crossref","first-page":"482","DOI":"10.1016\/0022-3468(95)90061-6","article-title":"Choledochal cysts: special emphasis on the usefulness of intraoperative endoscopy","volume":"30","author":"Miyano","year":"1995","journal-title":"J Pediatr Surg"}],"container-title":["Journal of Pediatric Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0022346820303304?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0022346820303304?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,9,20]],"date-time":"2025-09-20T08:39:15Z","timestamp":1758357555000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0022346820303304"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,12]]},"references-count":24,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2020,12]]}},"alternative-id":["S0022346820303304"],"URL":"https:\/\/doi.org\/10.1016\/j.jpedsurg.2020.05.017","relation":{},"ISSN":["0022-3468"],"issn-type":[{"value":"0022-3468","type":"print"}],"subject":[],"published":{"date-parts":[[2020,12]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Insights into the pathophysiology and classification of type 4 choledochal malformation","name":"articletitle","label":"Article Title"},{"value":"Journal of Pediatric Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jpedsurg.2020.05.017","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2020 Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}