{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T12:31:35Z","timestamp":1790771495954,"version":"4.1.0"},"reference-count":17,"publisher":"Galenos Yayinevi","issue":"4","license":[{"start":{"date-parts":[[2023,12,1]],"date-time":"2023-12-01T00:00:00Z","timestamp":1701388800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Turk J Surg"],"accepted":{"date-parts":[[2023,12,16]]},"published-print":{"date-parts":[[2023,12,1]]},"abstract":"<jats:p><jats:bold>Objective:<\/jats:bold> Biliary cysts are biliary duct dilatations, with 20% of the cysts being diagnosed in adulthood. Abdominal pain, jaundice and palpable abdominal mass are defined as the classical triad. However, nausea, vomiting, fever, itching and weight loss are frequent complaints. There are several treatment options depending on the type of the cyst. This study aimed to share our experience with biliary cysts and contribute to the literature on this subject.<\/jats:p>\n                    <jats:p><jats:bold>Material and Methods:<\/jats:bold> Thirty patients, who received treatment for biliary cyst from January 1981 to December 2018 at our clinic, were studied retrospectively. The patients were analyzed based on age, sex, type of the cyst, diagnosis and treatment methods, post-op follow up and complications.<\/jats:p>\n                    <jats:p><jats:bold>Results:<\/jats:bold> Twenty-seven of the patients were females, and three were males. The patients were aged between 16 and 76 years, and the median age was 41.9 years. All patients presented with abdominal pain, which was accompanied by cholangitis in nine patients, nausea and vomiting in four patients, dyspepsia in three patients and palpable mass in one patient. According to the Todani classification, biliary cyst findings were consistent with Type I in 23 patients, Type V in three patients, Type IV in two patients, Type II in one patient and Type III in one patient.<\/jats:p>\n                    <jats:p><jats:bold>Conclusion:<\/jats:bold> Diagnosis and treatment are complex in biliary cysts due to anatomical proximity and variations. Therefore, it would be beneficial to refer them to referral centers. Choice of treatment should be based on the type of the cyst.<\/jats:p>","DOI":"10.47717\/turkjsurg.2023.6285","type":"journal-article","created":{"date-parts":[[2024,2,6]],"date-time":"2024-02-06T14:51:57Z","timestamp":1707231117000},"page":"315-320","source":"Crossref","is-referenced-by-count":1,"title":["Biliary cysts in adults: Cerrahpa\u015fa experience"],"prefix":"10.47717","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7285-318X","authenticated-orcid":false,"given":"Ali","family":"Vedat Durgun","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0315-8044","authenticated-orcid":false,"given":"Sefa","family":"Erg\u00fcn","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9591-4697","authenticated-orcid":false,"given":"Ba\u015far","family":"Can Turgut","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9116-3598","authenticated-orcid":false,"given":"Osman","family":"\u015eim\u015fek","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0239-1717","authenticated-orcid":false,"given":"Mehmet","family":"Velidedeoglu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8838-4656","authenticated-orcid":false,"given":"Kaya","family":"Sar\u0131beyo\u011flu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6262-392X","authenticated-orcid":false,"given":"Salih","family":"Pekmezci","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2811","published-online":{"date-parts":[[2023,12,29]]},"reference":[{"key":"ref-1","doi-asserted-by":"crossref","unstructured":"Buxbaum J, Lu SC. Cystic diseases of the liver and biliary tract. In Yamada\u2019s Textbook of Gastroenterology (eds. Wang TC, Camilleri M, Lebwohl B, Lok AS, Sandborn WJ, Wang KK and Wu GD). Wiley-Blackwell; 2022.pp. 1759-72. https:\/\/doi.org\/10.1002\/9781119600206.ch83","DOI":"10.1002\/9781119600206.ch83"},{"key":"ref-2","doi-asserted-by":"crossref","unstructured":"Khan S, Nagorney DM. Chapter 46-Bile duct cysts in adults, Editor(s): William R. Jarnagin, Leslie H. Blumgart, Blumgart\u2019s Surgery of the Liver, Pancreas and Biliary Tract (Fifth Edition), W.B. Saunders ;2012, pp 707- 718.e2, ISBN 9781437714548, https:\/\/doi.org\/10.1016\/B978-1-4377- 1454-8.00046-1. https:\/\/doi.org\/10.1016\/B978-1-4377-1454-8.00046-1","DOI":"10.1016\/B978-1-4377-1454-8.00046-1"},{"key":"ref-3","doi-asserted-by":"crossref","unstructured":"Conway WC, Telian SH, Wasif N, Gagandeep S. Type VI biliary cyst: Report of a case. Surg Today 2009; 39(1): 77-9. https:\/\/doi.org\/10.1007\/ s00595-008-3789-4","DOI":"10.1007\/s00595-008-3789-4"},{"key":"ref-4","doi-asserted-by":"crossref","unstructured":"Maheshwari P. Cystic malformation of cystic duct: 10 cases and review of literature. World J Radiol 2012; 4(9): 413-7. https:\/\/doi.org\/10.4329\/ wjr.v4.i9.413","DOI":"10.4329\/wjr.v4.i9.413"},{"key":"ref-5","doi-asserted-by":"crossref","unstructured":"Mesleh M, Deziel DJ. Bile duct cysts. Surg Clin North Am 2008; 88(6): 1369-84. https:\/\/doi.org\/10.1016\/j.suc.2008.07.002","DOI":"10.1016\/j.suc.2008.07.002"},{"key":"ref-6","doi-asserted-by":"crossref","unstructured":"Atkinson HD, Fischer CP, de Jong CH, Madhavan KK, Parks RW, Garden OJ. Choledochal cysts in adults and their complications. HPB (Oxford) 2003; 5(2): 105-10. https:\/\/doi.org\/10.1080\/13651820310001144","DOI":"10.1080\/13651820310001144"},{"key":"ref-7","doi-asserted-by":"crossref","unstructured":"Takeshita N, Ota T, Yamamoto M. Forty-year experience with flowdiversion surgery for patients with congenital choledochal cysts with pancreaticobiliary maljunction at a single institution. Ann Surg 2011; 254(6): 1050-3. https:\/\/doi.org\/10.1097\/SLA.0b013e3182243550","DOI":"10.1097\/SLA.0b013e3182243550"},{"key":"ref-8","doi-asserted-by":"crossref","unstructured":"Soares KC, Arnaoutakis DJ, Kamel I, Rastegar N, Anders R, Maithel S, et al. Choledochal cysts: Presentation, clinical differentiation, and management. J Am Coll Surg 2014; 219(6): 1167-80. https:\/\/doi. org\/10.1016\/j.jamcollsurg.2014.04.023","DOI":"10.1016\/j.jamcollsurg.2014.04.023"},{"key":"ref-9","doi-asserted-by":"crossref","unstructured":"Mart\u00ednez Ortiz CA, Jim\u00e9nez-L\u00f3pez M, Serrano Franco S. Biliary cysts in adults. 26 years experience at a single center. Ann Med Surg (Lond) 2016; 11: 29-31. https:\/\/doi.org\/10.1016\/j.amsu.2016.08.016","DOI":"10.1016\/j.amsu.2016.08.016"},{"key":"ref-10","doi-asserted-by":"crossref","unstructured":"Wiseman K, Buczkowski AK, Chung SW, Francoeur J, Schaeffer D, Scudamore CH. Epidemiology, presentation, diagnosis, and outcomes of choledochal cysts in adults in an urban environment. Am J Surg 2005; 189(5): 527-31. https:\/\/doi.org\/10.1016\/j.amjsurg.2005.01.025","DOI":"10.1016\/j.amjsurg.2005.01.025"},{"key":"ref-11","doi-asserted-by":"crossref","unstructured":"Durgun AV, Gorgun E, Kapan M, Ozcelik MF, Eryilmaz R. Choledochal cysts in adults and the importance of differential diagnosis. J Hepatobiliary Pancreat Surg 2002; 9(6): 738-41. https:\/\/doi.org\/10.1007\/ s005340200102","DOI":"10.1007\/s005340200102"},{"key":"ref-12","doi-asserted-by":"crossref","unstructured":"Madadi-Sanjani O, Wirth TC, Kuebler JF, Petersen C, Ure BM. Choledochal cyst and malignancy: A plea for lifelong follow-up. Eur J Pediatr Surg 2019; 29(2): 143-9. https:\/\/doi.org\/10.1055\/s-0037-1615275","DOI":"10.1055\/s-0037-1615275"},{"key":"ref-13","doi-asserted-by":"crossref","unstructured":"Ohashi T, Wakai T, Kubota M, Matsuda Y, Arai Y, Ohyama T, et al. Risk of subsequent biliary malignancy in patients undergoing cyst excision for congenital choledochal cysts. J Gastroenterol Hepatol 2013; 28(2): 243-7. https:\/\/doi.org\/10.1111\/j.1440-1746.2012.07260.x","DOI":"10.1111\/j.1440-1746.2012.07260.x"},{"key":"ref-14","doi-asserted-by":"crossref","unstructured":"Sastry AV, Abbadessa B, Wayne MG, Steele JG, Cooperman AM. What is the incidence of biliary carcinoma in choledochal cysts, when do they develop, and how should it affect management? World J Surg 2015; 39(2): 487-92. https:\/\/doi.org\/10.1007\/s00268-014-2831-5","DOI":"10.1007\/s00268-014-2831-5"},{"key":"ref-15","doi-asserted-by":"crossref","unstructured":"Singh S, Singh NP, Goyal A, Hans S, Khichy S. Choledochal cyst with aberrant right posterior sectoral duct. Indian J Surg 2015; 77(Suppl 2): 744-5. https:\/\/doi.org\/10.1007\/s12262-013-0926-0","DOI":"10.1007\/s12262-013-0926-0"},{"key":"ref-16","doi-asserted-by":"crossref","unstructured":"Lal R, Behari A, Hari RH, Sikora SS, Yachha SK, Kapoor VK. Variations in biliary ductal and hepatic vascular anatomy and their relevance to the surgical management of choledochal cysts. Pediatr Surg Int 2013; 29(8): 777-86. https:\/\/doi.org\/10.1007\/s00383-013-3333-5","DOI":"10.1007\/s00383-013-3333-5"},{"key":"ref-17","doi-asserted-by":"crossref","unstructured":"Shimotakahara A, Yamataka A, Yanai T, Kobayashi H, Okazaki T, Lane GJ, et al. Roux-en-Y hepaticojejunostomy or hepaticoduodenostomy for biliary reconstruction during the surgical treatment of choledochal cyst: which is better? Pediatr Surg Int 2005; 21(1): 5-7. https:\/\/doi. org\/10.1007\/s00383-004-1252-1","DOI":"10.1007\/s00383-004-1252-1"}],"container-title":["Turkish Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/turkjsurg.com\/full-text-pdf\/1937\/eng","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/turkjsurg.com\/full-text-pdf\/1937\/eng","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,4]],"date-time":"2025-03-04T06:06:57Z","timestamp":1741068417000},"score":1,"resource":{"primary":{"URL":"https:\/\/turkjsurg.com\/articles\/doi\/turkjsurg.2023.6285"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,12,1]]},"references-count":17,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2023,12,1]]}},"URL":"https:\/\/doi.org\/10.47717\/turkjsurg.2023.6285","relation":{},"ISSN":["2564-6850","2564-7032"],"issn-type":[{"value":"2564-6850","type":"print"},{"value":"2564-7032","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,12,1]]}}}