Etiology and classification of cholangiectasia: an analysis of 1098 cases

VernacularTitle:1098例胆管扩张症的病因构成及分类
Author: Baochun WANG ; Yunfu Lü ; Xiaoyu HAN ; Ning LIU ; Jie YUE
Publication Type:Journal Article
Keywords: Cholangiectasis; Etiology; Classification
From: Chinese Journal of Hepatobiliary Surgery 2011;17(9):752-754
CountryChina
Language:Chinese
Abstract: ObjectiveTo review the etiology and classification of cholangiectasia. MethodThe clinical data of 1098 patients with cholangiectasia treated from January 2000 to December 2009 were retrospectively analyzed. Results For the 1098 patients, 69 patients (6.3％) had congenital choledochal cyst, and 1029 patients (93.7％) had secondary cholangiectasia which were secondary to 22 diseases, The top 5 of the etiological diseases were bile duct stones (366 patients, 33.3 ％), pancreatic head carcinoma (137 patients, 12.5％), peri-ampullary carcinoma (122 patients, 11.1％), cholangiocarcinoma (68 patients,6.2％),and chronic pancreatitis or pancreatic head cyst (62 patients,5.6 ％). ConclusionsCholangiectasia can be divided into two major categories (congenital and secondary). Congenital choledochal cyst accounted for 6.0％, secondary cholangiectasia accounted for 94 ％.The most common etiologies were bile duct stones, pancreatic head carcinoma and peri-ampullar carcinoma.