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Dr AvinashTank, is a super-specialist (MCh) Laparoscopic Gastro-intestinal Surgeon,
CHOLEDOCHAL CYST
Choledochal Cyst is a congenital (present at birth) defect where the bile ducts (tubes that carry bile from liver to intestines) are dilated and wider than usual. These cysts may be intra-hepatic (bile ducts inside the liver) or extra-hepatic (outside the liver). Based upon there location and size, there are classified in 5 types.
Risk Factor
As theses are congenital (since birth), so its believed that due to abnormal connection between the pancreatic and bile ducts, leading to reflux of pancreatic juice into the biliary tract. There is no known risk factor that might cause it.
Symptoms
In infants, choledochal cysts usually lead to obstruction of the bile ducts and retention of bile. This leads to jaundice and an enlarged liver. In older individuals, choledochal cysts are more likely to cause abdominal pain and intermittent episodes of jaundice and occasionally cholangitis (inflammation within the bile ducts caused by the spread of bacteria from the intestine into the bile ducts). Pancreatitis also may occur. In some person, they may have dilated bileduct on ultrasound, but it may be ignored at the time of treatment of gall-bladder stones. Dilated bileduct is leads to stasis of bile, thus invite stone formation in bile-duct. So these people are likely to suffer from complications like jaundice, Cholangitis, pancreatitis etc.
Diagnosis
Blood test (LFT: Liver function test), USG are commonly used test for diagnosis. MRCP (MRI of liver) help to define the type of choledochal cyst.
Complications
If left untreated, there is a risk of repeated infection in the cyst and bile duct cancer in them. The incidence of cancer (bile duct, hepatic, or gallbladder in origin) in the choledochal cyst ranges from 2.5% to 26%, which is well above the rate of less than 1% for the general population. Many patients have biliary cancer at the time of initial presentation. In infants, If the obstruction is not relieved, permanent damage may occur to the liver - scarring and cirrhosis - with the signs of portal hypertension (obstruction to the flow of blood through the liver) and ascites (fluid accumulation in the abdomen).
Treatment
The most-effective treatment is surgery. After excision of the cyst, they are directly connected to the intestine (Hepatico-jejunostomy) to allow direct flow of bile into the intestine. In few cases, part of the liver may have to be removed for removing the cysts (hepatectomy).
DR. AVINASH TANK
- Super-specialist Liver, Gastro, Obesity & Cancer Surgeon
- Trained from Best Centres of India: SMS Medical College Jaipur (Rajasthan); Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow (UP). Dr Avinash Tank is the best bariatric surgeon in Ahmedabad, India.
- Rewarded Fellowship in
- Laparoscopic Liver Surgery & Liver Transplantation from South Korea
- Advanced Pancreas Surgery from Japan.
- Bariatric Surgery (IAGES), India.
- Recipient of many National & International Awards for clinical research.
- Awards with Photos
- Best Obesity & Gastro Surgeon: Deputy Chief Minister of Gujarat, 2019
- Heroes 2019: Excellence in Gastro & Obesity Surgery.
- Obesity Doctor of Year 2020, at Vyapaar Jagat Convention & Awards, 2020.
- Top Achievements
- Gall stones: We removed 1070 stones of gall-bladder by laparoscopic surgery. This news is covered in Divya Bhaskar newspaper on 1st April 2019.
- Highest Weight Reduction.
- 80 Kg Weight reduction (167 kg to 80kg) within 1 year after surgery
- Diabetes Free Life
- All blood-sugar levels are normal within 48 hrs of surgery
- All diabetes medicines are stopped after surgery
- Cancer Free Life
- 12 years of Cancer Free Life after Stomach & Colon Cancer Surgery.
- Acidity
- 10 year old acidity (Reflux) problem is solved by 2 hours of surgery.
- Intestine Surgery
- 3 Idiots fame Bollywood Writer Abhijat Joshi’s father was operated for intestine blockage.
- Past Designations
- Ex Founder Head of Department of Liver, Gastro, Obesity Surgery at Shalby Hospital (2010 to 2017).
- Ex Visiting Consultant, Civil Hospital, BJ Medical College, Ahmedabad.
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