PMID- 32206892
OWN - NLM
STAT- MEDLINE
DCOM- 20201005
LR  - 20210110
IS  - 1437-9813 (Electronic)
IS  - 0179-0358 (Linking)
VI  - 36
IP  - 5
DP  - 2020 May
TI  - A serious complication of liver hydatid cysts in children: cystobiliary fistulas.
PG  - 611-620
LID - 10.1007/s00383-020-04637-9 [doi]
AB  - AIM: We aimed to determine predictive factors for predicting cystobiliary 
      fistulas (CBF) in children after treatment of liver hydatid cyst (LHD). METHODS: 
      The records of patients who were treated for LHD between 01.06.2009 and 1.06.2019 
      were retrospectively reviewed. Age, sex, laboratory test results, size and number 
      of cysts, method of first intervention (percutaneous or surgery), whether or not 
      CBF developed and how it was treated were investigated. Among findings, those 
      could be predictive were investigated. Data were evaluated with SPSS 21.0 
      program, p < 0.05 was considered significant. RESULTS: Of the 97 patients, 48 
      (49.5%) were male, 49 (50.5%) female, the mean age was 11.2 years, Eighty 
      patients had right (82.5%), 13 had left, and 4 had bilobar involvement. As first 
      intervention, surgery was performed in 39 (40.2%); percutaneous treatment was 
      performed in 58 (59.8%) patients. In 8 patients (20.5%) in surgery group and in 6 
      patients (10.3%) in percutaneous group, totally in 14 patients (14.4%), CBF 
      developed. The mean cyst diameter of CBF-developed group was 114.36 mm, and of 
      CBF-undeveloped group was 74.30 mm. There was no statistically significant 
      differences between groups in terms of age, sex, involved lobe, other organ 
      involvement, and preoperative results (p > 0.5). There was a significant 
      relationship between the cyst diameter and the rate of CBF development in both 
      surgical and percutaneous groups (p < 0.05). ROC analysis was performed, and the 
      cut-off value for the development of CBF detected as 69 mm for children. Since 
      obstructive jaundice seen in adults is not common in children, an increase in 
      liver function tests and bilirubin levels were not seen in our patients. 
      CONCLUSION: A significant correlation was found only between the size of the cyst 
      and developing CBF. Cysts greater than 69 mm have a higher risk of developing CBF 
      after both percutaneous and surgical treatment and should be closely monitored.
FAU - Demir, Sabri
AU  - Demir S
AD  - Department of Pediatric Surgery, Ankara Bilkent City Hospital, Children Hospital, 
      Ankara, Turkey. drsabridemir@gmail.com.
FAU - Ilikan, Gulsah Bayram
AU  - Ilikan GB
AD  - Department of Radiology, Ankara Bilkent City Hospital, Children Hospital, Ankara, 
      Turkey.
FAU - Erturk, Ahmet
AU  - Erturk A
AD  - Department of Pediatric Surgery, Ankara Bilkent City Hospital, Children Hospital, 
      Ankara, Turkey.
FAU - Oztorun, Can I
AU  - Oztorun CI
AD  - Department of Pediatric Surgery, Faculty of Medicine, Ankara Yildirim Beyazit 
      University, Ankara, Turkey.
FAU - Guney, Dogus
AU  - Guney D
AD  - Department of Pediatric Surgery, Ankara Bilkent City Hospital, Children Hospital, 
      Ankara, Turkey.
FAU - Azili, Mujdem Nur
AU  - Azili MN
AD  - Department of Pediatric Surgery, Faculty of Medicine, Ankara Yildirim Beyazit 
      University, Ankara, Turkey.
FAU - Senel, Emrah
AU  - Senel E
AD  - Department of Pediatric Surgery, Faculty of Medicine, Ankara Yildirim Beyazit 
      University, Ankara, Turkey.
FAU - Tiryaki, H Tugrul
AU  - Tiryaki HT
AD  - Department of Pediatric Surgery, Ankara Bilkent City Hospital, Children Hospital, 
      Ankara, Turkey.
LA  - eng
PT  - Journal Article
DEP - 20200323
PL  - Germany
TA  - Pediatr Surg Int
JT  - Pediatric surgery international
JID - 8609169
SB  - IM
CIN - Pediatr Surg Int. 2020 Jul;36(7):863-864. PMID: 32399764
MH  - Adolescent
MH  - Biliary Fistula/diagnosis/*etiology/surgery
MH  - Child
MH  - Child, Preschool
MH  - Cholangiopancreatography, Endoscopic Retrograde/*adverse effects
MH  - Drainage/*adverse effects
MH  - Echinococcosis, Hepatic/*complications/diagnosis/surgery
MH  - Female
MH  - Humans
MH  - Liver Function Tests
MH  - Magnetic Resonance Imaging
MH  - Male
MH  - Postoperative Complications/diagnosis/*etiology
MH  - Retrospective Studies
MH  - Tomography, X-Ray Computed
MH  - Ultrasonography
OTO - NOTNLM
OT  - Children
OT  - Cystobiliary fistula
OT  - Liver hydatid disease
OT  - Percutaneous treatment
OT  - Surgical treatment
EDAT- 2020/03/25 06:00
MHDA- 2020/10/06 06:00
CRDT- 2020/03/25 06:00
PHST- 2020/03/05 00:00 [accepted]
PHST- 2020/03/25 06:00 [pubmed]
PHST- 2020/10/06 06:00 [medline]
PHST- 2020/03/25 06:00 [entrez]
AID - 10.1007/s00383-020-04637-9 [pii]
AID - 10.1007/s00383-020-04637-9 [doi]
PST - ppublish
SO  - Pediatr Surg Int. 2020 May;36(5):611-620. doi: 10.1007/s00383-020-04637-9. Epub 
      2020 Mar 23.