Govindarajan KK. Current status of the biliary tract malformation. World J Clin Pediatr 2024; 13(2): 91268 [PMID: 38948002 DOI: 10.5409/wjcp.v13.i2.91268]
Corresponding Author of This Article
Krishna Kumar Govindarajan, FACS, MBBS, MCh, MNAMS, MS, Professor, Department of Pediatric Surgery, JIPMER, Pondicherry, Dhanvantri Nagar, Pondicherry 605006, India. sasisang@rediffmail.com
Research Domain of This Article
Pediatrics
Article-Type of This Article
Minireviews
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Pediatr. Jun 9, 2024; 13(2): 91268 Published online Jun 9, 2024. doi: 10.5409/wjcp.v13.i2.91268
Current status of the biliary tract malformation
Krishna Kumar Govindarajan
Krishna Kumar Govindarajan, Department of Pediatric Surgery, JIPMER, Pondicherry, Pondicherry 605006, India
Author contributions: Govindarajan KK was responsible for conception, compilation and submission.
Conflict-of-interest statement: No conflict of interest declared.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Krishna Kumar Govindarajan, FACS, MBBS, MCh, MNAMS, MS, Professor, Department of Pediatric Surgery, JIPMER, Pondicherry, Dhanvantri Nagar, Pondicherry 605006, India. sasisang@rediffmail.com
Received: December 26, 2023 Revised: April 13, 2024 Accepted: April 18, 2024 Published online: June 9, 2024 Processing time: 164 Days and 10.1 Hours
Abstract
The choledochal cyst (CC) can be better termed as biliary tract malformation because of the close association of embryology and etiology in the causation of CC. Contrary to Babbitt's postulation of reflux, damage and dilatation, reflux was not demonstrable as the causative factor in all varieties of CC. High pressure in the biliary system, otherwise termed ductal hypertension, is put forth as an alternative to explain the evolution of CC. The forme fruste type, which does not find a place in the standard classification, typifies the ductal hypertension hypothesis. Hence a closer, in-depth review would be able to highlight this apt terminology of biliary tract malformation.
Core Tip: The biliary tract malformation has undergone a metamorphosis from its previous nomenclature of choledochal cyst owing to a variety of reasons. The etiology, embryopathology and the current classification require revisiting due to the same. The review looks at the same in detail.
