At our gastroenterology practice, we specialize in the evaluation and treatment of choledochocele, a rare condition affecting the biliary system. Serving patients in Long Island, Queens, and Levittown, NY, our dedicated team of board-certified gastroenterologists, including Dr. Mit Shah, MD, who has over 10 years of experience in treating complex gastroenterological conditions, uses the latest diagnostic technology and treatment strategies to provide comprehensive care for those affected by this abnormality. Choledochocele accounts for approximately 1% to 5% of all choledochal cysts, making knowledge of its management essential.
Truly one of the best, he is very well educated and well spoken, he diagnosed me when TWO other gastroenterologists couldn’t. His staff is very friendly as well. His office is also very clean and well taken care of. He cares about his patients and is very deserving of more than 5 stars.
How Choledochocele Affects the Biliary System
Choledochocele, primarily characterized by cystic dilation at the distal segment of the common bile duct, can lead to various complications within the biliary system. Understanding this condition is critical, as it may interfere with the normal flow of bile, resulting in issues such as cholangitis or pancreatitis. In fact, the most common presenting symptom of choledochocele in adults is abdominal pain, reported in 54 out of 58 adult case reports. Early recognition and intervention are paramount in managing potential complications associated with choledochocele.
What is the Todani Classification System
The Todani classification system categorizes choledochocele as a type III choledochal cyst. This system helps physicians accurately diagnose and communicate the specifics of a patient’s condition, providing a structured overview of the different cyst types associated with the biliary tract. Familiarity with these classifications enables our team, which includes Dr. Davinder Singh, MD, a former Assistant Professor at Mayo Clinic, to develop a tailored treatment plan suitable for each patient’s unique needs.

Identifying Symptoms of Choledochocele
Patients with choledochocele may experience a variety of symptoms, including:
- Abdominal pain
- Nausea and vomiting
- Jaundice (yellowing of the skin and eyes)
- Dark urine or pale stools
Recognizing these symptoms is vital for timely diagnosis and intervention. If you’re experiencing any of these signs, it’s essential to consult our experienced team for an evaluation. Choledochocele is more prevalent in females than males, with a ratio ranging from 3:1 to 4:1.
Comprehensive Diagnostic Processes for Choledochocele
Our practice employs advanced diagnostic tools to accurately identify choledochocele. The comprehensive evaluation may include:
- Ultrasound imaging
- Magnetic resonance cholangiopancreatography (MRCP)
- Endoscopic retrograde cholangiopancreatography (ERCP)
These methods allow our highly skilled gastroenterologists to visualize the biliary system and determine the correct diagnosis, enabling our team to provide the most effective treatment strategy tailored to your needs. Surgical resection of the choledochocele with biliary reconstruction is the definitive treatment, with outcomes generally being excellent.
Treatment Options for Choledochocele in Long Island
Treatment for choledochocele typically depends on the severity of the condition and the presence of associated symptoms. Options may include:
- Endoscopic interventions
- Surgical options for cyst excision or biliary reconstruction
Our team collaborates closely with patients to determine the most appropriate treatment plan. As our providers are trained and board-certified in gastroenterology, they are equipped to guide you through various approaches to effectively manage this condition and its implications on your health. Contact our award-winning team today.
Frequently Asked Questions about Choledochocele Treatment
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Choledochocele is believed to be a congenital anomaly, meaning it is present at birth. Abnormal development of the bile duct can lead to this condition.
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Diagnosis usually involves imaging studies such as ultrasounds or MRCP and, when necessary, endoscopic techniques like ERCP to provide a clear picture of the biliary system.
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Without treatment, choledochocele can lead to issues such as bile duct obstruction, cholangitis, and pancreatitis, necessitating prompt medical attention.
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Not all cases require surgical intervention; treatment options depend on the specific case and associated symptoms. Our team will guide you through the best choice for your health.
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We have two locations serving patients in Queens and Levittown, NY, providing easy access to quality gastroenterological care.

Why Choose Our Gastroenterology Practice
Our gastroenterology practice is dedicated to providing the highest quality care for patients dealing with choledochocele and other gastrointestinal disorders. With a team led by Dr. Mit Shah and Dr. Davinder Singh, both seasoned professionals with extensive training and experience in gastroenterology, we emphasize patient-centered care throughout the entire treatment process. Dr. Shah, a Chief of GI at Flushing Hospital Medical Center, has published peer-reviewed literature that enhances our understanding of complex GI conditions, while Dr. Singh’s leadership at prestigious institutions like the Mayo Clinic reflects our commitment to evidence-based care. Our team utilizes the latest techniques, including advanced endoscopic procedures, ensuring effective management of your condition.
About UsSchedule Your Evaluation Today
If you are experiencing symptoms related to choledochocele or wish to learn more about your digestive health, contact our gastroenterology practice serving Long Island, Queens, and Levittown. Our dedicated team is ready to provide you with comprehensive evaluation and care tailored to your needs.