Percutaneous management of benign biliary disorders in children

• Published in: Diagnostic and interventional imaging Vol. 99; no. 1; pp. 37 - 42
• Main Authors: Kahriman, G, Ozcan, N, Gorkem, S.B
• Format: Journal Article
• Language: English
• Published: France Elsevier Masson SAS 01.01.2018
• Subjects: Adolescent; Bile duct diseases; Bile Duct Diseases - diagnostic imaging; Bile Duct Diseases - therapy; Biliary intervention; Child; Child, Preschool; Cholangiography; Choledocholithiasis; Contrast Media; Dilatation; Female; Humans; Interventional radiology; Iohexol - analogs & derivatives; Male; Pediatric; Radiography, Interventional; Radiology; Bile duct diseases; Interventional radiology; Choledocholithiasis; Biliary intervention; Pediatric
• ISSN: 2211-5684; 2211-5684
• DOI: 10.1016/j.diii.2017.05.010

Abstract Purpose The goal of this study was to analyze the outcomes of percutaneous transhepatic management of benign biliary disorders in pediatric patients. Materials and methods This study included 11 pediatric patients who underwent percutaneous transhepatic biliary interventional procedures between September 2007 and December 2016. There were 3 males and 8 females with a mean age of 9.6 ± 5.4 (SD) years (range: 2–17 years). Technical details, complications and outcome of the procedures were evaluated. Results The underlying pathologies were bile duct stones ( n = 2), bile leakage ( n = 4), choledochal cyst ( n = 3) and benign biliary stricture ( n = 2). The therapeutic interventional procedures were as follows; percutaneous stone removal in patients with bile duct stones, external biliary drainage in patients with choledochal cyst, bile diversion by internal-external percutaneous biliary drainage (IE-PBD) in patients with bile leakage, plastic stent placement, IE-PBD with balloon dilatation in patients with benign biliary stricture. The procedures were successful in all patients technically and clinically. One patient experienced intermittent fever. Conclusion Percutaneous transhepatic biliary interventional procedure is an effective and safe approach for the treatment of pediatric patients with bile duct stones, bile leakage, symptomatic choledochal cyst and benign biliary stricture when endoscopic procedure is unavailable or fails.