Endoscopic Ultrasound-guided Hepaticogastrostomy in a Seven-year-old Girl

• Published in: Internal Medicine Vol. 61; no. 23; pp. 3521 - 3524
• Main Authors: Ishii, Shigeto, Koga, Hiroyuki, Saito, Hiroaki, Seo, Shogo, Ushio, Mako, Takahashi, Sho, Takasaki, Yusuke, Suzuki, Akinori, Ito, Koichi, Ochiai, Kazushige, Tomishima, Ko, Fujisawa, Toshio, Yamataka, Atsuyuki, Shiina, Shuichiro, Isayama, Hiroyuki
• Format: Journal Article
• Language: English
• Published: Japan The Japanese Society of Internal Medicine 01.12.2022; Japan Science and Technology Agency
• Subjects: Adult; Biliary Tract Surgical Procedures - adverse effects; Case Report; Child; Cholestasis - etiology; Drainage - methods; Endosonography - methods; EUS-HGS; Female; Humans; Internal medicine; intervention EUS; Pediatrics; Stents - adverse effects; Surgical drains; Ultrasonography, Interventional; Ultrasound; intervention EUS; EUS-HGS; child
• ISSN: 0918-2918; 1349-7235
• DOI: 10.2169/internalmedicine.9355-22

Endoscopic ultrasound-guided hepaticogastrostomy (EUS-HGS) is an effective biliary drainage procedure in adult cases with difficult biliary access. However, there have been no reports on this procedure being used in pediatric cases. We successfully performed EUS-HGS in a pediatric case with a surgically altered anatomy. A standard convex-type echoendoscope and standard devices were used, and there were no device-related complications. The benefit of EUS-HGS for pediatric patients was avoidance of a percutaneous tube, which is difficult to maintain in active children. The accumulation of further cases and performance of a prospective study are warranted to standardize and expand the experience with this procedure.