Endoscopic treatment of bile duct post-traumatic and post-operative lesions in children

Background and study aims: The aim of this study was to assess the significance and safety of endoscopic retrograde cholangiopancreatography (ERCP) in diagnosing and treating bile duct injuries in children. Patients and methods: Fourteen pediatric patients, with traumatic or postoperative bile duct...

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Bibliographic Details
Published in:Scandinavian journal of gastroenterology 2017-08, Vol.52 (8), p.870-875
Main Authors: Keil, Radan, Drabek, Jiri, Lochmannova, Jindra, Stovicek, Jan, Rygl, Michal, Snajdauf, Jiri, Hlava, Stepan
Format: Article
Language:English
Subjects:
Adolescent
Bile Duct Diseases - surgery
bile duct stenting
Bile duct trauma
Bile Ducts - injuries
Bile Ducts - surgery
Child
Child, Preschool
Cholangiopancreatography, Endoscopic Retrograde
Cholangitis - etiology
Czech Republic
ERCP
Female
Humans
Infant
Male
Postoperative Complications - surgery
Postoperative Hemorrhage - etiology
Retrospective Studies
Sphincterotomy, Endoscopic
Stents
Treatment Outcome
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Summary:Background and study aims: The aim of this study was to assess the significance and safety of endoscopic retrograde cholangiopancreatography (ERCP) in diagnosing and treating bile duct injuries in children. Patients and methods: Fourteen pediatric patients, with traumatic or postoperative bile duct injury, in which ERCP was performed, were retrospectively evaluated. Results: We performed 46 ERCP and 12 endoscopic papillotomies in children with suspected bile duct injuries. A bile stent was primarily inserted in 13 patients and there were 20 replacements. Endoscopic treatment of bile leakage without need for bile duct sutures or reconstruction was successful in 85.7%. Post ERCP complications included cholangitis and recurrent bleeding, which occurred only in two patients each. Conclusions: ERCP and endoscopic bile stent insertion is a highly effective, minimally-invasive treatment for bile duct injury and should be included as part of the therapeutic procedures in pediatric patients with suspected bile duct injury.
ISSN:0036-5521
1502-7708
DOI:10.1080/00365521.2017.1309453