Endoscopic biliary drainage for children with persistent or exacerbated symptoms of choledochal cysts

Abstract

These results support the protein plug theory. Endoscopic short-tube stenting is adequate and effective as preoperative management.

Usefulness of laparoscopic cholecystostomy in children with complicated choledochal cyst

“…However, complex techniques are necessary for endoscopic drainage, especially in children. In addition, in cases in which the confluence of the common bile duct with the narrow segment and the pancreatic duct are at right angles to each other, cannulation may be difficult .…”

Choledochal Cysts: Presentation, Clinical Differentiation, and Management

“…In addition to its diagnostic yield, ERCP can be therapeutic by allowing biliary drainage and endoscopic sphincterotomy of choledochoceles. 85,86 Percutaneous transhepatic cholangiography also permits sensitive evaluation of the intrahepatic bile ducts, but sometimes can fail to adequately delineate the distal and intraduodenal portions of the CBD. Notably, both procedures are associated with potential complications, including bleeding, cholangitis, acute pancreatitis, and perforation.…”

Significance of imaging modalities for preoperative evaluation of the pancreaticobiliary system in surgery for pediatric choledochal cyst

“…We found that the occurrences of intraoperative PD injury, postoperative pancreatitis, and carcinogenesis did not differ significantly between groups (Table ), with the limitation that the postoperative follow‐up period was longer in the ERCP group. Although a prospective study is needed to obtain concrete evidence, we have had the impression that ERCP is nonessential in the diagnostic workup for pediatric CC, except for cases where therapeutic ERCP is anticipated .…”