Non-vascular interventional radiology in the paediatric alimentary tract

Patel, Premal A.; Minhas, Kishore; Ang, J.; Stuart, Sam; Coppi, Paolo De; Gnannt, Ralph

doi:10.1016/j.ejrad.2018.12.012

Cited by 4 publications

(3 citation statements)

References 72 publications

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“…Four children in this study required a gastrostomy to be formed as part of the drainage procedure. Complications of gastrostomy formation by interventional radiology are reported to be 0–5% including peritonitis in up to 3% of cases, other infective complications such as subcutaneous abscess in 2% and septicaemia in 1%, and bowel transgression in 0.2% of cases [22]. Insufflation of air to facilitate stomach puncture can obscure subsequent pseudocyst visualisation by US and should be avoided if possible.…”

Section: Discussionmentioning

confidence: 99%

Pancreatic pseudocyst drainage in children by image-guided cystogastrostomy and stent insertion

et al. 2019

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BackgroundEndoscopic ultrasound is seldom available at paediatric centres; therefore drainage of pancreatic pseudocysts in children has traditionally been achieved by surgery.ObjectiveThis study assessed the feasibility and safety of performing image-guided internal drainage of pancreatic pseudocysts with a flanged self-expanding covered nitinol pancreatic pseudocyst drainage stent.Materials and methodsWe conducted a retrospective case note review of children undergoing image-guided cystogastrostomy at two paediatric hospitals. Percutaneous access to the stomach was achieved via an existing gastrostomy tract or image-guided formation of a new tract. Under combined ultrasound, fluoroscopic or cone-beam CT guidance the pancreatic pseudocysts were punctured through the posterior wall of the stomach. A self-expanding covered nitinol stent was deployed to create a cystogastrostomy opening.ResultsImage-guided cystogastrostomy was performed in 6 children (4 male; median age 6 years, range 46 months to 15 years; median weight 18 kg, range 13.8–47 kg). Two children had prior failed attempts at surgical or endoscopic drainage. Median maximum cyst diameter was 11.5 cm (range 4.7–15.5 cm) pre-procedure. Technical success was 100%. There were no complications. There was complete pseudocyst resolution in five children and a small (2.1-cm) residual pseudocyst in one. Pseudocyst-related symptoms resolved in all children.ConclusionPancreatic pseudocyst drainage can be successfully performed in children by image-guided placement of a cystogastrostomy stent. In this cohort of six children there were no complications.

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Section: Discussionmentioning

confidence: 99%

Pancreatic pseudocyst drainage in children by image-guided cystogastrostomy and stent insertion

et al. 2019

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“…For recurrent recalcitrant strictures, such as may be seen with corrosive strictures, high pressure balloons or cutting balloons may be used. 4,8 Alternatively, mitomycin C application has been used with mixed results to treat resistant strictures. Mitomycin C is an antitumor antibiotic that also inhibits fibroblast proliferation and collagen synthesis thus reducing scar formation.…”

Section: Esophageal Dilatationmentioning

confidence: 99%

Pediatric Gastrointestinal Interventions

Chennapragada

2024

Digestive Disease Interventions

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Image-guided interventions are increasingly being used in the management of many pediatric disease processes since they provide safe and effective minimally invasive treatment options. This review article attempts to provide an overview of the commonly performed interventions in the gastrointestinal tract in children. These include esophageal balloon dilatation, establishment and maintenance of gastroenteral access, and hepatobiliary interventions (liver biopsy, percutaneous cholangiogram, and biliary drainage).

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“…The secure nature of the antegrade gastrostomy retention disc and avoidance of gastropexy sutures are often mentioned; however, the infection rate and overall major complication rate may also be lower. 28 The rates of major complications, tube dislodgement, and peritonitis have been reported as 3.1, 3.6, and 1%, respectively, for antegrade gastrostomies compared with 5, 37, and 3%, respectively, for retrograde tubes. 17,29 Disadvantages include buried bumper syndrome, sedation requirements for tube replacement, and a 2.3% rate of retention disc migration including transmural and intracolonic locations.…”

Section: Comparison Of Techniquesmentioning

confidence: 99%

Image-Guided Enteral Access and Interventions in Children

Reis

2019

Dig Dis Interv

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A variety of image-guided therapies exist for children who cannot maintain adequate nutrition due to underlying pathologies that affect their enteric systems. Gastrostomy, gastrojejunostomy, and cecostomy tubes can be inserted to help address these issues using ultrasound, fluoroscopic, and computed tomography (CT) guidance. This article describes radiological techniques used to place these tubes.

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Non-vascular interventional radiology in the paediatric alimentary tract

Cited by 4 publications

References 72 publications

Pancreatic pseudocyst drainage in children by image-guided cystogastrostomy and stent insertion

Pancreatic pseudocyst drainage in children by image-guided cystogastrostomy and stent insertion

Pediatric Gastrointestinal Interventions

Image-Guided Enteral Access and Interventions in Children

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