Percutaneous management of benign biliary disorders in children

Kahriman, Güven; Özcan, Nevzat; Görkem, Süreyya Burcu

doi:10.1016/j.diii.2017.05.010

Cited by 9 publications

(10 citation statements)

References 25 publications

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“…Özcan et al and Kahriman et al reported successful complete clearance of the bile duct stones in children with this technique in all cases. 37,45 The youngest patient in this series is 1-year old, and only one complication (cholangitis) was reported. 37 They stated that percutaneous technique is a safe and effective method in the treatment of pediatric patients with bile duct stones.…”

Section: Percutaneous Management Of Bile Duct Stones In Childrenmentioning

confidence: 86%

“…Common indications of percutaneous biliary interventions in children consist of liver transplant complications and malignant or benign biliary obstructions including biliary atresia, choledochal cyst, CBD stones, and rhabdomyosarcoma. 37,[43][44][45][46][47] Biliary obstruction caused by CBD stones is a rare in children and is mostly related to predisposing factors such as hematological and distal ileum disorders, choledochal cysts, or anomalous pancreaticobiliary junction. 45,47 Cholelithiasis occurs in 0.13 to 2% of children, and CBD stones are detected in 10 to 20% of children with cholelithiasis.…”

Section: Percutaneous Management Of Bile Duct Stones In Childrenmentioning

confidence: 99%

“…37,[43][44][45][46][47] Biliary obstruction caused by CBD stones is a rare in children and is mostly related to predisposing factors such as hematological and distal ileum disorders, choledochal cysts, or anomalous pancreaticobiliary junction. 45,47 Cholelithiasis occurs in 0.13 to 2% of children, and CBD stones are detected in 10 to 20% of children with cholelithiasis. 47 Clearance of bile duct stones may be very difficult in children, and this procedure depends on the availability of a specialist.…”

Section: Percutaneous Management Of Bile Duct Stones In Childrenmentioning

confidence: 99%

“…In such cases, percutaneous method emerged as an alternative, effective, and safe technique with an acceptable complication rate. 37,[43][44][45] The technique of percutaneous transhepatic bile duct stone removal used in children is the same as in adults (►Fig. 6).…”

Section: Percutaneous Management Of Bile Duct Stones In Childrenmentioning

confidence: 99%

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Percutaneous Management of Biliary Stones

Özcan

Riaz

Kahriman

2021

Semin intervent Radiol

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Bile duct stone disease is the most common causes of nonmalignant bile duct obstructions. The range of common bile duct stone formation in patients with cholecystectomy is 3 to 14.7%. Hepatolithiasis, although endemic in some parts of the world, is a rare disease that is difficult to manage. Endoscopic intervention is accepted as the first-line management of common bile duct stones. However, when the bile duct cannot be cannulated for various reasons, the endoscopic procedure fails. In this circumstance, percutaneous approach is an alternative technique for the nonsurgical treatment of bile duct stones. This article reviews the indications, technique, outcomes, and complications of the percutaneous treatment of bile duct stone disease.

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Section: Percutaneous Management Of Bile Duct Stones In Childrenmentioning

confidence: 86%

Section: Percutaneous Management Of Bile Duct Stones In Childrenmentioning

confidence: 99%

Section: Percutaneous Management Of Bile Duct Stones In Childrenmentioning

confidence: 99%

Section: Percutaneous Management Of Bile Duct Stones In Childrenmentioning

confidence: 99%

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Percutaneous Management of Biliary Stones

Özcan

Riaz

Kahriman

2021

Semin intervent Radiol

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“…Percutaneous biliary stone removal is commonly performed in adults with non‐transplanted livers, especially in complex cases 20‐25 . The technique of percutaneous transhepatic management of biliary stones has been reported as successful in children in the non‐LT setting 26,27 . In the setting of LT, one case report concerning a 40‐year‐old man with complex bile stones in the intra‐ and extra‐hepatic bile tracts indicated that a percutaneous interventional approach was utilized successfully in extracting the stones, with no complications post‐procedure 13 …”

Section: Discussionmentioning

confidence: 99%

Percutaneous removal of biliary stones post‐liver transplant in a pediatric patient: Case report and review of the literature

Rohringer

Hannick

Lorenzo

et al. 2020

Pediatric Transplantation

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This is a case of a girl born with citrullinemia diagnosed in her firstweek of life after presenting with hyperammonemia and encephalopathy. At 1 year of age, she received a deceased donor segmental split left LT due to recurrent and refractory metabolic decompensations despite optimal medical and dietary management. During the initial LT, a duct-to-duct anastomosis was performed. One week later, the patient required a revision of the biliary anastomosis due to a bile leak and subphrenic abscess. During revision, the end-toend anastomosis was taken down, and a bilio-enteric anastomosis was created using a Roux-en-Y hepatojejunostomy. A surgical drain remained in place for 1 month, after which a cholangiogram revealed stenosis of the anastomosis with a biliary stricture. The biliary drain AbstractThis case report describes an 8-year-old girl who underwent a segmental LT for a primary diagnosis of citrullinemia at the age of 12 months. She presented with cholangitis secondary to stenosis of the biliary-enteric anastomosis. MRI revealed dilatation of intrahepatic bile ducts associated with multiple stones. An endoscopic approach failed to decompress the bile ducts and remove the stones. A percutaneous approach was then undertaken. After placement of a temporary external biliary drain for 12 days, a 26 French sheath was placed to access the bile ducts. Using a 14Fr flexible cystoscope, 80%-90% of the biliary stones were removed. This was followed by antegrade balloon dilatation of the biliary-enteric anastomosis. Two months later, the procedure was repeated, resulting in complete clearance of the biliary stones. An internal-external biliary drain was maintained in placed for 10 months. The patient has been asymptomatic, with no evidence of stone recurrence for 13 months after drain removal. Percutaneous biliary stone removal is commonly performed in adults with non-transplanted livers, especially in complex cases, and has also been shown to be successful in the pediatric population. However, it is rarely reported in transplanted livers in adults, and to the best of our knowledge, no pediatric cases have been reported. This case illustrates that this technique can be successfully utilized in pediatric LT patients. K E Y W O R D S biliary complications, biliary stones, citrullinemia, liver transplantation, pediatric liver transplant, percutaneous stone removal How to cite this article: Rohringer TJ, Hannick JH, Lorenzo A, Avitzur Y, Temple M, Parra DA. Percutaneous removal of biliary stones post-liver transplant in a pediatric patient: Case report and review of the literature. Pediatr Transplant.

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