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Endoscopic treatment of bile duct post-traumatic and post-operative lesions in children
R. Keil, J. Drabek, J. Lochmannova, J. Stovicek, M. Rygl, J. Snajdauf, S. Hlava,
Language English Country England, Great Britain
Document type Journal Article
- MeSH
- Cholangiopancreatography, Endoscopic Retrograde * MeSH
- Cholangitis etiology MeSH
- Child MeSH
- Infant MeSH
- Humans MeSH
- Adolescent MeSH
- Bile Duct Diseases surgery MeSH
- Postoperative Complications surgery MeSH
- Postoperative Hemorrhage etiology MeSH
- Child, Preschool MeSH
- Retrospective Studies MeSH
- Sphincterotomy, Endoscopic MeSH
- Stents MeSH
- Treatment Outcome MeSH
- Bile Ducts injuries surgery MeSH
- Check Tag
- Child MeSH
- Infant MeSH
- Humans MeSH
- Adolescent MeSH
- Male MeSH
- Child, Preschool MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Geographicals
- Czech Republic MeSH
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.
b Department of Pediatric Surgery Motol University Hospital Prague Czech Republic
Department of Internal Medicine Motol University Hospital Prague Czech Republic
References provided by Crossref.org
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- $a 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.
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