BACKGROUND: There is limited experience of percutaneous biliary interventions in children although they are safe and effective procedures. OBJECTIVE: To evaluate the efficacy and safety of percutaneous management of tumoral biliary obstruction in children. MATERIALS AND METHODS: Percutaneous biliary interventions were performed in eight children (six boys, two girls) with a mean age of 10.5 years (range 4-17 years). The interventions included percutaneous biliary drainage (five patients), percutaneous biliary drainage and placement of a self-expanding metallic stent (two patients), and percutaneous cholecystostomy (one patient). All patients had signs of obstructive jaundice and two had cholangitis. RESULTS: All procedures were successful. No procedure-related mortality was observed. Bilirubin levels returned to normal in four of the eight patients. Findings of cholangitis resolved in the two affected patients after the procedure and antibiotic treatment. Two patients underwent surgery after percutaneous biliary drainage procedures. A self-expanding metallic stent was placed in two patients with malignancy and the stents remained patent until death. CONCLUSION: Percutaneous biliary interventions can be performed safely for the management of tumoral biliary obstruction in children.
BACKGROUND: There is limited experience of percutaneous biliary interventions in children although they are safe and effective procedures. OBJECTIVE: To evaluate the efficacy and safety of percutaneous management of tumoral biliary obstruction in children. MATERIALS AND METHODS: Percutaneous biliary interventions were performed in eight children (six boys, two girls) with a mean age of 10.5 years (range 4-17 years). The interventions included percutaneous biliary drainage (five patients), percutaneous biliary drainage and placement of a self-expanding metallic stent (two patients), and percutaneous cholecystostomy (one patient). All patients had signs of obstructive jaundice and two had cholangitis. RESULTS: All procedures were successful. No procedure-related mortality was observed. Bilirubin levels returned to normal in four of the eight patients. Findings of cholangitis resolved in the two affected patients after the procedure and antibiotic treatment. Two patients underwent surgery after percutaneous biliary drainage procedures. A self-expanding metallic stent was placed in two patients with malignancy and the stents remained patent until death. CONCLUSION: Percutaneous biliary interventions can be performed safely for the management of tumoral biliary obstruction in children.
Authors: E P Tagge; P R Tarnasky; J Chandler; D U Tagge; C Smith; A Hebra; R H Hawes; P B Cotton; H B Othersen Journal: J Pediatr Surg Date: 1997-02 Impact factor: 2.545