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Single-balloon enteroscopy-assisted endoscopic retrograde cholangiopancreatography for treatment of cholangitis in a patient with a Kasai portoenterostomy
被引:3
|作者:
Orman, Eric S.
[1
]
Miller, C. Brock
[1
]
Grimm, Ian S.
[1
]
Barritt, A. Sidney
[1
]
机构:
[1] Univ N Carolina, Dept Med, Div Gastroenterol & Hepatol, Chapel Hill, NC 27599 USA
基金:
美国国家卫生研究院;
关键词:
ERCP;
Kasai;
Portoenterostomy;
Single-balloon enteroscopy;
BILIARY ATRESIA;
EXPERIENCE;
D O I:
10.1016/j.jpedsurg.2011.12.017
中图分类号:
R72 [儿科学];
学科分类号:
100202 ;
摘要:
Primary therapy for biliary atresia is a surgical hepatoportoenterostomy (Kasai procedure), which has been shown to reduce mortality, but is frequently complicated by ascending cholangitis and the development of biliary cirrhosis. Previously reported therapy for recurrent cholangitis caused by biliary obstruction has included surgical revision and percutaneous biliary drainage, but endoscopic retrograde cholangiopancreatography has not been previously described. Here, we report a patient with recurrent cholangitis after a Kasai procedure and an anastomotic stricture successfully treated with single-balloon enteroscopy-assisted endoscopic retrograde cholangiopancreatography. This novel technique could be considered in patients with this common complication of the Kasai procedure and may impact long-term outcomes in this patient population. (c) 2012 Elsevier Inc. All rights reserved.
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页码:E1 / E5
页数:5
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