Imaging and intervention in the gastrointestinal tract in children.
Vascular and interventional techniques have become an integral component of modern pediatric healthcare. Minimally invasive procedures of the gastrointestinal tract now comprise a large part of any active pediatric interventional practice. Magnetic resonance cholangiopancreatography offers a reliable, non-invasive means to evaluate patients with possible pancreatic or biliary pathology. This article reviews treatment of esophageal strictures and placement of gastronomy and gastrojejunostomy tubes and discusses new developments. Placement of percutaneous cecostomy tubes is a relatively new procedure that creatively uses the techniques developed for placement of percutaneous gastronomy tubes. This procedure offers significant benefits and lasting positive lifestyle changes for patients suffering from fecal incontinence. Liver biopsy in high-risk patients can be performed safely using measures designed to significantly decrease the risk of post-biopsy hemorrhage, such as track embolization or the transjugular approach.
Kaye
Robin D
RD
Children's Hospital of Philadelphia, Department of Radiology, 34th Street and Civic Center Boulevard, Philadelphia, PA 19104, USA. kayer@email.chop.edu
Towbin
R B
RB
D000800:Angioplasty, Balloon / Q000295:instrumentation; D001707:Biopsy, Needle / Q000379:methods; D002648:Child; D002758:Cholangiography / Q000379:methods; D004066:Digestive System Diseases / Q000175:diagnosis* / Q000628:therapy*; D004621:Embolization, Therapeutic / Q000295:instrumentation; D004940:Esophageal Stenosis / Q000151:congenital / Q000175:diagnosis / Q000628:therapy; D005260:Female; D006801:Humans; D006946:Hyperinsulinism / Q000151:congenital / Q000175:diagnosis; D008107:Liver Diseases / Q000473:pathology / Q000628:therapy; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D010030:Ostomy / Q000295:instrumentation / Q000379:methods; D010179:Pancreas / Q000098:blood supply; D014680:Veins