title: Endoscopic internal biliary drainage in a child with malignant obstructive jaundice caused by neuroblastoma.
abstract: We describe a 13-year-old girl who underwent insertion of a Flexima biliary stent for obstructive jaundice due to compression of the extrahepatic bile duct by an enlarged lymph node secondary to neuroblastoma. This novel endoscopic internal biliary drainage procedure was safe and effective even for a child, and improved her quality of life. We further review other treatment options available for malignant obstructive jaundice in children.
authors.affiliation: Department of Paediatric Surgery, Chiba University, School of Medicine, 1-8-1 Inohana, Chuo-ku, Chiba 260-8677, Japan. okadat@ho.chiba-u.ac.jp
authors.forename: Tadao
authors.initials: T
authors.lastname: Okada
authors.forename: Hideo
authors.initials: H
authors.lastname: Yoshida
authors.forename: Tadashi
authors.initials: T
authors.lastname: Matsunaga
authors.forename: Katunori
authors.initials: K
authors.lastname: Kouchi
authors.forename: Yasuhiro
authors.initials: Y
authors.lastname: Ohtsuka
authors.forename: Toshio
authors.initials: T
authors.lastname: Tsuyuguchi
authors.forename: Taketo
authors.initials: T
authors.lastname: Yamaguchi
authors.forename: Hiromitsu
authors.initials: H
authors.lastname: Saisho
authors.forename: Naomi
authors.initials: N
authors.lastname: Ohnuma
mesh_terms: D001653:Bile Ducts, Intrahepatic / Q000601:surgery*; D002648:Child; D002779:Cholestasis / Q000209:etiology* / Q000601:surgery*; D004322:Drainage; D016145:Endoscopy, Digestive System; D005260:Female; D006801:Humans; D009447:Neuroblastoma / Q000150:complications / Q000601:surgery*; D019919:Prosthesis Implantation; D015607:Stents; D014057:Tomography, X-Ray Computed