Endoscopic internal biliary drainage in a child with malignant obstructive jaundice caused by neuroblastoma.
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.
Okada
Tadao
T
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
Yoshida
Hideo
H
Matsunaga
Tadashi
T
Kouchi
Katunori
K
Ohtsuka
Yasuhiro
Y
Tsuyuguchi
Toshio
T
Yamaguchi
Taketo
T
Saisho
Hiromitsu
H
Ohnuma
Naomi
N
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