title: Percutaneous management of tumoral biliary obstruction in children.
abstract: 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.
  
  
  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.
  
  
  CONCLUSIONS
  Percutaneous biliary interventions can be performed safely for the management of tumoral biliary obstruction in children.
authors: Department of Radiology, Hacettepe School of Medicine, Sihhiye, 06100 Ankara, Turkey. akincid@hotmail.com
authors: Devrim
authors: D
authors: Akinci
authors: Burcak
authors: B
authors: Gumus
authors: Orhan S
authors: OS
authors: Ozkan
authors: Saniye
authors: S
authors: Ekinci
authors: Zuhal
authors: Z
authors: Akcoren
authors: Tezer
authors: T
authors: Kutluk
authors: Mustafa N
authors: MN
authors: Ozmen
authors: Okan
authors: O
authors: Akhan
mesh_terms: D000293:Adolescent; D001650:Bile Duct Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D002763:Cholecystectomy / Q000009:adverse effects / Q000379:methods*; D002779:Cholestasis / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D015607:Stents; D016896:Treatment Outcome
references: Pediatr Surg Int. 2001 Sep;17(7):555-9
references: 11666060
references: Eur J Pediatr Surg. 2002 Jun;12(3):199-202
references: 12101504
references: Med Pediatr Oncol. 2001 Jun;36(6):669-70
references: 11344506
references: J Pediatr Surg. 1980 Jun;15(3):343-4
references: 7381675
references: Surgery. 1998 Jun;123(6):712-5
references: 9626325
references: J Pediatr Surg. 1997 Feb;32(2):158-64; discussion 164-5
references: 9044114
references: Am J Surg Pathol. 2007 Apr;31(4):509-20
references: 17414097
references: J Vasc Interv Radiol. 2003 Nov;14(11):1409-16
references: 14605106
references: J Pediatr Surg. 1995 Jun;30(6):878-82
references: 7666329
references: Eur J Radiol. 2002 Sep;43(3):229-36
references: 12204405
references: AJR Am J Roentgenol. 1994 Aug;163(2):339-42
references: 8037026
references: Pediatr Radiol. 1987;17(2):127-31
references: 3550663
references: Pediatr Radiol. 2003 Feb;33(2):133-5
references: 12557071
references: Pediatr Radiol. 1998 Feb;28(2):101-8
references: 9472056
references: J Vasc Interv Radiol. 1994 Mar-Apr;5(2):279-85
references: 7514463
references: Pediatr Radiol. 2000 Oct;30(10 ):659-64
references: 11075595
references: AJR Am J Roentgenol. 2001 Mar;176(3):761-5
references: 11222221
references: Ann Surg. 1980 May;191(5):626-35
references: 6989334