Percutaneous management of tumoral biliary obstruction in children.
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.
Akinci
Devrim
D
Department of Radiology, Hacettepe School of Medicine, Sihhiye, 06100 Ankara, Turkey. akincid@hotmail.com
Gumus
Burcak
B
Ozkan
Orhan S
OS
Ekinci
Saniye
S
Akcoren
Zuhal
Z
Kutluk
Tezer
T
Ozmen
Mustafa N
MN
Akhan
Okan
O
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
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