title: Endoscopic treatment of bile duct post-traumatic and post-operative lesions in children.
abstract: OBJECTIVE
  The aim of this study was to assess the significance and safety of endoscopic retrograde cholangiopancreatography (ERCP) in diagnosing and treating bile duct injuries in children.
  
  
  METHODS
  Fourteen pediatric patients, with traumatic or postoperative bile duct injury, in which ERCP was performed, were retrospectively evaluated.
  
  
  RESULTS
  We performed 46 ERCP and 12 endoscopic papillotomies in children with suspected bile duct injuries. A bile stent was primarily inserted in 13 patients and there were 20 replacements. Endoscopic treatment of bile leakage without need for bile duct sutures or reconstruction was successful in 85.7%. Post ERCP complications included cholangitis and recurrent bleeding, which occurred only in two patients each.
  
  
  CONCLUSIONS
  ERCP and endoscopic bile stent insertion is a highly effective, minimally-invasive treatment for bile duct injury and should be included as part of the therapeutic procedures in pediatric patients with suspected bile duct injury.
authors.affiliation: a Department of Internal Medicine , Motol University Hospital , Prague , Czech Republic.
authors.forename: Radan
authors.initials: R
authors.lastname: Keil
authors.affiliation: a Department of Internal Medicine , Motol University Hospital , Prague , Czech Republic.
authors.forename: Jiri
authors.initials: J
authors.lastname: Drabek
authors.affiliation: a Department of Internal Medicine , Motol University Hospital , Prague , Czech Republic.
authors.forename: Jindra
authors.initials: J
authors.lastname: Lochmannova
authors.affiliation: a Department of Internal Medicine , Motol University Hospital , Prague , Czech Republic.
authors.forename: Jan
authors.initials: J
authors.lastname: Stovicek
authors.affiliation: b Department of Pediatric Surgery , Motol University Hospital , Prague , Czech Republic.
authors.forename: Michal
authors.initials: M
authors.lastname: Rygl
authors.affiliation: b Department of Pediatric Surgery , Motol University Hospital , Prague , Czech Republic.
authors.forename: Jiri
authors.initials: J
authors.lastname: Snajdauf
authors.affiliation: a Department of Internal Medicine , Motol University Hospital , Prague , Czech Republic.
authors.forename: Stepan
authors.initials: S
authors.lastname: Hlava
mesh_terms: D000293:Adolescent; D001649:Bile Duct Diseases / Q000601:surgery*; D001652:Bile Ducts / Q000293:injuries* / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D002760:Cholangiopancreatography, Endoscopic Retrograde; D002761:Cholangitis / Q000209:etiology; D018153:Czech Republic; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D011183:Postoperative Complications / Q000601:surgery*; D019106:Postoperative Hemorrhage / Q000209:etiology; D012189:Retrospective Studies; D016717:Sphincterotomy, Endoscopic; D015607:Stents; D016896:Treatment Outcome
keywords: Bile duct trauma; ERCP; bile duct stenting