TY - JOUR
T1 - Percutaneous Cholangioscopy for the Diagnosis and Management of Biliary Pathology in Pediatric Patients
T2 - A Single-Center Experience
AU - Garg, Tushar
AU - England, Ryan W.
AU - Hong, Kelvin
AU - Weiss, Clifford R.
AU - Singh, Harjit
N1 - Publisher Copyright:
© 2022 SIR
PY - 2022/11
Y1 - 2022/11
N2 - Transhepatic percutaneous cholangioscopy (PC) can be used for the diagnosis and treatment of biliary pathology. It allows for direct visualization of the biliary system to identify pathologic changes, perform biopsies, and treat biliary obstruction. The effectiveness and safety of PC in adults have been established. However, the data on the use of PC in pediatric patients are limited. In this case series, the outcomes in 4 pediatric patients (3 girls; mean age, 4 [range, 1–8] years) who underwent 6 PC procedures were examined. Three out of the 6 (50%) PC procedures were performed for diagnostic visualization of the biliary tree and/or small intestine, whereas the remaining 3 (50%) were performed for the treatment of biliary obstruction causing chronic cholestasis. The technical and procedural success rate was 100%, and no complications were encountered during or 30 days after the procedure. This study supports the feasibility and safety of PC in pediatric patients for the management of biliary pathology.
AB - Transhepatic percutaneous cholangioscopy (PC) can be used for the diagnosis and treatment of biliary pathology. It allows for direct visualization of the biliary system to identify pathologic changes, perform biopsies, and treat biliary obstruction. The effectiveness and safety of PC in adults have been established. However, the data on the use of PC in pediatric patients are limited. In this case series, the outcomes in 4 pediatric patients (3 girls; mean age, 4 [range, 1–8] years) who underwent 6 PC procedures were examined. Three out of the 6 (50%) PC procedures were performed for diagnostic visualization of the biliary tree and/or small intestine, whereas the remaining 3 (50%) were performed for the treatment of biliary obstruction causing chronic cholestasis. The technical and procedural success rate was 100%, and no complications were encountered during or 30 days after the procedure. This study supports the feasibility and safety of PC in pediatric patients for the management of biliary pathology.
UR - http://www.scopus.com/inward/record.url?scp=85137093144&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85137093144&partnerID=8YFLogxK
U2 - 10.1016/j.jvir.2022.07.030
DO - 10.1016/j.jvir.2022.07.030
M3 - Article
C2 - 35995122
AN - SCOPUS:85137093144
SN - 1051-0443
VL - 33
SP - 1355
EP - 1360
JO - Journal of Vascular and Interventional Radiology
JF - Journal of Vascular and Interventional Radiology
IS - 11
ER -