Percutaneous Transhepatic Cholangioscopy and Lithotripsy for Intrahepatic Biliary Stones and Sclerosing Cholangitis Secondary to Kasai Procedure for Biliary Atresia: A Case Report
Journal of Surgery
Volume 7, Issue 2, April 2019, Pages: 41-45
Received: Apr. 1, 2019;
Accepted: Apr. 23, 2019;
Published: May 20, 2019
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Gkekas Ioannis, Department of Surgery, Karolinska Institute at Huddinge University Hospital, Stockholm, Sweden
Fagerström Niklas, Department of Surgery, Karolinska Institute at Huddinge University Hospital, Stockholm, Sweden
Waldthaler Alexander, Functional Unit GI Endoscopy, Karolinska Institute, Stockholm, Sweden
Laustsen Jesper, Functional Unit GI Endoscopy, Karolinska Institute, Stockholm, Sweden
Arnelo Urban, Department of Surgery, Karolinska Institute at Huddinge University Hospital, Stockholm, Sweden
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The primary therapy for biliary atresia is a surgical hepatic portoenterostomy, known as Kasai procedure, which has been shown to reduce mortality. Patients that undergo this procedure often develop complications such as ascending cholangitis and biliary cirrhosis. In case of recurrent cholangitis, surgical revision and percutaneous biliary drainage are the most used techniques, while in rare cases endoscopic retrograde cholangiopancreatography (ERCP) has been used. Here we report a case of a patient with intrahepatic lithiasis and secondary sclerosing cholangitis after Kasai procedure, successfully treated with percutaneous transhepatic cholangioscopy (PTCS)-assisted lithotripsy.
Biliary Atresia, Kasai Procedure, Lithotripsy, Sclerosing Cholangitis, Case Report
To cite this article
Percutaneous Transhepatic Cholangioscopy and Lithotripsy for Intrahepatic Biliary Stones and Sclerosing Cholangitis Secondary to Kasai Procedure for Biliary Atresia: A Case Report, Journal of Surgery.
Vol. 7, No. 2,
2019, pp. 41-45.
Copyright © 2019 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/
) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Wildhaber BE. Biliary atresia: 50 years after the first Kasai. ISRN surgery 2012; 2012:132089 doi: 10.5402/2012/132089.
Sinha CK and Davenport M. Biliary atresia. J Indian Assoc Pediatr Surg 2008; 13 (2):49-56.
Kim, Seong Hyun, et al. "Percutaneous cholangioscopic lithotripsy for afferent loop syndrome caused by enterolith development after Roux-en-Y hepaticojejunostomy: a case report." Clinical endoscopy 46.6 (2013): 679.
Orman ES, Miller CB, Grimm IS, and Barritt AS Single Balloon Enteroscopy-Assisted ERCP for Treatment of Cholangitis in a Patient with a Kasai Portoenterostomy. J Pediatr Surg 2012; 47 (5): E1-5.
Zhang, Zongming, et al. "Strategies of minimally invasive treatment for intrahepatic and extrahepatic bile duct stones." Frontiers of medicine 11.4 (2017): 576-589.
Du L, D'Souza P, Thiesen A, et al. Percutaneous transhepatic cholangioscopy for indeterminate biliary strictures using the SpyGlass system: a case series. Endoscopy 2015; 47 (11): 1054-6.
Sundaram SS, Mack CL, Feldman AG and Sokol RJ. Biliary atresia: Indications and timing of liver transplantation and optimization of pretransplant care. Liver Transpl 2017; 23 (1): 96-109.
Wang P, Sun B, Huang B, et al. Comparison between percutaneous transhepatic rigid cholangioscopic lithotripsy and conventional percutaneous transhepatic cholangioscopic surgery for hepatolithiasis treatment. Surg laparosc endosc percutan tech 2016; 26 (1): 54-9.
Hamada T, Tsujino T, Sasahira N, et al. Percutaneous transhepatic cholangioscopy with an ultraslim video upper endoscope with CO2 insufflation: a feasibility study. Gastroint endosc 2011; 74 (3): 696-699.
Schumacher B, Othman T, Jansen M, et al. Long-term follow-up of percutaneous transhepatic therapy (PTT) in patients with definite benign anastomotic strictures after hepaticojejunostomy. Endoscopy 2001; 33 (5): 409-415.
Oh HC, Lee SK, Lee TY, et al. Analysis of percutaneous transhepatic cholangioscopy-related complications and the risk factors for those complications. Endoscopy 2007; 39 (8): 731-736.