Document Type

Article

Publication Date

11-2018

Identifier

https://doi.org/10.1016/j.epsc.2018.05.003

Abstract

Infants with cholestasis and conjugated hyperbilirubinemia persisting beyond two weeks of age must be evaluated promptly to exclude biliary atresia (BA). BA progresses to cirrhosis and liver failure if portoenterostomy (PE) is not performed in a timely fashion. The gold standard to diagnose BA is intraoperative cholangiography (IOC) via laparotomy. Neonates that are critically ill or have significant co-morbidities may be high-risk surgical candidates, and thus minimizing operative time or avoiding an operation may be beneficial. An additional modality for excluding BA is percutaneous transhepatic cholecysto-cholangiography (PTCC). We present three infants undergoing PTCC by interventional radiology (IR) revealing patency of the biliary system without the need for IOC.

Journal Title

Journal of Pediatric Surgery Case Reports

Volume

38

First Page

61

Last Page

63

Keywords

Biliary atresia; Percutaneous cholangiography; Cholestasis; Cholangiogram; Portoenterostomy; Kasai; Percutaneous transhepatic cholecysto-cholangiography

Comments

This article is available under the Creative Commons CC-BY-NC-ND license and permits non-commercial use of the work as published, without adaptation or alteration provided the work is fully attributed.

Publisher's Link: https://www.sciencedirect.com/science/article/pii/S2213576618301088

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