Endoscopic stenting of the common bile duct in choledocholithiasis in a 10-year-old child: a clinical observation
https://doi.org/10.16931/1995-5464.2024-2-68-73
Abstract
The paper describes a clinical observation of extrahepatic cholestasis in a 10-year-old child. Anatomical features required complex endoscopic surgery. The patient with jaundice and pain syndrome was hospitalized in the state of moderate severity with the history of the disease for more than a month. The study presents stages of outpatient and clinical laboratory and instrumental diagnostics. As a result, obstructive jaundice was revealed. Multi-stage endoscopic treatment was successfully performed. It revealed no signs of choledocholithiasis, but detected compression of the pancreatic part of the common bile duct without pathological changes in the head of the pancreas. Endoscopic stenting of the common bile duct and pancreatic duct was performed. Biliary hypertension was eliminated. Endoscopic methods of biliary decompression can be applied to older children. Pancreatic duct stenting can be performed to prevent postoperative pancreatitis. Atypical sphincterotomy provides access to the bile ducts.
About the Authors
M. V. Schebenkov
Children's City Multidisciplinary Clinical Specialized Center of High Medical Technologies; North-Western State Medical University named after I.I. Mechnicov
Russian Federation
Russian Federation
Mikhail V. Schebenkov, Doct. of Sci. (Med.), Professor, Head of the Unit
Department of Pediatric Surgery; Surgery Unit
198205; 14, Avangardnaya str.; 191015; 41, Kirochnaya str.; St Petersburg
T. A. Volert
Children's City Multidisciplinary Clinical Specialized Center of High Medical Technologies; North-Western State Medical University named after I.I. Mechnicov
Russian Federation
Russian Federation
Tatiana A. Volert, Cand. of Sci. (Med.), Associate Professor, Head of the Suite, Endoscopist
Department of Pediatric Surgery; Surgery Suite
198205; 14, Avangardnaya str.; 191015; 41, Kirochnaya str.; St Petersburg
O. U. Orlov
Children's City Multidisciplinary Clinical Specialized Center of High Medical Technologies
Russian Federation
Russian Federation
Oleg U. Orlov, Endoscopist
198205; 14, Avangardnaya str.; St Petersburg
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Supplementary files
Review
For citations:
Schebenkov M.V., Volert T.A., Orlov O.U. Endoscopic stenting of the common bile duct in choledocholithiasis in a 10-year-old child: a clinical observation. Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery. 2024;29(2):68-73. (In Russ.) https://doi.org/10.16931/1995-5464.2024-2-68-73
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