Percutaneous Transhepatic Cholangioscopy and Lithotripsy for Intrahepatic Biliary Stones and Sclerosing Cholangitis Secondary to Kasai Procedure for Biliary Atresia: A Case Report

Gkekas Ioannis; Fagerström Niklas; Waldthaler Alexander; Laustsen Jesper; Arnelo Urban

doi:doi:10.11648/j.js.20190702.14

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Percutaneous Transhepatic Cholangioscopy and Lithotripsy for Intrahepatic Biliary Stones and Sclerosing Cholangitis Secondary to Kasai Procedure for Biliary Atresia: A Case Report

Gkekas Ioannis, Fagerström Niklas, Waldthaler Alexander, Laustsen Jesper, Arnelo Urban

Published in Journal of Surgery (Volume 7, Issue 2)

Received: 1 April 2019 Accepted: 23 April 2019 Published: 20 May 2019

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Abstract

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.

Published in	Journal of Surgery (Volume 7, Issue 2)
DOI	10.11648/j.js.20190702.14
Page(s)	41-45
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2019. Published by Science Publishing Group

Keywords

Biliary Atresia, Kasai Procedure, Lithotripsy, Sclerosing Cholangitis, Case Report

References

[1]	Wildhaber BE. Biliary atresia: 50 years after the first Kasai. ISRN surgery 2012; 2012:132089 doi: 10.5402/2012/132089.
[2]	Sinha CK and Davenport M. Biliary atresia. J Indian Assoc Pediatr Surg 2008; 13 (2):49-56.
[3]	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.
[4]	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.
[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.
[6]	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.
[7]	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.
[8]	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.
[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.
[10]	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.
[11]	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.

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Gkekas Ioannis, Fagerström Niklas, Waldthaler Alexander, Laustsen Jesper, Arnelo Urban. (2019). 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, 7(2), 41-45. https://doi.org/10.11648/j.js.20190702.14

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ACS Style

Gkekas Ioannis; Fagerström Niklas; Waldthaler Alexander; Laustsen Jesper; Arnelo Urban. Percutaneous Transhepatic Cholangioscopy and Lithotripsy for Intrahepatic Biliary Stones and Sclerosing Cholangitis Secondary to Kasai Procedure for Biliary Atresia: A Case Report. J. Surg. 2019, 7(2), 41-45. doi: 10.11648/j.js.20190702.14

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AMA Style

Gkekas Ioannis, Fagerström Niklas, Waldthaler Alexander, Laustsen Jesper, Arnelo Urban. Percutaneous Transhepatic Cholangioscopy and Lithotripsy for Intrahepatic Biliary Stones and Sclerosing Cholangitis Secondary to Kasai Procedure for Biliary Atresia: A Case Report. J Surg. 2019;7(2):41-45. doi: 10.11648/j.js.20190702.14

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@article{10.11648/j.js.20190702.14,
  author = {Gkekas Ioannis and Fagerström Niklas and Waldthaler Alexander and Laustsen Jesper and Arnelo Urban},
  title = {Percutaneous Transhepatic Cholangioscopy and Lithotripsy for Intrahepatic Biliary Stones and Sclerosing Cholangitis Secondary to Kasai Procedure for Biliary Atresia: A Case Report},
  journal = {Journal of Surgery},
  volume = {7},
  number = {2},
  pages = {41-45},
  doi = {10.11648/j.js.20190702.14},
  url = {https://doi.org/10.11648/j.js.20190702.14},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20190702.14},
  abstract = {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.},
 year = {2019}
}

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TY  - JOUR
T1  - Percutaneous Transhepatic Cholangioscopy and Lithotripsy for Intrahepatic Biliary Stones and Sclerosing Cholangitis Secondary to Kasai Procedure for Biliary Atresia: A Case Report
AU  - Gkekas Ioannis
AU  - Fagerström Niklas
AU  - Waldthaler Alexander
AU  - Laustsen Jesper
AU  - Arnelo Urban
Y1  - 2019/05/20
PY  - 2019
N1  - https://doi.org/10.11648/j.js.20190702.14
DO  - 10.11648/j.js.20190702.14
T2  - Journal of Surgery
JF  - Journal of Surgery
JO  - Journal of Surgery
SP  - 41
EP  - 45
PB  - Science Publishing Group
SN  - 2330-0930
UR  - https://doi.org/10.11648/j.js.20190702.14
AB  - 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.
VL  - 7
IS  - 2
ER  -

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Author Information

Gkekas Ioannis

Department of Surgery, Karolinska Institute at Huddinge University Hospital, Stockholm, Sweden
Fagerström Niklas
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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Plain Text BibTeX RIS

APA Style

Gkekas Ioannis, Fagerström Niklas, Waldthaler Alexander, Laustsen Jesper, Arnelo Urban. (2019). 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, 7(2), 41-45. https://doi.org/10.11648/j.js.20190702.14

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ACS Style

Gkekas Ioannis; Fagerström Niklas; Waldthaler Alexander; Laustsen Jesper; Arnelo Urban. Percutaneous Transhepatic Cholangioscopy and Lithotripsy for Intrahepatic Biliary Stones and Sclerosing Cholangitis Secondary to Kasai Procedure for Biliary Atresia: A Case Report. J. Surg. 2019, 7(2), 41-45. doi: 10.11648/j.js.20190702.14

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AMA Style

Gkekas Ioannis, Fagerström Niklas, Waldthaler Alexander, Laustsen Jesper, Arnelo Urban. Percutaneous Transhepatic Cholangioscopy and Lithotripsy for Intrahepatic Biliary Stones and Sclerosing Cholangitis Secondary to Kasai Procedure for Biliary Atresia: A Case Report. J Surg. 2019;7(2):41-45. doi: 10.11648/j.js.20190702.14

Copy | Download

@article{10.11648/j.js.20190702.14,
  author = {Gkekas Ioannis and Fagerström Niklas and Waldthaler Alexander and Laustsen Jesper and Arnelo Urban},
  title = {Percutaneous Transhepatic Cholangioscopy and Lithotripsy for Intrahepatic Biliary Stones and Sclerosing Cholangitis Secondary to Kasai Procedure for Biliary Atresia: A Case Report},
  journal = {Journal of Surgery},
  volume = {7},
  number = {2},
  pages = {41-45},
  doi = {10.11648/j.js.20190702.14},
  url = {https://doi.org/10.11648/j.js.20190702.14},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20190702.14},
  abstract = {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.},
 year = {2019}
}

Copy | Download

TY  - JOUR
T1  - Percutaneous Transhepatic Cholangioscopy and Lithotripsy for Intrahepatic Biliary Stones and Sclerosing Cholangitis Secondary to Kasai Procedure for Biliary Atresia: A Case Report
AU  - Gkekas Ioannis
AU  - Fagerström Niklas
AU  - Waldthaler Alexander
AU  - Laustsen Jesper
AU  - Arnelo Urban
Y1  - 2019/05/20
PY  - 2019
N1  - https://doi.org/10.11648/j.js.20190702.14
DO  - 10.11648/j.js.20190702.14
T2  - Journal of Surgery
JF  - Journal of Surgery
JO  - Journal of Surgery
SP  - 41
EP  - 45
PB  - Science Publishing Group
SN  - 2330-0930
UR  - https://doi.org/10.11648/j.js.20190702.14
AB  - 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.
VL  - 7
IS  - 2
ER  -

Copy | Download