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一名5个月大男性食管闭锁合并气管食管瘘一期修复术后胆总管结石的处理

Management of Choledocholithiasis in a 5-Month-Old Male Postprimary Repair of Esophageal Atresia with Tracheoesophageal Fistula.

作者信息

Luthra Meera, Kumar Chiranjiv, Baijal Sanjay Saran

机构信息

Department of Paediatric Surgery, Medanta-The Medicity, Gurugram, Haryana, India.

Department of Radio-diagnosis, Medanta-The Medicity, Gurugram, Haryana, India.

出版信息

J Indian Assoc Pediatr Surg. 2020 Jan-Feb;25(1):43-45. doi: 10.4103/jiaps.JIAPS_53_18. Epub 2019 Nov 27.

DOI:10.4103/jiaps.JIAPS_53_18
PMID:31896899
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6910047/
Abstract

Choledocholithiasis (CDL) in neonates and infants is <1 in 5000. There is no gold standard for the management of CDL in the pediatric population. In English literature, this is the first case report of a baby born with esophageal atresia and tracheoesophageal fistula (Type C) with cholangitis, who underwent percutaneous transhepatic biliary drainage and peroral extraction of a large calculus in the common bile duct after primary repair of esophagus.

摘要

新生儿和婴儿胆总管结石（CDL）的发病率低于五千分之一。在儿科人群中，CDL的治疗尚无金标准。在英文文献中，这是首例关于一名患有食管闭锁和C型气管食管瘘并伴有胆管炎的婴儿的病例报告，该婴儿在食管一期修复术后接受了经皮经肝胆道引流及经口取出胆总管内的一枚大结石的治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/732c/6910047/56c5a6b82397/JIAPS-25-43-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/732c/6910047/fab97dc73121/JIAPS-25-43-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/732c/6910047/56c5a6b82397/JIAPS-25-43-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/732c/6910047/fab97dc73121/JIAPS-25-43-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/732c/6910047/56c5a6b82397/JIAPS-25-43-g002.jpg

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本文引用的文献

1
Percutaneous management of bile duct stones in children: results of 12 cases.儿童胆管结石的经皮治疗：12例结果
Diagn Interv Radiol. 2017 Mar-Apr;23(2):133-136. doi: 10.5152/dir.2016.16178.
2
Laparoscopic techniques for safe and successful removal of common bile duct stones in pediatric patients.
J Laparoendosc Adv Surg Tech A. 2014 May;24(5):362-5. doi: 10.1089/lap.2013.0174. Epub 2013 Nov 6.
3
ERCP can be safely and effectively performed by a pediatric gastroenterologist for choledocholithiasis in a pediatric facility.小儿科肠胃病学家可在儿科医疗机构中安全有效地施行经内镜逆行胰胆管造影术以治疗胆总管结石。
J Pediatr Gastroenterol Nutr. 2013 Nov;57(5):655-8. doi: 10.1097/MPG.0000000000000124.
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Cholelithiasis and its complications in children and adolescents: update and case discussion.儿童及青少年胆石症及其并发症：最新进展与病例讨论
Pediatr Emerg Care. 2012 Jan;28(1):68-76; quiz 77-8. doi: 10.1097/PEC.0b013e31823f5b1e.
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Balloon sphincteroplasty in the management of choledocholithiasis in a 10-week-old infant.
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