Garg Tushar, England Ryan W, Hong Kelvin, Weiss Clifford R, Singh Harjit
Division of Vascular and Interventional Radiology, Russell H. Morgan Department of Radiology and Radiological Science, The Johns Hopkins University School of Medicine, Baltimore, Maryland.
Division of Vascular and Interventional Radiology, Russell H. Morgan Department of Radiology and Radiological Science, The Johns Hopkins University School of Medicine, Baltimore, Maryland.
J Vasc Interv Radiol. 2022 Nov;33(11):1355-1360. doi: 10.1016/j.jvir.2022.07.030. Epub 2022 Aug 17.
Transhepatic percutaneous cholangioscopy (PC) can be used for the diagnosis and treatment of biliary pathology. It allows for direct visualization of the biliary system to identify pathologic changes, perform biopsies, and treat biliary obstruction. The effectiveness and safety of PC in adults have been established. However, the data on the use of PC in pediatric patients are limited. In this case series, the outcomes in 4 pediatric patients (3 girls; mean age, 4 [range, 1-8] years) who underwent 6 PC procedures were examined. Three out of the 6 (50%) PC procedures were performed for diagnostic visualization of the biliary tree and/or small intestine, whereas the remaining 3 (50%) were performed for the treatment of biliary obstruction causing chronic cholestasis. The technical and procedural success rate was 100%, and no complications were encountered during or 30 days after the procedure. This study supports the feasibility and safety of PC in pediatric patients for the management of biliary pathology.
经肝穿刺胆道镜检查（PC）可用于胆道疾病的诊断和治疗。它能够直接观察胆道系统，以识别病理变化、进行活检并治疗胆道梗阻。PC在成人中的有效性和安全性已得到证实。然而，关于PC在儿科患者中的应用数据有限。在本病例系列中，对4例接受了6次PC手术的儿科患者（3名女孩；平均年龄4岁[范围1 - 8岁]）的手术结果进行了检查。6次PC手术中有3次（50%）是为了对胆道树和/或小肠进行诊断性观察，而其余3次（50%）是为了治疗导致慢性胆汁淤积的胆道梗阻。技术和操作成功率为100%，术中及术后30天内均未出现并发症。本研究支持PC在儿科患者中用于管理胆道疾病的可行性和安全性。
