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Endoscopic internal biliary drainage in a child with malignant obstructive jaundice caused by neuroblastoma
Tadao Okada1, Hideo Yoshida, Tadashi Matsunaga
1Department of Paediatric Surgery, Chiba University, School of Medicine, 1-8-1 Inohana, Chuo-ku, Chiba 260-8677, Japan. okadat@ho.chiba-u.ac.jp
Insights
A 13-year-old girl with neuroblastoma received a Flexima biliary stent for bile duct obstruction. This endoscopic procedure safely relieved jaundice and improved her quality of life.
Area of Science:
- Pediatric Gastroenterology
- Interventional Endoscopy
- Pediatric Oncology
Background:
- Malignant obstructive jaundice in children presents significant challenges.
- Neuroblastoma can cause extrinsic compression of the bile duct.
- Effective biliary drainage is crucial for patient management and quality of life.
Observation:
- A 13-year-old female with neuroblastoma experienced obstructive jaundice.
- Enlarged lymph nodes secondary to neuroblastoma compressed the extrahepatic bile duct.
- A Flexima biliary stent was inserted via endoscopic retrograde cholangiopancreatography (ERCP).
Findings:
- The endoscopic internal biliary drainage procedure using a Flexima stent was technically successful.
- The intervention was safe and effective in a pediatric patient.
- The patient experienced relief from obstructive jaundice and improved quality of life.
Implications:
- Endoscopic biliary stenting is a viable treatment option for malignant obstructive jaundice in children.
- This approach offers a minimally invasive alternative for pediatric patients.
- Further review of treatment options for pediatric malignant obstructive jaundice is warranted.
Abstract:
We describe a 13-year-old girl who underwent insertion of a Flexima biliary stent for obstructive jaundice due to compression of the extrahepatic bile duct by an enlarged lymph node secondary to neuroblastoma. This novel endoscopic internal biliary drainage procedure was safe and effective even for a child, and improved her quality of life. We further review other treatment options available for malignant obstructive jaundice in children.