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Updated: Jun 27, 2025

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
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A therapeutic ERCP in an only 5.9 kg infant with obstruction jaundice using JF-260V duodenoscope

Tian Zhang1, Yijun Shu2, Hao Weng2

  • 1Department of Pediatric Surgery, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, 1665 KongJiang Street, Shanghai, 200092, China.

BMC Pediatrics
|April 27, 2024
PubMed

Insights

Therapeutic endoscopic retrograde cholangiopancreatography (ERCP) is feasible in infants using adult duodenoscopes. Careful patient selection and expert centers are key for safe and effective infant ERCP procedures.

Area of Science:

  • Pediatric Gastroenterology
  • Interventional Endoscopy

Background:

  • Endoscopic retrograde cholangiopancreatography (ERCP) is widely used in pediatric patients.
  • Therapeutic ERCP in infants presents unique challenges, necessitating specialized approaches.

Observation:

  • A 5.9-kilogram infant presented with obstructive jaundice, clay-colored stools, and liver injury.
  • Imaging revealed common bile duct (CBD) dilation and stones, indicating biliary obstruction.
  • ERCP was performed using a standard adult duodenoscope under general anesthesia.

Findings:

  • Successful stone extraction and biliary drainage were achieved in the infant patient.
  • The procedure demonstrated the feasibility of using conventional adult equipment for infant ERCP.

Implications:

  • Therapeutic ERCP in infants is safe and feasible in expert pediatric centers with stringent patient selection.
  • Development of standardized protocols and guidelines for infant ERCP is crucial for future practice.
Abstract

Keywords:
Biliary obstructionERCPInfant

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