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Surgical Correction for Pediatric Epiblepharon and Trichiasis
03:59

Surgical Correction for Pediatric Epiblepharon and Trichiasis

Published on: July 8, 2025

485

[Endoscopic papillosphincterotomy in early childhood]

V O Teplov1, A S Zadvernyuk1,2, L A Vanyan2

  • 1Filatov Children's Hospital, Moscow, Russia.

Khirurgiia
|October 30, 2025
PubMed

Insights

Choledocholithiasis, or bile duct stones, is rare in children. A 2-year-old girl underwent successful endoscopic retrograde cholangiopancreatography (ERCP) for bile duct stones, despite technical challenges due to her low body weight.

Area of Science:

  • Pediatric Gastroenterology
  • Hepatobiliary Surgery
  • Endoscopic Procedures

Background:

  • Cholelithiasis can lead to choledocholithiasis, which is uncommon in pediatric patients.
  • Management of distal common bile duct obstruction in children depends on therapeutic efficacy and co-existing anomalies.
  • Choledocholithiasis presents unique challenges in pediatric cases, particularly regarding surgical intervention.

Purpose of the Study:

  • To report a rare case of pediatric choledocholithiasis.
  • To highlight the successful endoscopic management of choledocholithiasis in a young child.
  • To discuss the technical difficulties and outcomes associated with endoscopic retrograde cholangiopancreatography (ERCP) in low-body-weight pediatric patients.

Main Methods:

  • A clinical case study of a 2-year-old girl with symptomatic choledocholithiasis.
  • Diagnostic workup included clinical assessment, laboratory tests, and instrumental examinations.
  • Therapeutic intervention involved endoscopic retrograde typical papillosphincterotomy.

Main Results:

  • The patient presented with abdominal pain, gray stools, and jaundice, indicative of choledocholithiasis.
  • Endoscopic retrograde typical papillosphincterotomy was successfully performed without complications.
  • The child demonstrated positive clinical and laboratory improvements post-procedure and was discharged on postoperative day 3.

Conclusions:

  • Endoscopic retrograde cholangiopancreatography is a viable and effective treatment for pediatric choledocholithiasis.
  • Low body weight in pediatric patients can present technical challenges during ERCP.
  • Sufficient expertise in pediatric endoscopic procedures is crucial for achieving favorable outcomes in complex cases.

Keywords:
childrencholelithiasisendoscopic retrograde papillosphincterotomy

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