Pediatric Biliary Interventions in the Native Liver

Lisa H. Kang; Colin N. Brown

doi:10.1055/s-0036-1592323

Seminars in Interventional Radiology, Table of Contents

Semin intervent Radiol 2016; 33(04): 313-323
DOI: 10.1055/s-0036-1592323

Review Article

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Pediatric Biliary Interventions in the Native Liver

Lisa H. Kang

¹Department of Radiology, University of Texas Southwestern Children's Health, Dallas, Texas

,

Colin N. Brown

²Department of Radiology, Texas Scottish Rite Hospital for Children, Dallas, Texas

› Author Affiliations

Abstract

Biliary disease in infants and children frequently presents diagnostic and therapeutic challenges. Pediatric interventional radiologists are often involved in the multidisciplinary teams who care for these patients. This article reviews several notable causes of biliary disease in children who have not undergone liver transplantation, describes the role of percutaneous interventional procedures in managing these conditions, and details applicable biliary interventional techniques.

Keywords

pediatric biliary interventions - bile ducts - interventional radiology - pediatric

Full Text

References

References
1 Rozel C, Garel L, Rypens F , et al. Imaging of biliary disorders in children. Pediatr Radiol 2011; 41 (2) 208-220
2 Fitoz S, Erden A, Boruban S. Magnetic resonance cholangiopancreatography of biliary system abnormalities in children. Clin Imaging 2007; 31 (2) 93-101
3 Racadio JM, Kukreja K. Pediatric biliary interventions. Tech Vasc Interv Radiol 2010; 13 (4) 244-249
4 Rocca R, Castellino F, Daperno M , et al. Therapeutic ERCP in paediatric patients. Dig Liver Dis 2005; 37 (5) 357-362
5 Moyer V, Freese DK, Whitington PF , et al; North American Society for Pediatric Gastroenterology, Hepatology and Nutrition. Guideline for the evaluation of cholestatic jaundice in infants: recommendations of the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition. J Pediatr Gastroenterol Nutr 2004; 39 (2) 115-128
6 Gottesman LE, Del Vecchio MT, Aronoff SC. Etiologies of conjugated hyperbilirubinemia in infancy: a systematic review of 1692 subjects. BMC Pediatr 2015; 15: 192
7 Hartley JL, Davenport M, Kelly DA. Biliary atresia. Lancet 2009; 374 (9702) 1704-1713
8 Wildhaber BE. Biliary atresia: 50 years after the first Kasai. ISRN Surg 2012; 2012: 132089
9 Davenport M, Caponcelli E, Livesey E, Hadzic N, Howard E. Surgical outcome in biliary atresia: etiology affects the influence of age at surgery. Ann Surg 2008; 247 (4) 694-698
10 Jancelewicz T, Barmherzig R, Chung CT , et al. A screening algorithm for the efficient exclusion of biliary atresia in infants with cholestatic jaundice. J Pediatr Surg 2015; 50 (3) 363-370
11 Chardot C, Carton M, Spire-Bendelac N, Le Pommelet C, Golmard JL, Auvert B. Prognosis of biliary atresia in the era of liver transplantation: French national study from 1986 to 1996. Hepatology 1999; 30 (3) 606-611
12 Schoen BT, Lee H, Sullivan K, Ricketts RR. The Kasai portoenterostomy: when is it too late?. J Pediatr Surg 2001; 36 (1) 97-99
13 Tan Kendrick AP, Phua KB, Ooi BC, Tan CE. Biliary atresia: making the diagnosis by the gallbladder ghost triad. Pediatr Radiol 2003; 33 (5) 311-315
14 Humphrey TM, Stringer MD. Biliary atresia: US diagnosis. Radiology 2007; 244 (3) 845-851
15 Ziessman HA. Hepatobiliary scintigraphy in 2014. J Nucl Med Technol 2014; 42 (4) 249-259
16 Kianifar HR, Tehranian S, Shojaei P , et al. Accuracy of hepatobiliary scintigraphy for differentiation of neonatal hepatitis from biliary atresia: systematic review and meta-analysis of the literature. Pediatr Radiol 2013; 43 (8) 905-919
17 Majd M, Reba RC, Altman RP. Effect of phenobarbital on 99mTc-IDA scintigraphy in the evaluation of neonatal jaundice. Semin Nucl Med 1981; 11 (3) 194-204
18 Norton KI, Glass RB, Kogan D, Lee JS, Emre S, Shneider BL. MR cholangiography in the evaluation of neonatal cholestasis: initial results. Radiology 2002; 222 (3) 687-691
19 Liu B, Cai J, Xu Y , et al. Three-dimensional magnetic resonance cholangiopancreatography for the diagnosis of biliary atresia in infants and neonates. PLoS ONE 2014; 9 (2) e88268
20 Hashimoto T, Yura J. Percutaneous transhepatic cholangiography (PTC) in biliary atresia with special reference to the structure of the intrahepatic bile ducts. J Pediatr Surg 1981; 16 (1) 22-25
21 Treem WR, Grant EE, Barth KH, Kremers PW. Ultrasound guided percutaneous cholecystocholangiography for early differentiation of cholestatic liver disease in infants. J Pediatr Gastroenterol Nutr 1988; 7 (3) 347-352
22 Meyers RL, Book LS, O'Gorman MA , et al. Percutaneous cholecysto-cholangiography in the diagnosis of obstructive jaundice in infants. J Pediatr Surg 2004; 39 (1) 16-18
23 Lee SY, Kim GC, Choe BH , et al. Efficacy of US-guided percutaneous cholecystocholangiography for the early exclusion and type determination of biliary atresia. Radiology 2011; 261 (3) 916-922
24 Nwomeh BC, Caniano DA, Hogan M. Definitive exclusion of biliary atresia in infants with cholestatic jaundice: the role of percutaneous cholecysto-cholangiography. Pediatr Surg Int 2007; 23 (9) 845-849
25 Houben C, Phelan S, Davenport M. Late-presenting cholangitis and Roux loop obstruction after Kasai portoenterostomy for biliary atresia. J Pediatr Surg 2006; 41 (6) 1159-1164
26 Takahashi A, Tsuchida Y, Suzuki N , et al. Incidence of intrahepatic biliary cysts in biliary atresia after hepatic portoenterostomy and associated histopathologic findings in the liver and porta hepatis at diagnosis. J Pediatr Surg 1999; 34 (9) 1364-1368
27 Tsuchida Y, Honna T, Kawarasaki H. Cystic dilatation of the intrahepatic biliary system in biliary atresia after hepatic portoenterostomy. J Pediatr Surg 1994; 29 (5) 630-634
28 Orman ES, Miller CB, Grimm IS, Barritt IV AS. Single-balloon enteroscopy-assisted endoscopic retrograde cholangiopancreatography for treatment of cholangitis in a patient with a Kasai portoenterostomy. J Pediatr Surg 2012; 47 (5) E1-E5
29 Levy J, Martin EC, DeFelice A, Abramson S, Altman RP, Laffey KJ. Obstruction of the Roux limb after portoenterostomy for biliary atresia: a delayed complication. J Pediatr Surg 1990; 25 (12) 1264-1265
30 Kim OH, Chung HJ, Choi BG. Imaging of the choledochal cyst. Radiographics 1995; 15 (1) 69-88
31 Soares KC, Kim Y, Spolverato G , et al. Presentation and clinical outcomes of choledochal cysts in children and adults: a multi-institutional analysis. JAMA Surg 2015; 150 (6) 577-584
32 De Bruyne R, Van Biervliet S, Vande Velde S, Van Winckel M. Clinical practice: neonatal cholestasis. Eur J Pediatr 2011; 170 (3) 279-284
33 Kang CM, Lee KH, Kim DH, Lee WJ. Percutaneous transhepatic cyst drainage as a “bridge procedure” to definitive treatment of perforated choledochal cysts: a case report. Surg Laparosc Endosc Percutan Tech 2008; 18 (6) 598-600
34 Soares KC, Arnaoutakis DJ, Kamel I , et al. Choledochal cysts: presentation, clinical differentiation, and management. J Am Coll Surg 2014; 219 (6) 1167-1180
35 Lee SC, Kim HY, Jung SE, Park KW, Kim WK. Is excision of a choledochal cyst in the neonatal period necessary?. J Pediatr Surg 2006; 41 (12) 1984-1986
36 Lal R, Agarwal S, Shivhare R , et al. Management of complicated choledochal cysts. Dig Surg 2007; 24 (6) 456-462
37 Atchie B, Kalva S, Josephs S. Pediatric biliary interventions. Tech Vasc Interv Radiol 2015; 18 (4) 276-284
38 Duman L, Büyükyavuz BI, Akcam M, Koroglu M, Tepeli H. Percutaneous management of bile-plug syndrome: a case report. J Pediatr Surg 2011; 46 (12) e37-e41
39 Bernstein J, Braylan R, Brough AJ. Bile-plug syndrome: a correctable cause of obstructive jaundice in infants. Pediatrics 1969; 43 (2) 273-276
40 Heaton ND, Davenport M, Howard ER. Intraluminal biliary obstruction. Arch Dis Child 1991; 66 (12) 1395-1398
41 Lang EV, Pinckney LE. Spontaneous resolution of bile-plug syndrome. AJR Am J Roentgenol 1991; 156 (6) 1225-1226
42 Lieber J, Piersma FE, Sturm E, Schäfer JF, Fuchs J, Szavay PO. Surgical treatment of inspissated bile syndrome using a 2-stage pure laparoscopic approach: a case report. J Pediatr Surg 2012; 47 (12) e47-e50
43 Poddighe D, Tresoldi M, Licari A, Marseglia GL. Acalculous acute cholecystitis in previously healthy children: general overview and analysis of pediatric infectious cases. Int J Hepatol 2015; 2015: 459608
44 Kim A, Yang HR, Moon JS, Chang JY, Ko JS. Epstein-Barr virus infection with acute acalculous cholecystitis. Pediatr Gastroenterol Hepatol Nutr 2014; 17 (1) 57-60
45 Chen CJ, Huang FC, Tiao MM , et al. Sonographic gallbladder abnormality is associated with intravenous immunoglobulin resistance in Kawasaki disease. ScientificWorldJournal 2012; 2012: 485758
46 Verma M, Chhatwal J, Deodhar MC, Aneja R, Singh T. Enteric cholecystitis 15 years experience. Indian Pediatr 1995; 32 (7) 808-810
47 Schaefer CM, Towbin RB, Aria DJ, Kaye RD. Safety and effectiveness of percutaneous cholecystostomy in critically ill children who are immune compromised. Pediatr Radiol 2016; 46 (7) 1040-1045
48 Khoury NJ, Kanj V, Abboud M, Muwakkit S, Birjawi GA, Haddad MC. Abdominal complications of chemotherapy in pediatric malignancies: imaging findings. Clin Imaging 2009; 33 (4) 253-260
49 Tulchinsky M, Colletti PM, Allen TW. Hepatobiliary scintigraphy in acute cholecystitis. Semin Nucl Med 2012; 42 (2) 84-100
50 Mariat G, Mahul P, Prév t N , et al. Contribution of ultrasonography and cholescintigraphy to the diagnosis of acute acalculous cholecystitis in intensive care unit patients. Intensive Care Med 2000; 26 (11) 1658-1663
51 Simorov A, Ranade A, Parcells J , et al. Emergent cholecystostomy is superior to open cholecystectomy in extremely ill patients with acalculous cholecystitis: a large multicenter outcome study. Am J Surg 2013; 206 (6) 935-940 , discussion 940–941
52 Garber SJ, Mathieson JR, Cooperberg PL, MacFarlane JK. Percutaneous cholecystostomy: safety of the transperitoneal route. J Vasc Interv Radiol 1994; 5 (2) 295-298
53 Akinci D, Gumus B, Ozkan OS , et al. Percutaneous management of tumoral biliary obstruction in children. Pediatr Radiol 2007; 37 (10) 975-980
54 Chung EM, Lattin Jr GE, Cube R , et al. From the archives of the AFIP: pediatric liver masses: radiologic-pathologic correlation. Part 2. Malignant tumors. Radiographics 2011; 31 (2) 483-507
55 Gow KW, Blair GK, Phillips R , et al. Obstructive jaundice caused by neuroblastoma managed with temporary cholecystostomy tube. J Pediatr Surg 1995; 30 (6) 878-882
56 Spunt SL, Lobe TE, Pappo AS , et al. Aggressive surgery is unwarranted for biliary tract rhabdomyosarcoma. J Pediatr Surg 2000; 35 (2) 309-316
57 Koenigsberg M, Wiener SN, Walzer A. The accuracy of sonography in the differential diagnosis of obstructive jaundice: a comparison with cholangiography. Radiology 1979; 133 (1) 157-165
58 Roebuck DJ, Stanley P. External and internal-external biliary drainage in children with malignant obstructive jaundice. Pediatr Radiol 2000; 30 (10) 659-664
59 Watanabe Y, Ito T, Horibe K , et al. Obstructive jaundice, an unusual initial manifestation of intraabdominal non-Hodgkin's lymphoma in children: complications of percutaneous transhepatic cholangial drainage. J Pediatr Surg 1997; 32 (4) 650-653
60 Ugur H, Tacyildiz N, Yavuz G , et al. Obstructive jaundice: an unusual initial manifestation of intra-abdominal non-Hodgkin lymphoma in a child. Pediatr Hematol Oncol 2006; 23 (1) 87-90
61 Pietsch JB, Shankar S, Ford C, Johnson JE. Obstructive jaundice secondary to lymphoma in childhood. J Pediatr Surg 2001; 36 (12) 1792-1795
62 Kim SH, Zangan SM. Percutaneous transhepatic biliary drainage complicated by bilothorax. Semin Intervent Radiol 2015; 32 (1) 54-56
63 Keil R, Snajdauf J, Rygl M , et al. Diagnostic efficacy of ERCP in cholestatic infants and neonates—a retrospective study on a large series. Endoscopy 2010; 42 (2) 121-126
64 Petersen C, Meier PN, Schneider A , et al. Endoscopic retrograde cholangiopancreaticography prior to explorative laparotomy avoids unnecessary surgery in patients suspected for biliary atresia. J Hepatol 2009; 51 (6) 1055-1060
65 Ohnuma N, Takahashi T, Tanabe M, Yoshida H, Iwai J. The role of ERCP in biliary atresia. Gastrointest Endosc 1997; 45 (5) 365-370
66 Malloy PC, Grassi CJ, Kundu S , et al; Standards of Practice Committee with Cardiovascular and Interventional Radiological Society of Europe (CIRSE) Endorsement. Consensus guidelines for periprocedural management of coagulation status and hemostasis risk in percutaneous image-guided interventions. J Vasc Interv Radiol 2009; 20 (7, Suppl): S240-S249
67 Saad WE, Wallace MJ, Wojak JC, Kundu S, Cardella JF. Quality improvement guidelines for percutaneous transhepatic cholangiography, biliary drainage, and percutaneous cholecystostomy. J Vasc Interv Radiol 2010; 21 (6) 789-795
68 Ryan JM, Ryan BM, Smith TP. Antibiotic prophylaxis in interventional radiology. J Vasc Interv Radiol 2004; 15 (6) 547-556
69 Moon E, Tam MD, Kikano RN, Karuppasamy K. Prophylactic antibiotic guidelines in modern interventional radiology practice. Semin Intervent Radiol 2010; 27 (4) 327-337
70 Venkatesan AM, Kundu S, Sacks D , et al; Society of Interventional Radiology Standards of Practice Committee. Practice guidelines for adult antibiotic prophylaxis during vascular and interventional radiology procedures. Written by the Standards of Practice Committee for the Society of Interventional Radiology and Endorsed by the Cardiovascular Interventional Radiological Society of Europe and Canadian Interventional Radiology Association [corrected]. J Vasc Interv Radiol 2010; 21 (11) 1611-1630 , quiz 1631
71 Bratzler DW, Dellinger EP, Olsen KM , et al; American Society of Health-System Pharmacists (ASHP); Infectious Diseases Society of America (IDSA); Surgical Infection Society (SIS); Society for Healthcare Epidemiology of America (SHEA). Clinical practice guidelines for antimicrobial prophylaxis in surgery. Surg Infect (Larchmt) 2013; 14 (1) 73-156
72 Johnson C, Martin-Carreras T, Rabinowitz D. Pediatric interventional radiology and dose-reduction techniques. Semin Ultrasound CT MR 2014; 35 (4) 409-414
73 Aria D, Vatsky S, Towbin R, Schaefer CM, Kaye R. Interventional radiology in the neonate and young infant. Semin Ultrasound CT MR 2014; 35 (6) 588-607
74 Franchi-Abella S, Cahill AM, Barnacle AM, Pariente D, Roebuck DJ. Hepatobiliary intervention in children. Cardiovasc Intervent Radiol 2014; 37 (1) 37-54
75 Lorenz JM, Denison G, Funaki B, Leef JA, Van Ha T, Rosenblum JD. Balloon dilatation of biliary-enteric strictures in children. AJR Am J Roentgenol 2005; 184 (1) 151-155
76 Miraglia R, Maruzzelli L, Caruso S , et al. Percutaneous management of biliary strictures after pediatric liver transplantation. Cardiovasc Intervent Radiol 2008; 31 (5) 993-998
77 Ginat D, Saad WE. Cholecystostomy and transcholecystic biliary access. Tech Vasc Interv Radiol 2008; 11 (1) 2-13
78 Hatjidakis AA, Karampekios S, Prassopoulos P , et al. Maturation of the tract after percutaneous cholecystostomy with regard to the access route. Cardiovasc Intervent Radiol 1998; 21 (1) 36-40