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
1   Department of Radiology, University of Texas Southwestern Children's Health, Dallas, Texas
,
Colin N. Brown
2   Department of Radiology, Texas Scottish Rite Hospital for Children, Dallas, Texas
› Author Affiliations
Further Information

Publication History

Publication Date:
31 October 2016 (online)

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.

 
  • 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