Pediatric Gastrointestinal Interventions

Abstract

Image-guided interventions are increasingly being used in the management of many pediatric disease processes since they provide safe and effective minimally invasive treatment options. This review article attempts to provide an overview of the commonly performed interventions in the gastrointestinal tract in children. These include esophageal balloon dilatation, establishment and maintenance of gastroenteral access, and hepatobiliary interventions (liver biopsy, percutaneous cholangiogram, and biliary drainage).

Keywords

pediatric interventional radiology - gastrointestinal - esophageal dilatation - gastrostomy - percutaneous cholangiogram

• References

• 1 Cravero JP. Risk and safety of pediatric sedation/anesthesia for procedures outside the operating room. Curr Opin Anaesthesiol 2009; 22 (04) 509-513
• 2 Kaye RD, Sane SS, Towbin RB. Pediatric intervention: an update – Part I. J Vasc Interv Radiol 2000; 11 (06) 683-697
• 3 Connolly BL. Gastrointestinal interventions – emphasis on children. Tech Vasc Interv Radiol 2003; 6 (04) 182-191
• 4 Roebuck DJ, McLaren CA. Gastrointestinal intervention in children. Pediatr Radiol 2011; 41 (01) 27-41
• 5 Ko HK, Shin JH, Song HY. et al. Balloon dilation of anastomotic strictures secondary to surgical repair of esophageal atresia in a pediatric population: long-term results. J Vasc Interv Radiol 2006; 17 (08) 1327-1333
• 6 Thyoka M, Barnacle A, Chippington S. et al. Fluoroscopic balloon dilation of esophageal atresia anastomotic strictures in children and young adults: single-center study of 103 consecutive patients from 1999 to 2011. Radiology 2014; 271 (02) 596-601
• 7 Doo EY, Shin JH, Kim JH, Song HY. Oesophageal strictures caused by the ingestion of corrosive agents: effectiveness of balloon dilatation in children. Clin Radiol 2009; 64 (03) 265-271
• 8 Patel PA, Minhas K, Ang J, Stuart S, De Coppi P, Gnannt R. Non-vascular interventional radiology in the paediatric alimentary tract. Eur J Radiol 2019; 112: 72-81
• 9 Heran MKS, Pham TH, Butterworth S, Robinson A. Use of a microporous polytetrafluoroethylene catheter balloon to treat refractory esophageal stricture: a novel technique for delivery of mitomycin C. J Pediatr Surg 2011; 46 (04) 776-779
• 10 Tambucci R, Angelino G, De Angelis P. et al. Anastomotic strictures after esophageal atresia repair: incidence, investigations, and management, including treatment of refractory and recurrent strictures. Front Pediatr 2017; 5: 120
• 11 Crowley JJ, Hogan MJ, Towbin RB. et al; Society of Interventional Radiology Standards of Practice Committee, Society for Pediatric Radiology Interventional Radiology Committee. Quality improvement guidelines for pediatric gastrostomy and gastrojejunostomy tube placement. J Vasc Interv Radiol 2014; 25 (12) 1983-1991
• 12 Homan M, Hauser B, Romano C. et al. Percutaneous endoscopic gastrostomy in children: an update to the ESPGHAN position paper. J Pediatr Gastroenterol Nutr 2021; 73 (03) 415-426
• 13 Baker L, Beres AL, Baird R. A systematic review and meta-analysis of gastrostomy insertion techniques in children. J Pediatr Surg 2015; 50 (05) 718-725
• 14 Nah SA, Narayanaswamy B, Eaton S. et al. Gastrostomy insertion in children: percutaneous endoscopic or percutaneous image-guided?. J Pediatr Surg 2010; 45 (06) 1153-1158
• 15 Singh RR, Nah SA, Roebuck DJ, Eaton S, Pierro A, Curry JI. PEG-RIG Trial Collaborators. Double-blind randomized clinical trial of percutaneous endoscopic gastrostomy versus radiologically inserted gastrostomy in children. Br J Surg 2017; 104 (12) 1620-1627
• 16 Gill AE, Gallagher N, McElhanon BO, Painter AR, Gold BD, Hawkins CM. Image-guided placement of percutaneous de novo low-profile gastrojejunostomy tubes in the pediatric population: a study of feasibility and efficacy. Pediatr Radiol 2018; 48 (06) 882-888
• 17 Dookhoo L, Mahant S, Parra DA, John PR, Amaral JG, Connolly BL. Peritonitis following percutaneous gastrostomy tube insertions in children. Pediatr Radiol 2016; 46 (10) 1444-1450
• 18 Friedman JN, Ahmed S, Connolly B, Chait P, Mahant S. Complications associated with image-guided gastrostomy and gastrojejunostomy tubes in children. Pediatrics 2004; 114 (02) 458-461
• 19 Chait PG, Shlomovitz E, Connolly BL. et al. Percutaneous cecostomy: updates in technique and patient care. Radiology 2003; 227 (01) 246-250
• 20 Hasab Allah MS, El-Hindawy AA. Percutaneous ultrasound-guided bowel wall core biopsy: a nonconventional way of diagnosis of gastrointestinal lesions. Surg Endosc 2013; 27 (09) 3187-3196
• 21 Minhas K, Roebuck DJ, Barnacle A, De Coppi P, Sebire N, Patel PA. Diagnostic yield and safety of ultrasound-guided bowel mass biopsies in children. Pediatr Radiol 2019; 49 (13) 1809-1815
• 22 Huang G, Lacson A, Sergi C, Bhargava R, Noga M. Diagnostic adequacy and safety of percutaneous ultrasound-guided paediatric liver biopsy. Paper Presented at Canadian Association of Radiologists ASM; Montreal, Canada April 2014
• 23 Dubois J, Garel L. Biliary intervention in children. In: Temple M, Marshalleck F. eds. Pediatric Interventional Radiology. Springer: New York, NY; 2014
• 24 Battistel M, Senzolo M, Ferrarese A. et al. Biodegradable biliary stents for percutaneous treatment of post-liver transplantation refractory benign biliary anastomotic strictures. Cardiovasc Intervent Radiol 2020; 43 (05) 749-755
• 25 Yakupovich A, Rajeswaran S, Green J, Donaldson JS. Role of interventional radiology in children with biliary and gallbladder diseases. Semin Intervent Radiol 2021; 38 (03) 356-363
• 26 Kang LH, Brown CN. Pediatric biliary interventions in the native liver. Semin Intervent Radiol 2016; 33 (04) 313-323
• 27 Bollu BK, Dawrant MJ, Thacker K. et al. Inspissated bile syndrome; safe and effective minimally invasive treatment with percutaneous cholecystostomy in neonates and infants. J Pediatr Surg 2016; 51 (12) 2119-2122
• 28 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 (07) 1040-1045