Endoscopy 2007; 39(9): 836-839
DOI: 10.1055/s-2007-966654
Case report

© Georg Thieme Verlag KG Stuttgart · New York

Preoperative endoscopic retrograde cholangiopancreatographic treatment of complicated choledochal cysts in children: a retrospective case series

C.  H.  Houben1 , P.  W.  Y.  Chiu2 , J.  Lau2 , K.  H.  Lee1 , E.  K.  W.  Ng2 , Y.  H.  Tam1 , C.  K.  Yeung1
  • 1Department of Surgery, Prince of Wales Hospital, Shatin N.T., Hong Kong
  • 2Institute for Digestive Medicine, Prince of Wales Hospital, Shatin N.T., Hong Kong
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submitted 22 October 2006

accepted after revision 11 May 2007

17. August 2007 (online)

We report our experience with endoscopic retrograde cholangiopancreatography-(ERCP-)based interventions in children with complicated choledochal cysts that are refractory to conservative management. Between 1999 and 2006, 42 children (12 boys, 30 girls; median age 3 years, range 2 - 14.5 years) were admitted for surgical treatment of choledochal cysts. Seven of these patients (16.7 %; one boy, six girls; median age 3 years, range 2 - 12 years) showed signs of complicated choledochal cysts, and presented with pancreatitis/cholangitis (n = 4) and obstructive jaundice (n = 3). The anatomical classification of the cysts was type Ic (n = 3), type If (n = 3), and type IV (n = 1). ERCP was successfully performed in 6/7 patients, and therapeutic interventions included removal of debris (n = 3), sphincterotomy (n = 3), and stent placement (n = 4). One patient required blood transfusion for post-sphincterotomy bleeding. The patient in whom the ERCP failed underwent ultrasound-guided percutaneous transhepatic biliary drainage. Definitive surgery was performed after a median interval of 10 days (range 7 - 68 days) after the ERCP intervention.


C. H. Houben, MD

Department of Pediatric Surgery
Prince of Wales Hospital

30 - 32 Ngan Shing Street
Shatin, N.T.
Hong Kong

Fax: +852-26489384

eMail: chhouben@web.de