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Pediatric Surgery International

, Volume 29, Issue 11, pp 1103–1107 | Cite as

The efficacy of double-balloon enteroscopy for intrahepatic bile duct stones after Roux-en-Y hepaticojejunostomy for choledochal cysts

  • Shigeru Ono
  • Kosaku Maeda
  • Katsuhisa Baba
  • Yoshiko Usui
  • Yuki Tsuji
  • Tomonori Yano
  • Wataru Hatanaka
  • Hironori Yamamoto
Original Article

Abstract

Introduction

Intrahepatic bile duct (IHBD) stones are one of the most complicated morbidities that occur after Roux-en-Y hepaticojejunostomy (RYH); however, the optimal therapeutic approach is controversial.

Methods

Double-balloon enteroscopy (DBE) has been widely and frequently performed even in pediatric patients. We herein report the successful management of IHBD stones by biliary lithotripsy using DBE after RYH for a choledochal cyst (CC). DBE has made it possible to perform endoscopic therapeutic intervention, including balloon dilatation of an anastomotic stricture and removal of IHBD stones, without any major complications.

Conclusion

DBE is a less invasive and safe treatment method for IHBD stones in pediatric patients, which is capable of reaching the bilioenteric anastomosis after RYH for CC.

Keywords

Double-balloon enteroscopy Intrahepatic bile duct stone Choledochal cyst 

Notes

Conflict of interest

Hironori Yamamoto has patents in Japan for the double-balloon system described in this article; he is a consultant to and received honoraria, grants and royalty from Fujifilm.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  • Shigeru Ono
    • 1
  • Kosaku Maeda
    • 1
  • Katsuhisa Baba
    • 1
  • Yoshiko Usui
    • 1
  • Yuki Tsuji
    • 1
  • Tomonori Yano
    • 2
  • Wataru Hatanaka
    • 2
  • Hironori Yamamoto
    • 2
  1. 1.Division of Pediatric Surgery, Department of SurgeryJichi Medical UniversityShimotsuke-cityJapan
  2. 2.Division of Gastroenterology, Department of Internal MedicineJichi Medical UniversityShimotsuke-cityJapan

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