Skip to main content
SpringerLink
Log in

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

  • Original Article
  • Published:
Pediatric Surgery International Aims and scope Submit manuscript

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6

Similar content being viewed by others

References

  1. Ono S, Fumino S, Shimadera S, Iwai N (2010) Long-term outcomes after hepaticojejunostomy for choledochal cyst: 10- to 27-year follow-up. J Pediatr Surg 45:376–378

    Article  PubMed  Google Scholar 

  2. Ono S, Sakai S, Kimura O, Iwai N (2008) Development of bile duct cancer in a 26-year-old man after resection of infantile choledochal cyst. J Pediatr Surg 43:E17–E19

    Article  PubMed  Google Scholar 

  3. Yamamoto H, Sekine Y, Sato H et al (2001) Total enteroscopy with a nonsurgical steerable double-balloon method. Gastrointest Endosc 53:216–220

    Article  PubMed  CAS  Google Scholar 

  4. Aabakken L, Bretthauer M, Line PD (2007) Double-balloon enteroscopy for endoscopic retrograde cholangiography in patients with a Roux-en-Y anastomosis. Endoscopy 39:1068–1071

    Article  PubMed  CAS  Google Scholar 

  5. Emmett DS, Mallat DB (2007) Double-balloon ERCP in patients who have undergone Roux-en-Y surgery: a case series. Gastrointest Endosc 66:1038–1041

    Article  PubMed  Google Scholar 

  6. Yano T, Yamamoto H (2009) Current state of double balloon endoscopy: the latest approach to small intestinal diseases. J Gastroenterol Hepatol 24:185–192

    Article  PubMed  Google Scholar 

  7. Yanamoto H, Kita H, Sunada K et al (2004) Clinical outcomes of double-balloon endoscopy for diagnosis and treatment of small-intestinal disease. Clin Gastroenterol Hepatol 2:1010–1016

    Article  Google Scholar 

  8. May A, Nachbar L, Pohl J et al (2007) Endoscopic interventions in the small bowel using double balloon enteroscopy: feasibility and limitations. Am J Gastroenterol 102:527–535

    Article  PubMed  Google Scholar 

  9. Xu CD, Deng CH, Zhong J et al (2006) Application of double-balloon push enteroscopy in diagnosis of small bowel disease in children. (in Chinese). Zhonghua Er Ke Za Zhi 44:90–92

    PubMed  Google Scholar 

  10. Leung YK (2007) Double balloon endoscopy in pediatric patients. Gastrointest Endosc 66:S54–S56

    Article  PubMed  Google Scholar 

  11. Nishimura N, Yamamoto H, Yano T, Hayashi Y, Arashiro M, Miyata T, Sunada K, Sugano K (2010) Safety and efficacy of double-balloon enteroscopy in pediatric patients. Gastrointest Endosc 71:287–294

    Article  PubMed  Google Scholar 

  12. Leung YK (2007) Double balloon endoscopy in pediatric patients. Gastrointest Endosc 66:S54–S56

    Article  PubMed  Google Scholar 

Download references

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.

Author information

Authors and Affiliations

  1. Division of Pediatric Surgery, Department of Surgery, Jichi Medical University, 3311-1 Yakushiji, Shimotsuke-city, Tochigi, Japan

    Shigeru Ono, Kosaku Maeda, Katsuhisa Baba, Yoshiko Usui & Yuki Tsuji

  2. Division of Gastroenterology, Department of Internal Medicine, Jichi Medical University, 3311-1 Yakushiji, Shimotsuke-city, Japan

    Tomonori Yano, Wataru Hatanaka & Hironori Yamamoto

Authors
  1. Shigeru Ono
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Kosaku Maeda
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Katsuhisa Baba
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Yoshiko Usui
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Yuki Tsuji
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Tomonori Yano
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Wataru Hatanaka
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. Hironori Yamamoto
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Shigeru Ono.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Ono, S., Maeda, K., Baba, K. et al. The efficacy of double-balloon enteroscopy for intrahepatic bile duct stones after Roux-en-Y hepaticojejunostomy for choledochal cysts. Pediatr Surg Int 29, 1103–1107 (2013). https://doi.org/10.1007/s00383-013-3376-7

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00383-013-3376-7

Keywords

Search

Navigation