Management of choledocholithiasis in an infant

Peter T. Yu, Stephen J. Fenton, Patrick T. Delaplain, Jesse Vrecenak, N. Scott Adzick, Michael L. Nance, Yigit S. Guner

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Choledocholithiasis is a rare diagnosis in the infant population with poorly defined optimal management. Endoscopic and operative interventions are both technically challenging. Endoscopic retrograde cholangiopancreatography (ERCP), common bile duct exploration and laparoscopic cholecystectomy are typically safe and successful when performed. However, choledocholithiasis has been reported to spontaneously resolve in up to 60% of cases in neonates and infants. We present five cases of choledocholithiasis in infants and a comprehensive review of the literature. Based on our review and experience, we make a recommendation that clinicians should proceed with a selective approach in the management of this disease based on severity of symptoms, co-morbidities, and the available surgical and endoscopic capabilities of each institution.

Original languageEnglish
Pages (from-to)52-58
Number of pages7
JournalJournal of Pediatric Surgery Case Reports
Volume29
DOIs
StatePublished - Feb 2018

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