
Long-Term External Catheter Biliary Drainage for Recurrent Cholangitis After Hepatoportoenterostomy
Author(s) -
Elizabeth E. Gleghorn,
Philip Rosenthal,
Linda Vachon,
Michael J. Diament
Publication year - 1986
Publication title -
journal of pediatric gastroenterology and nutrition
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 1.206
H-Index - 131
eISSN - 1536-4801
pISSN - 0277-2116
DOI - 10.1097/00005176-198605000-00028
Subject(s) - medicine , biliary atresia , catheter , biliary drainage , drainage , percutaneous , surgery , intrahepatic bile ducts , biliary tract , bile duct , liver transplantation , transplantation , ecology , biology
An infant developed relapsing cholangitis following hepatoportoenterostomy for extrahepatic biliary atresia. The source of recurrent infection seemed to be an intrahepatic cyst. Short-term percutaneous cholangio-drainage of such cysts, resulting in eradication of infection, has been described. However, this child required continuous drainage because of persistence of infection in the reaccumulating bile. The insertion of a nephrostomy catheter and use of enterostomal appliances have allowed continuous uneventful biliary drainage for 15 months.