Korean J Gastrointest Endosc.
2006 Aug;33(2):125-129.
Successful Removal of Common Bile Duct Stone Using Endoscopic Papillary Balloon Dilation (EPBD), in A 28-month-old Child with Down's Syndrome
- Affiliations
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- 1Department of Internal Medicine, Soonchunhyang University College of Medicine, Cheonan, Korea. dhpark@schch.co.kr
- 2Department of Pediatrics, Soonchunhyang University College of Medicine, Cheonan, Korea.
Abstract
- Although cholelithiasis is an uncommon condition in infants, a recent study documented the increasing detection of this disorder. This increase may be explained by the wide use and improvement in abdominal ultrasound. Choledocholithiasis with cholestatic jaundice in infants usually requires therapeutic intervention, even though the incidence of spontaneous resolution has been reported to be higher in infants than adults. Choledocholithiasis in children has traditionally been managed surgically with open common duct exploration. Recently, endoscopic stone removal was accepted as a standard therapy in pediatric choledocholithiasis. We report a case of the successful removal of common bile duct stone using endoscopic papillary balloon dilation (EPBD), in a 28-month-old infant with Down's syndrome.
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