SUCCESSFUL ENDOSCOPIC PAPILLARY BALLOON DILATATION (EPBD) FOR COMMON BILE DUCT STONES IN CHILD WITH HEREDITARY SPHEROCYTOSIS (HS) :REPORT OF A CASE

Mizuho KAKIHARA; Shouji MITSUFUJI; Naoki WAKABAYASHI; Kensaku KOJIMA; Hitoshi NAKAMURA; Yasuhide YAMASHITA; Tatsuya KOSHITANI; Keimei KATOU; Youichi IMAMURA; Osamu KIMURA; Naomi IWAI

doi:10.11280/gee1973b.42.2289

Mizuho KAKIHARA, Shouji MITSUFUJI, Naoki WAKABAYASHI, Kensaku KOJIMA, Hitoshi NAKAMURA, Yasuhide YAMASHITA, Tatsuya KOSHITANI, Keimei KATOU, Youichi IMAMURA, Osamu KIMURA, Naomi IWAI

Author information

Mizuho KAKIHARA
Third Department of Internal Medicine.
Shouji MITSUFUJI
Department of Pediatric Surgery, Kyoto Prefectural University of Medicine.
Naoki WAKABAYASHI
Department of Pediatric Surgery, Kyoto Prefectural University of Medicine.
Kensaku KOJIMA
Department of Pediatric Surgery, Kyoto Prefectural University of Medicine.
Hitoshi NAKAMURA
Department of Pediatric Surgery, Kyoto Prefectural University of Medicine.
Yasuhide YAMASHITA
Department of Pediatric Surgery, Kyoto Prefectural University of Medicine.
Tatsuya KOSHITANI
Department of Pediatric Surgery, Kyoto Prefectural University of Medicine.
Keimei KATOU
Department of Pediatric Surgery, Kyoto Prefectural University of Medicine.
Youichi IMAMURA
Department of Pediatric Surgery, Kyoto Prefectural University of Medicine.
Osamu KIMURA
Department of Pediatric Surgery, Kyoto Prefectural University of Medicine.
Naomi IWAI

JOURNAL FREE ACCESS

2000 Volume 42 Issue 12 Pages 2289-2293

DOI https://doi.org/10.11280/gee1973b.42.2289

Details

Abstract

A 5-year-old boy who had hereditary spherocytosis (HS) was admitted to our hospital with having symptoms of abdominal pain and icterus. Gallbladder stones and common bile duct stones (CBD stones) were recognized by abdominal CT scan and ultrasonography. It was thought that gallbladder stones occur from HS and they fell down into common bile duct, so we carried out endoscopic papillary balloon dilatation (EPBD) and endoscopic removal of the CBD stones for preserving the function of the Sphincter of Oddi. Owing to that, we could carry out laparoscopic cholecystectomy and splenectomy, and diminish his burden to his body. Endoscopic removal of the CBD stones after EPBD is an effective approach for the management of choledocholithiasis in children in point of diminishing their burden and preserving the function of their Sphincter of Oddi.

Corresponding author

Register with J-STAGE for free!