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J Pediatr Surg. 2008 Apr;43(4):e33-5. doi: 10.1016/j.jpedsurg.2007.12.068.

Laparoscopic aided cholecystostomy as a treatment of inspissated bile syndrome.

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Department of Pediatric Surgery, Lund University Hospital, 221 85 Lund, Sweden.


We report a case of a newborn girl with inspissated bile syndrome (IBS) that did not respond to treatment with oral ursodeoxycholic acid (Ursofalk). A solution was found using laparoscopic aided cholecystostomy with an indwelling catheter for local Ursofalk flushing in the gallbladder and the choledochus. This is the first report of a laparoscopic aided management of IBS without cholecystectomy or exploration of the bile ducts. This minimal invasive approach showed a clear advantage for the patient. There were no complications. The method is recommended in the treatment of IBS.

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