Abstract:
BACKGROUND:ERCP experience in pancreatic disorders in children is limited. OBJECTIVE:This study evaluated the utility and efficacy of ERCP in children with pancreatic diseases at a tertiary care referral center. PATIENTS AND SETTINGS:Consecutive patients 18 years of age and younger who underwent ERCP for pancreatic diseases from January 2010 to June 2011 were identified. Indications, findings, interventions, adverse events, and outcomes were recorded. RESULTS:A total of 221 ERCPs were performed in 172 children (102 boys, mean ± standard deviation age 13.8 ± 3.2 years, 157 therapeutic). A total of 143 children (83.1%) had chronic pancreatitis (CP), 19 (11%) had recurrent acute pancreatitis (RAP), and 10 (5.8%) had acute pancreatitis (AP). Indications included pain (153, 89.4%), pancreatic fistula (11, 6.3%), symptomatic pseudocyst (4, 2.3%), and jaundice (3, 1.7%). In chronic pancreatitis patients, findings included a dilated and irregular main pancreatic duct (92, 64.3%), pancreatic duct (PD) calculi (76, 53%), dominant PD stricture (23, 16%), PD leak (7, 4.9%), pancreas divisum (35, 24.5%), and common bile duct (CBD) stricture (3, 2%). Therapeutic procedures included major papilla sphincterotomy (93, 65%), minor papilla sphincterotomy (32, 22.3%), PD stenting (77, 53.8%), and CBD stenting (3, 2.2%). PD stones larger than 5 mm were retrieved endoscopically after 57 extracorporeal shock wave lithotripsy sessions in 50 patients (34.9%). In patients with RAP, 6 (31.5%) had complete and 1 partial pancreas divisum. All underwent minor papillotomy. In patients with AP, 4 (40%) had stenting for PD leak, 2 (20%) underwent CBD clearance for biliary pancreatitis, and 4 (40%) had transpapillary pseudocyst drainage. During 13 ± 4.7 months (range 6-22 months) of follow-up, improvement of symptoms was seen in 143 of 172 (83%) patients. Procedure-related adverse events were seen in 8 (4.7%) patients. LIMITATIONS:Retrospective study. CONCLUSION:ERCP is a safe therapeutic option for pancreatic disorders in children.
journal_name
Gastrointest Endoscjournal_title
Gastrointestinal endoscopyauthors
Agarwal J,Nageshwar Reddy D,Talukdar R,Lakhtakia S,Ramchandani M,Tandan M,Gupta R,Pratap N,Rao GVdoi
10.1016/j.gie.2013.07.060subject
Has Abstractpub_date
2014-02-01 00:00:00pages
271-8issue
2eissn
0016-5107issn
1097-6779pii
S0016-5107(13)02244-Xjournal_volume
79pub_type
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journal_title:Gastrointestinal endoscopy
pub_type: 杂志文章
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更新日期:2005-11-01 00:00:00
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pub_type: 临床试验,杂志文章
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更新日期:1999-06-01 00:00:00
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journal_title:Gastrointestinal endoscopy
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更新日期:2006-05-01 00:00:00
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journal_title:Gastrointestinal endoscopy
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
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更新日期:2003-11-01 00:00:00
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journal_title:Gastrointestinal endoscopy
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doi:10.1016/s0016-5107(89)72798-x
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journal_title:Gastrointestinal endoscopy
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更新日期:1998-08-01 00:00:00
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更新日期:2018-05-01 00:00:00
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pub_type: 临床试验,杂志文章,随机对照试验
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pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:2002-01-01 00:00:00
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