Faculty Collaboration Database

Endoscopic retrograde cholangiopancreatography in children and adolescents. J Pediatr Gastroenterol Nutr 2002 Nov;35(5):619-23

Date

11/28/2002

Pubmed ID

12454575

DOI

10.1097/00005176-200211000-00006

Scopus ID

2-s2.0-1842854173 (requires institutional sign-in at Scopus site)   64 Citations

Abstract

OBJECTIVES: Endoscopic retrograde cholangiopancreatography (ERCP) is becoming a more frequently used diagnostic and therapeutic tool in children. We sought to determine the indications, feasibility, safety, and effect on patient management of ERCP in pediatric patients of varying age.

METHODS: All ERCPs performed during a 4-year period in patients aged 18 years or less at an academic hospital were retrospectively reviewed. The indications, type of anesthesia administered, type of duodenoscope used, diagnostic findings, therapeutic interventions, complication rate, and effect on management were compared between children (age 0-12 years) and adolescents (age 13-18 years).

RESULTS: A total of 53 procedures were performed in 43 patients whose median age was 13.5 years. ERCP was successful in 50 of 53 cases (94%) with a complication rate of 6%. Endoscopic therapy was provided in 24 of 53 cases (45%). Compared with adolescents (n = 28), children (n = 25) were more likely to receive general anesthesia (96% vs. 29%; P < 0.001) and undergo ERCP with a pediatric duodenoscope (0% vs. 40%). ERCP affected management in 73% of cases, equally in both groups.

CONCLUSION: ERCP is a successful and safe diagnostic and therapeutic modality in a variety of pancreatobiliary disorders that directly affects management in children of all ages.

Author List

Pfau PR, Chelimsky GG, Kinnard MF, Sivak MV Jr, Wong RC, Isenberg GA, Gurumurthy P, Chak A

MESH terms used to index this publication - Major topics in bold

Adolescent
Anesthesia, General
Biliary Tract Diseases
Child
Child, Preschool
Cholangiopancreatography, Endoscopic Retrograde
Diagnosis, Differential
Duodenoscopes
Female
Humans
Infant
Male
Pancreatic Diseases
Postoperative Complications
Retrospective Studies
Safety
Treatment Outcome