Faculty Collaboration Database

Endoscopic retrograde cholangiopancreatography in children. J Pediatr 1987 Feb;110(2):206-11

Date

02/01/1987

Pubmed ID

3806292

DOI

10.1016/s0022-3476(87)80155-5

Scopus ID

2-s2.0-0023156498 (requires institutional sign-in at Scopus site)   80 Citations

Abstract

Endoscopic retrograde cholangiopancreatography (ERCP) is a universally used diagnostic and therapeutic modality in adults with pancreaticobiliary tract disease; its use in children with similar problems has been limited. We have performed ERCP procedures in 39 children and adolescents (aged 6 months to 18 years; mean 12.5 years), using the standard adult and pediatric side-viewing endoscopes. In selected cases, ERCP manometric study of the sphincter of Oddi, endoscopic sphincterotomy, or balloon extraction of common bile duct stones was performed. Nineteen patients had significant or abnormal structural findings, including pancreas divisum (four patients); sclerosing cholangitis (three); and choledochal cyst, chronic pancreatitis, choledochocele, pancreatic pseudocyst, common bile duct stone, and sphincter of Oddi motor dysfunction (two each). In all instances in which patients required operation, ERCP examination provided specific anatomic detail that was useful for planning appropriate intervention. The only significant complication after ERCP was mild pancreatitis, which occurred in four patients and responded to supportive, short-term measures.

Author List

Allendorph M, Werlin SL, Geenen JE, Hogan WJ, Venu RP, Stewart ET, Blank EL

Author

Steven L. Werlin MD Emeritus Professor in the Pediatrics department at Medical College of Wisconsin

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

Adolescent
Biliary Tract Diseases
Child
Child, Preschool
Cholangiopancreatography, Endoscopic Retrograde
Female
Humans
Infant
Male
Pancreatitis