Back to Search
Start Over
Endoscopic retrograde cholangiopancreatography in children: Retrospective series with a long-term follow-up and literature review.
- Source :
-
The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology [Turk J Gastroenterol] 2019 Feb; Vol. 30 (2), pp. 192-197. - Publication Year :
- 2019
-
Abstract
- Background/aims: To investigate the safety and long-term results of endoscopic retrograde cholangiopancreatography (ERCP) in children with a literature review.<br />Materials and Methods: All patients within the age range of 6-17 years who underwent ERCP between 1994 and 2014 at our institution were retrospectively evaluated.<br />Result: Twenty-four patients with a median age of 15 years underwent ERCP. Cannulation of the papilla was achieved in all patients (100%) without the use of needle-knife papillotomy. Before 1999, ERCP was used as a diagnostic method only in 7 patients (29%). In 17 (71%) patients, the procedure was used for therapeutic purposes. The indications were choledocholithiasis (10 cases, 42%), postoperative complications (5 patients, 21%), and recurrent pancreatitis (2 cases, 8%). In 2 patients (8%), the therapeutic effect was not achieved, thus requiring subsequent operations. There were no major complications. Mild pancreatitis occurred in only 1 patient (4%). Long-term follow-up information was obtained in 16 (67%) patients (median, 18 years; range, 3.5-22.5 years), and no long-term complications were detected.<br />Conclusion: Endoscopic retrograde cholangiopancreatography is a valuable tool in the diagnosis and treatment of pancreatobiliary disorders in the pediatric population. Large-scale studies are required to create evidence-based guidelines specific to children.
- Subjects :
- Adolescent
Child
Child, Preschool
Cholangiopancreatography, Endoscopic Retrograde adverse effects
Cholangiopancreatography, Endoscopic Retrograde methods
Female
Follow-Up Studies
Humans
Male
Postoperative Complications epidemiology
Postoperative Complications etiology
Retrospective Studies
Time Factors
Treatment Outcome
Biliary Tract Diseases surgery
Cholangiopancreatography, Endoscopic Retrograde statistics & numerical data
Pancreatic Diseases surgery
Subjects
Details
- Language :
- English
- ISSN :
- 2148-5607
- Volume :
- 30
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology
- Publication Type :
- Academic Journal
- Accession number :
- 30459128
- Full Text :
- https://doi.org/10.5152/tjg.2018.18165