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Pediatric endoscopic retrograde cholangiopancreatography
P E Putnam1, S A Kocoshis, S R Orenstein
1Department of Pediatrics, Children's Hospital of Pittsburgh, Pennsylvania.
The American Journal of Gastroenterology
|July 1, 1991
Summary
Endoscopic retrograde cholangiopancreatography (ERCP) safely evaluates pediatric pancreaticobiliary disorders. This diagnostic tool identified surgically correctable lesions in 29% of pediatric patients, proving its clinical utility.
Area of Science:
- Pediatric Gastroenterology
- Diagnostic Endoscopy
Background:
- Pancreaticobiliary disorders in children require accurate diagnostic methods.
- Endoscopic retrograde cholangiopancreatography (ERCP) is an established diagnostic procedure.
Purpose of the Study:
- To evaluate the safety and utility of ERCP in pediatric patients.
- To assess ERCP's effectiveness in identifying surgically correctable lesions.
Main Methods:
- ERCP was performed on 38 pediatric patients (14 months to 20 years) using an adult side-viewing duodenoscope.
- Procedures involved intravenous sedation or general anesthesia.
- Ductal system visualization was achieved in 92% of cases.
Main Results:
- ERCP successfully visualized ductal systems in 35 out of 38 patients (92%).
- No therapeutic interventions were performed during endoscopy.
- Eleven patients (22 with abnormalities) proceeded to surgery based on ERCP findings.
- Mild pancreatitis occurred in 8% of patients, all with prior pancreatitis history.
Conclusions:
- ERCP is a safe and valuable diagnostic tool for pediatric pancreaticobiliary disorders.
- The procedure effectively identifies surgically correctable lesions in a significant percentage of pediatric cases.
- ERCP aids in surgical decision-making for children with these conditions.