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ERCP in the management of pancreatic diseases in children

Jaya Agarwal1, D Nageshwar Reddy1, Rupjyoti Talukdar1

  • 1Asian Institute of Gastroenterology, Hyderabad, India.

Gastrointestinal Endoscopy
|September 25, 2013
PubMed

Insights

Endoscopic retrograde cholangiopancreatography (ERCP) is a safe and effective treatment for pediatric pancreatic disorders, including chronic pancreatitis and recurrent acute pancreatitis. This study demonstrates its utility in improving symptoms and managing complications in children.

Area of Science:

  • Pediatric Gastroenterology
  • Interventional Endoscopy
  • Pancreatic Diseases

Background:

  • Experience with Endoscopic Retrograde Cholangiopancreatography (ERCP) for pediatric pancreatic disorders is limited.
  • Tertiary care centers play a crucial role in managing complex pediatric gastrointestinal conditions.

Purpose of the Study:

  • To evaluate the utility and efficacy of ERCP in children diagnosed with pancreatic diseases.
  • To assess the safety and outcomes of ERCP procedures in a pediatric population at a referral center.

Main Methods:

  • A retrospective review of consecutive pediatric patients (≤18 years) undergoing ERCP for pancreatic diseases between January 2010 and June 2011.
  • Data collected included indications, procedural findings, interventions performed, adverse events, and patient outcomes.

Main Results:

  • 221 ERCPs were performed in 172 children, with 83.1% diagnosed with chronic pancreatitis.
  • Therapeutic interventions included sphincterotomies, pancreatic duct (PD) stenting, and common bile duct (CBD) stenting, with symptom improvement in 83% of patients.
  • Procedure-related adverse events occurred in 4.7% of patients, indicating a favorable safety profile.

Conclusions:

  • ERCP is a safe and effective therapeutic option for managing a range of pancreatic disorders in children.
  • The findings support the use of ERCP in pediatric patients requiring intervention for conditions like chronic pancreatitis, recurrent acute pancreatitis, and pancreatic fistulas.
Abstract

Keywords:
AEAPCBDCPESWLMPDPDRAPSDacute pancreatitisadverse eventchronic pancreatitiscommon bile ductextracorporeal shock wave lithotripsymain pancreatic ductpancreatic ductrecurrent acute pancreatitisstandard deviation

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