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Endoscopic ultrasonography in pediatric patients--Experience from a tertiary care center in India

Ramit Mahajan1, Ebby George Simon2, Ashok Chacko1

  • 1Department of Gastroenterology, Christian Medical College, Vellore, 632 004, Tamil Nadu, India.

Indian Journal of Gastroenterology : Official Journal of the Indian Society of Gastroenterology
|March 7, 2016
PubMed

Insights

Endoscopic ultrasound (EUS) is safe and feasible in pediatric patients, offering valuable diagnostic information for gastrointestinal and pancreaticobiliary conditions. This study confirms its positive clinical impact in children.

Area of Science:

  • Pediatric Gastroenterology
  • Gastrointestinal Endoscopy
  • Diagnostic Imaging

Background:

  • Limited data exists on the role of endoscopic ultrasound (EUS) in pediatric gastrointestinal (GI) disease management.
  • EUS is widely used in adult GI care.

Purpose of the Study:

  • To evaluate the indications, safety, and clinical impact of EUS in children.
  • To assess the diagnostic yield of EUS in pediatric patients.

Main Methods:

  • Retrospective analysis of records for children (<18 years) who underwent EUS between January 2006 and September 2014.
  • Review of diagnostic and therapeutic EUS procedures, including EUS-guided fine needle aspiration cytology (FNAC).

Main Results:

  • 123 EUS procedures were performed on 121 children, primarily for pancreaticobiliary system evaluation.
  • EUS diagnosed various conditions including chronic pancreatitis, pancreatic masses, insulinomas, choledocholithiasis, and GI tumors.
  • EUS demonstrated a positive clinical impact in 35.5% of pediatric patients, with a low rate of minor adverse events.

Conclusions:

  • Endoscopic ultrasound (EUS) is a feasible and safe procedure for pediatric patients.
  • EUS provides crucial diagnostic information that positively influences the clinical management of children with GI and pancreaticobiliary disorders.
Abstract

Keywords:
Biliary treeDiagnosisEndosonographyImagingPancreasPediatric

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