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ERCP in infants, children, and adolescents-Different roles of the methods in different age groups

Radan Keil1, Jiří Drábek1, Jindra Lochmannová1

  • 1Department of Internal Medicine, Charles University, 2nd Faculty of Medicine, University Hospital Motol, Prague, Czech Republic.

Plos One
|January 18, 2019
PubMed

Insights

Endoscopic retrograde cholangiopancreatography (ERCP) is safe and effective in children, with success rates similar to adults. This large pediatric study highlights ERCP

Area of Science:

  • Pediatric Gastroenterology
  • Endoscopic Procedures
  • Biliopancreatic Disorders

Background:

  • Endoscopic retrograde cholangiopancreatography (ERCP) is infrequently utilized in pediatric populations.
  • Existing published series often lack substantial numbers of pediatric patients.

Purpose of the Study:

  • To evaluate the efficacy and safety of pediatric ERCP.
  • To assess outcomes in a large cohort of children undergoing ERCP.

Main Methods:

  • Retrospective observational study design.
  • Analysis of data from 626 pediatric patients with biliopancreatic disorders.
  • Review of clinical records and a database of ERCP procedures.

Main Results:

  • 856 ERCP procedures were performed on 626 children, with 59% therapeutic and 41% diagnostic.
  • Achieved a 96% technical success rate.
  • Identified age-specific indications and findings, including biliary atresia exclusion in infants and choledocholithiasis in older children.

Conclusions:

  • Pediatric ERCP demonstrates comparable efficacy and safety to adult procedures.
  • ERCP plays a crucial role in diagnosing and treating biliopancreatic disorders across different pediatric age groups.
Abstract

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