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Endoscopic Retrograde Cholangiopancreaticography in Children: A Single-center Experience From Northern India

Amol Sonyabapu Dahale1, Amarender Singh Puri2, Sanjeev Sachdeva1

  • 1Department of Gastroenterology, GB Pant Hospital, New Delhi, India.

Indian Pediatrics
|April 8, 2019
PubMed

Insights

Endoscopic retrograde cholangiopancreatography (ERCP) is safe and effective in pediatric patients for conditions like gallstones and pancreatitis. Expertise ensures successful outcomes in children requiring this procedure.

Area of Science:

  • Gastroenterology
  • Pediatric Endoscopy

Background:

  • Endoscopic retrograde cholangiopancreatography (ERCP) is a specialized endoscopic procedure used to diagnose and treat conditions of the bile ducts and pancreatic ducts.
  • Its application in the pediatric population is less common but essential for managing specific gastrointestinal and hepatobiliary disorders in children.

Purpose of the Study:

  • To evaluate the spectrum of indications, efficacy, and safety of ERCP in a pediatric population.
  • To assess the success rates of cannulation and the overall procedure in children.

Main Methods:

  • A retrospective review of pediatric patients (age ≤15 years) who underwent ERCP between January 2011 and June 2015 was conducted.
  • Data collected included indications for ERCP, cannulation success rate, procedural success rate, and complications.

Main Results:

  • A total of 164 ERCP procedures were performed on 126 pediatric patients. Common indications included choledocholithiasis (30.5%), chronic calcific pancreatitis (23.2%), pancreatic duct injury (12.8%), and bile leak (7.3%).
  • The cannulation success rate was 90.4%, and the procedural success rate was 86%. A total of 8 complications occurred, all managed conservatively.

Conclusions:

  • ERCP is a viable and effective treatment modality for pediatric patients with various hepatobiliary and pancreatic conditions.
  • Successful outcomes are achievable in pediatric ERCP when performed at centers with specialized expertise and resources.
Abstract

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