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Endoscopic Ultrasound in Pediatric Patients With Pancreatobiliary Disease

Félix I Téllez-Ávila1, Gilberto Duarte-Medrano1, David Herrera-Mora1

  • 1Department of Gastrointestinal Endoscopy, National Institute of Medical Sciences and Nutrition Salvador Zubirán.

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
|July 2, 2019
PubMed

Insights

Endoscopic ultrasound (EUS) is a safe and effective tool for diagnosing and treating pancreatobiliary diseases in children. This study confirms its high diagnostic accuracy and therapeutic utility in pediatric patients.

Area of Science:

  • Pediatric Gastroenterology
  • Gastrointestinal Endoscopy
  • Pancreatobiliary Medicine

Background:

  • Endoscopic ultrasound (EUS) is a valuable diagnostic and therapeutic tool for adult gastrointestinal diseases.
  • Its application in pediatric patients presents unique challenges and limitations.
  • This study addresses the need to evaluate EUS in children with pancreatobiliary conditions.

Purpose of the Study:

  • To assess the diagnostic yield of EUS in pediatric patients.
  • To determine the therapeutic role of EUS in managing pediatric pancreatobiliary diseases.
  • To describe the findings and outcomes of EUS procedures in this population.

Main Methods:

  • A retrospective analysis of a prospective database of pediatric patients undergoing EUS.
  • Inclusion of all patients who underwent diagnostic and therapeutic endosonographic procedures over a 12-year period.
  • Data collection focused on patient demographics, indications, findings, and follow-up outcomes.

Main Results:

  • 54 pediatric patients (59.3% female, average age 16) were included.
  • EUS revealed abnormalities in 85% of patients, with microlithiasis, chronic pancreatitis, and pancreatic tumors being common findings.
  • The diagnostic accuracy of EUS was confirmed in 100% of patients with follow-up, with 7.4% of procedures being therapeutic.

Conclusions:

  • Endoscopic ultrasound is a safe and useful diagnostic modality for pediatric pancreatobiliary diseases.
  • EUS provides accurate diagnoses and supports therapeutic decisions in children.
  • Further research can explore expanded applications of EUS in pediatric gastroenterology.
Abstract

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