Endoscopic retrograde cholangiopancreatography and endoscopic ultrasound in children

Manabu Tagawa1, Atsushi Morita1, Kazuo Imagawa1

  • 1Department of Child Health, Faculty of Medicine, University of Tsukuba, Ibaraki, Japan.

Insights

Pediatric gastroenterology utilizes endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic ultrasound (EUS) for diagnosing and treating hepatobiliary and pancreatic diseases. This review details current pediatric applications, including specialized equipment, anesthesia, radiation, indications, and training for these essential endoscopic procedures.

Area of Science:

  • Pediatric Gastroenterology
  • Gastrointestinal Endoscopy

Background:

  • Gastrointestinal endoscopy is crucial for pediatric gastroenterology.
  • Endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic ultrasound (EUS) are established procedures for hepatobiliary and pancreatic diseases.
  • Guidelines now define the roles of ERCP and EUS in pediatric care.

Purpose of the Study:

  • To review the current status of ERCP and EUS in pediatric patients.
  • To highlight the distinctions between pediatric and adult endoscopy practices.
  • To discuss future developments in pediatric endoscopy.

Main Methods:

  • Review of current literature and practice guidelines.
  • Focus on pediatric-specific aspects of ERCP and EUS.
  • Analysis of equipment, anesthesia, radiation, indications, and training.

Main Results:

  • Discussion of specialized endoscopes for pediatric use.
  • Consideration of general anesthesia and radiation exposure in children.
  • Overview of biliary and pancreatic indications for pediatric ERCP and EUS.
  • Emphasis on education and training requirements for pediatric endoscopists.
  • Exploration of future expectations for pediatric endoscope development.

Conclusions:

  • ERCP and EUS are vital tools in pediatric gastroenterology.
  • Pediatric endoscopy requires specialized approaches distinct from adult practices.
  • Continued development and training are essential for advancing pediatric endoscopic procedures.

Related Concept Videos

Endoscopic Procedures V: ERCP01:26

Endoscopic Procedures V: ERCP

Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
1.6K
Ultrasound II: Endoscopic Ultrasound and FibroScan01:25

Ultrasound II: Endoscopic Ultrasound and FibroScan

Endoscopic Ultrasound (EUS) and FibroScan are valuable diagnostic tools in gastroenterology and hepatology, each with specific applications and techniques.
Endoscopic Ultrasound (EUS):
315
Endoscopic Procedures III: Video Capsule Endoscopy01:28

Endoscopic Procedures III: Video Capsule Endoscopy

Capsule endoscopy, or wireless or video capsule endoscopy, is a diagnostic procedure for examining the entire gastrointestinal tract. Patients swallow a capsule about the size of a vitamin tablet. The capsule is equipped with a transmitter, a battery, an LED light source, and a color video camera to capture images throughout the gastrointestinal tract. This procedure is particularly useful for diagnosing conditions such as Crohn's disease, ulcerative colitis, tumors, polyps, ulcers,...
450
Endoscopic Procedures I: Esophagogastroduodenoscopy01:29

Endoscopic Procedures I: Esophagogastroduodenoscopy

An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
550
Chronic Pancreatitis II: Collaborative Care01:29

Chronic Pancreatitis II: Collaborative Care

The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
180
Imaging Studies V: Intravenous Urography and Retrograde Pyelography01:22

Imaging Studies V: Intravenous Urography and Retrograde Pyelography

IntroductionIntravenous Urography (IVU) and Retrograde Pyelography (RP) are important diagnostic imaging techniques used to evaluate the urinary system. These methods help identify structural abnormalities, obstructions, and functional issues in the kidneys, ureters, and bladder. Both procedures use iodine-based contrast media to enhance the visibility of urinary tract structures on X-ray images, though they differ in their methods and indications.1. Intravenous Urography (IVU)Intravenous...
563