Related Experiment Video
Updated: Sep 9, 2025
Author Spotlight: Advancing Biopsy Techniques with Transesophageal Ultrasound
Published on: November 21, 2023
Sound waves of progress: advancing endoscopic ultrasound in pediatric gastroenterology
Sumith Roy1, Rachel Gitter2, Jennifer Nguyen3
1Department of Pediatric Gastroenterology, Cook Children's Health Care System, Fort Worth, TX, United States.
Insights
Endoscopic ultrasound (EUS) is safe and effective for pediatric patients with biliary and pancreatic conditions. This study shows 100% technical success and no complications in children undergoing EUS.
Area of Science:
- Pediatric Gastroenterology
- Medical Imaging
- Interventional Endoscopy
Background:
- Endoscopic ultrasound (EUS) is well-established for adult biliary and pancreatic conditions.
- Limited data exists on EUS in pediatric patients, despite increasing use.
- Pediatric EUS applications require further investigation for efficacy and safety.
Purpose of the Study:
- To evaluate the indications, efficacy, and safety of EUS in pediatric patients.
- To assess long-term data on EUS procedures in children.
- To contribute to the evidence base for pediatric EUS.
Main Methods:
- Ambispective registry data from a single center was analyzed.
- EUS procedures were performed by a pediatric gastroenterologist.
- Data included EUS as a stand-alone procedure or with interventions like lumen-apposing metal stents or pre-ERCP assessment.
Main Results:
- 294 EUS procedures were performed in 216 pediatric patients.
- The median age of patients was 15 years (IQR 11.9-16.9).
- 100% technical success rate was achieved with no reported complications.
Conclusions:
- EUS demonstrates a high technical success rate in pediatric patients.
- EUS procedures in children are associated with a low risk of adverse events.
- This study supports the expanding role of EUS in pediatric gastroenterology.
Introduction:
A substantial body of research validates the application of endoscopic ultrasound in adults in the management of biliary and pancreatic conditions. There is limited data regarding its impact on children, although its use has steadily increased over the years. This study aims to assess long-term data on indications, efficacy and safety of endoscopic ultrasound in pediatric patients.
Methods:
This ambispective registry data reflects a single-center experience of endoscopic ultrasound either as a stand-alone procedure, or in conjunction with guided interventions such as lumen-apposing metal stents or as a pre-assessment tool prior to other interventions such as endoscopic retrograde cholangiopancreatography, both of which were independently performed by a pediatric gastroenterologist.
Results:
A total of 294 EUS were performed in 216 patients (55.1% female, median age (IQR) 15 [11.9-16.9] years). Technical success was 100% and no complications were associated with EUS.
Discussion:
This robust dataset adds to the emerging evidence of EUS performed with a high technical success rate coupled with low risk for adverse events.
More Related Videos
05:50Author Spotlight: Point-of-Care Ultrasound for Gastric Content Assessment and Risk Stratification in Perioperative Care
Published on: September 22, 2023
07:44Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
Published on: March 25, 2022
Related Concept Videos
01:25Ultrasound II: Endoscopic Ultrasound and FibroScan
Endoscopic Ultrasound (EUS):
01:29Endoscopic Procedures I: Esophagogastroduodenoscopy
During an EGD, the endoscope can be used to:
01:26Endoscopic Procedures V: ERCP
Patient...
01:28Endoscopic Procedures III: Video Capsule Endoscopy
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
01:30Endoscopic Studies I: Bronchoscopy and Thoracoscopy
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...