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Endoscopic retrograde cholangiopancreatography in children
1Gastroenterology Department, Hospital General del Oeste, MSAS, Los Magallanes, Caracas, Venezuela.
Insights
Endoscopic retrograde cholangiopancreatography (ERCP) is increasingly used in children for diagnosing and treating pancreaticobiliary diseases. Pediatric ERCP offers success rates comparable to adults, expanding therapeutic endoscopic options for younger patients.
Area of Science:
- Gastroenterology
- Pediatric Endoscopy
Background:
- Endoscopic retrograde cholangiopancreatography (ERCP) has advanced pancreaticobiliary disease management in adults over the last 20 years.
- Recent developments include pediatric duodenoscopes and increased expertise, leading to more ERCP procedures in children.
Purpose of the Study:
- To define the techniques, indications, complications, and applications of ERCP in the pediatric population.
- To highlight the growing use and efficacy of ERCP in diagnosing and treating pancreaticobiliary conditions in children.
Main Methods:
- Review of pediatric ERCP procedures, including diagnostic and therapeutic interventions.
- Analysis of techniques, indications, and outcomes in pediatric patients.
Main Results:
- Pediatric ERCP procedures are increasingly performed, with indications expanding.
- Therapeutic techniques like sphincterotomy, stone extraction, and drainage are being successfully applied in children.
- Success rates for pediatric ERCP are comparable to those observed in adult patients.
Conclusions:
- ERCP is a valuable tool for managing pancreaticobiliary diseases in pediatric patients.
- The application of ERCP in children is expanding, offering effective diagnostic and therapeutic solutions with outcomes similar to adults.
Abstract:
In the past two decades, the possibility to visualize the biliary tree and the pancreatic duct using endoscopic retrograde cholangiopancreatography (ERCP) has substantially influenced evaluation and treatment of adult patients with suspected pancreaticobiliary disease. Development of pediatric duodenoscopes, expansion of indications for the procedure in children, and availability of newly skilled pediatric endoscopists have resulted in an increasing number of these procedures being performed in children. Operative endoscopic procedures are also applicable to children and adolescents; techniques such as endoscopic sphincterotomy, biliary drainage, common bile duct stone and pancreatic duct stone extraction, implantation of endoprosthesis, and pancreatic pseudocyst drainage are beginning to be used in children, with an overall success rate similar to that seen in adult patients. Techniques, indications, complications, and diagnostic and therapeutic applications of ERCP in the pediatric population are defined.