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Endoscopic ultrasonography in the evaluation of pediatric digestive diseases: preliminary results
G Roseau1, L Palazzo, I Dumontier
1Hepatogastroenterology Unit, Cochin Hospital, Paris V University, France.
Insights
Endoscopic ultrasonography (EUS) is a safe and useful diagnostic tool in pediatric gastroenterology. This study shows EUS is feasible for diagnosing various conditions in children, including pancreatitis and tumors.
Area of Science:
- Pediatric Gastroenterology
- Medical Imaging
- Diagnostic Endoscopy
Background:
- Endoscopic ultrasonography (EUS) is underutilized in pediatric medicine.
- Limited data exists on its feasibility and indications in children.
- This study retrospectively assesses EUS in a pediatric cohort.
Purpose of the Study:
- To evaluate the feasibility of Endoscopic Ultrasonography (EUS) in pediatric patients.
- To identify potential clinical indications for EUS in children.
- To assess the diagnostic utility of EUS in pediatric gastroenterology.
Main Methods:
- Retrospective analysis of 23 EUS examinations in 18 children (ages 4-16).
- Procedures included upper digestive tract (n=17) and anorectal (n=6) EUS.
- Utilized 7.5 and 12 MHz sector scan transducers under sedation or lavage.
Main Results:
- EUS was technically successful with no complications in all pediatric cases.
- EUS demonstrated utility in diagnosing pancreatitis, portal hypertension, and biliary lithiasis.
- Valuable information was obtained for pretherapeutic evaluation and follow-up of pediatric tumors and polyps.
Conclusions:
- Endoscopic ultrasonography (EUS) is a promising diagnostic technique for pediatric gastroenterology.
- Further research is needed to define specific pediatric indications and specialized equipment.
- EUS can aid in the management of various gastrointestinal and hepatobiliary conditions in children.
Background And Study Aims:
Endoscopic ultrasonography (EUS) is rarely used in pediatrics. Its feasibility and potential indications have been assessed in this retrospective study.
Patients And Methods:
Twenty-three EUS examinations were carried out on 18 children (mean age 12 years, ranging from 4 to 16 years) using a mechanically rotating 7.5 and 12 MHz sector scan transducer. Upper digestive tract EUS (n = 17) was performed in children suffering from biliopancreatic diseases, angiomatosis or digestive tumors. They were performed under intravenous sedation. Anorectal EUS (n = 6), carried out after simple lavage in most cases, investigated tumors (adenomas and carcinoid tumor) or proctological diseases.
Results:
No technical failures or complications were encountered. EUS proved useful in the diagnosis of pancreatitis and portal hypertension. When included in pretherapeutic examinations, it provided useful information in cases of angiomatosis, biliary lithiasis and polyps. It was also useful in the follow-up of children after endoscopic excision or surgical treatment of adenomas or tumors (carcinoid tumor, neurofibroma).
Conclusion:
EUS would therefore appear to be a promising technique in pediatric gastroenterology. More work is needed in order to better determine its indications and the need for equipment specific to children.