Endoscopy 2019; 51(04): S139
DOI: 10.1055/s-0039-1681578
ESGE Days 2019 ePoster podium presentations
Friday, April 5, 2019 13:00 – 13:30: ERCP pancreas 1 ePoster Podium 4
Georg Thieme Verlag KG Stuttgart · New York

ENDOSCOPIC TREATMENT OF CHRONIC PANCREATITIS IN PEDIATRIC POPULATION: LONG-TERM EFFICACY AND SAFETY

D Kohoutova
1   Digestive Endoscopy Unit, Fondazione Policlinico Universitario Agostino Gemelli, Rome, Italy
2   Royal Marsden Hospital NHS Foundation Trust, London, United Kingdom
3   Charles University, Faculty of Medicine and University Hospital Hradec Kralove, Hradec Kralove, Czech Republic
,
A Tringali
1   Digestive Endoscopy Unit, Fondazione Policlinico Universitario Agostino Gemelli, Rome, Italy
,
G Paparella
1   Digestive Endoscopy Unit, Fondazione Policlinico Universitario Agostino Gemelli, Rome, Italy
,
V Perri
1   Digestive Endoscopy Unit, Fondazione Policlinico Universitario Agostino Gemelli, Rome, Italy
,
I Boškoski
1   Digestive Endoscopy Unit, Fondazione Policlinico Universitario Agostino Gemelli, Rome, Italy
,
J Hamanaka
1   Digestive Endoscopy Unit, Fondazione Policlinico Universitario Agostino Gemelli, Rome, Italy
4   Department of Gastroenterology, Yokohama City University Graduate School of Medicine, Yokohama, Japan
5   Department of Gastroenterology, Yokohama Minami Kyosai Hospital, Yokohama, Japan
,
G Costamagna
1   Digestive Endoscopy Unit, Fondazione Policlinico Universitario Agostino Gemelli, Rome, Italy
› Author Affiliations
Further Information

Publication History

Publication Date:
18 March 2019 (online)

Also available at
 
 

    Aims:

    Chronic pancreatitis (CP) in children is an inreasingly recognised disease.

    Purpose of study was to analyse safety and long-term efficacy of endoscopic treatment in children with CP.

    Methods:

    Records of 38 patients < 18 years, referred to Digestive Endoscopy Unit at Catholic University, Policlinico “A. Gemelli“ between 1991 and 2017, were reviewed. Abdominal pain, analgesia and number of episodes of acute pancreatitis in pre- and post-ERCP period were evaluated. Need for surgery was assessed. Therapeutic intervention data and complications were interrogated.

    Results:

    158 ERCPs were performed. Median post-ERCP follow-up was 7 years. Majority of patients had CP type IV (47%) and type Ib (37%) (Cremer's classification). Major papilla pancreatic sphincterotomy was performed in 47%, major and minor in 24% and minor in 29%. Stones/plugs were removed in at least one of ERCPs in 66% individuals. Eleven out of 38 patients had stricture of pancreatic duct; these were dilated and stented in 5/11 and stented in 6/11. Five complications were recorded (3%). Severity and frequency of abdominal pain improved significantly; p < 0.001. Use of analgesia and number of episodes of AP decreased significantly; p < 0.001. One child required subsequent surgery.

    Conclusions:

    Endoscopic management of symptomatic CP in children is safe and effective.


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