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DOI: 10.1055/s-0042-1745016
ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY ON PEDIATRIC PATIENTS – EXPERIENCE OF A PORTUGUESE ADULT GASTROENTEROLOGY DEPARTMENT
Aims Experience with endoscopic retrograde cholangiopancreatography (ERCP) in the pediatric population is limited. Few Medical Centers have experts specifically trained in pediatric therapeutic endoscopy. As a result, patients are generally referred to adult endoscopists who have a high experience in the procedure. The aim of this study was to characterize the experience of an adult endoscopy unit with ERCP on pediatric patients, with a special focus on very young patients.
Methods We retrospectively analyzed indications, technical success rate, final clinical diagnosis, and complications of ERCPs in children<18 years at our tertiary referral hospital center over the 26-year period between 1994 and 2020.
Results Sixty-two ERCP were performed on 55 children with a median age of 13 years (range 1 to 17 years). Eleven ERCP were performed on 9 patients £ 5 years. Indications for ERCP were as follows: suspected biliary obstruction (n=39), mainly due to suspected choledocholithiasis, suspected lithiasic acute pancreatitis (n=19), recurrent pancreatitis (n=3), and stent extraction (n=1). The cannulation success rate was 95,1%. Therapeutic interventions were performed in 79% of ERCP. All patients were followed up as inpatients. Complications were recorded in two procedures (3,2%) and no procedure related mortality occurred.
Conclusions In our experience ERCP in children can be safely performed with high success rates by advanced adult-trained expert endoscopists at a high volume center.
Publication History
Article published online:
14 April 2022
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