ISSN 1300-4948 | E-ISSN 2148-5607
Pediatric Gastroenterology - Original Article
Endoscopic retrograde cholangiopancreatography in children: Retrospective series with a long-term follow-up and literature review
1 Clinical Center of Gastroenterology, Medical University of Sofia, University Hospital “Tsaritsa Yoanna - ISUL”, Sofia, Bulgaria  
2 Department of Pediatric Surgery, Health Sciences University Şişli Hamidiye Etfal Hospital, İstanbul, Turkey  
3 Division of Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, İstanbul University School of Medicine, İstanbul, Turkey  
4 Department of Pediatric Surgery, İstanbul University School of Medicine, İstanbul, Turkey  
5 Hepatopancreatobiliary Surgery Unit, Department of General Surgery, İstanbul University İstanbul School of Medicine, İstanbul, Turkey  
Turk J Gastroenterol ; : -
DOI: 10.5152/tjg.2018.18165
Key Words: Endoscopic retrograde cholangiopancreatography, pediatric endoscopic retrograde cholangiopancreatography, sphincterotomy, stone extraction, balloon dilatation
Abstract

 

Background/Aims: To investigate the safety and long-term results of endoscopic retrograde cholangiopancreatography (ERCP) in children with a literature review.

 

Materials and Methods: All patients within the age range of 6-17 years who underwent ERCP between 1994 and 2014 at our institution were retrospectively evaluated.

 

Result: Twenty-four patients with a median age of 15 years underwent ERCP. Cannulation of the papilla was achieved in all patients (100%) without the use of needle-knife papillotomy. Before 1999, ERCP was used as a diagnostic method only in 7 patients (29%). In 17 (71%) patients, the procedure was used for therapeutic purposes. The indications were choledocholithiasis (10 cases, 42%), postoperative complications (5 patients, 21%), and recurrent pancreatitis (2 cases, 8%). In 2 patients (8%), the therapeutic effect was not achieved, thus requiring subsequent operations. There were no major complications. Mild pancreatitis occurred in only 1 patient (4%). Long-term follow-up information was obtained in 16 (67%) patients (median, 18 years; range, 3.5-22.5 years), and no long-term complications were detected.

 

Conclusion: Endoscopic retrograde cholangiopancreatography is a valuable tool in the diagnosis and treatment of pancreatobiliary disorders in the pediatric population. Large-scale studies are required to create evidence-based guidelines specific to children.

 

Cite this article as: Asenov Y, Akın M, Cantez S, Gün Soysal F, Tekant Y. Endoscopic retrograde cholangiopancreatography in children: Retrospective series with a long-term follow-up and literature review. Turk J Gastroenterol DOI: 10.5152/tjg.2018.18165.

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AVES | Copyright © 2018 Turkish Society of Gastroenterology | Latest Update: 22.10.2018