Endoscopic Retrograde Cholangiopancreatography on Pediatric Patients: Experience of a Portuguese Adult Gastroenterology Department
Introduction: 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 with high experienc...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Karger Publishers
2023-03-01
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| Series: | GE: Portuguese Journal of Gastroenterology |
| Subjects: | |
| Online Access: | https://www.karger.com/Article/FullText/529090 |
| _version_ | 1797851403250565120 |
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| author | Rita Ornelas Saraiva Verónica Pavão Borges Mário Jorge Silva Rafaela Loureiro Tiago Capela Gonçalo Ramos Jorge Canena António Mateus Dias Rui Alves João Coimbra |
| author_facet | Rita Ornelas Saraiva Verónica Pavão Borges Mário Jorge Silva Rafaela Loureiro Tiago Capela Gonçalo Ramos Jorge Canena António Mateus Dias Rui Alves João Coimbra |
| author_sort | Rita Ornelas Saraiva |
| collection | DOAJ |
| description | Introduction: 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 with 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 between January 1994 and June 2022. Results: Sixty-five ERCPs were performed on 57 children with a median age of 13 years (range 1–17 years). Eleven ERCPs were performed on 9 patients up to 5 years old. Indications for ERCP were as follows: biliary obstruction (n = 40), mainly due to choledocholithiasis, lithiasic acute pancreatitis (n = 19), recurrent pancreatitis (n = 3), stent extraction (n = 2), and post-operative biliary fistula (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 (3.1%), and no procedure-related mortality occurred. Conclusion: 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. |
| first_indexed | 2024-04-09T19:16:16Z |
| format | Article |
| id | doaj.art-e64811fc361b4a2582b759ff208d22da |
| institution | Directory Open Access Journal |
| issn | 2341-4545 2387-1954 |
| language | English |
| last_indexed | 2024-04-09T19:16:16Z |
| publishDate | 2023-03-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | GE: Portuguese Journal of Gastroenterology |
| spelling | doaj.art-e64811fc361b4a2582b759ff208d22da2023-04-06T05:42:15ZengKarger PublishersGE: Portuguese Journal of Gastroenterology2341-45452387-19542023-03-011610.1159/000529090529090Endoscopic Retrograde Cholangiopancreatography on Pediatric Patients: Experience of a Portuguese Adult Gastroenterology DepartmentRita Ornelas Saraiva0Verónica Pavão Borges1Mário Jorge Silva2Rafaela Loureiro3https://orcid.org/0000-0003-3664-1507Tiago Capela4Gonçalo Ramos5Jorge Canena6https://orcid.org/0000-0002-2539-5876António Mateus Dias7Rui Alves8João Coimbra9Department of Gastroenterology, Centro Hospitalar Universitário de Lisboa Central, E.P.E, Lisbon, PortugalDepartment of Gastroenterology, Centro Hospitalar Universitário de Lisboa Central, E.P.E, Lisbon, PortugalDepartment of Gastroenterology, Centro Hospitalar Universitário de Lisboa Central, E.P.E, Lisbon, PortugalDepartment of Gastroenterology, Centro Hospitalar Universitário de Lisboa Central, E.P.E, Lisbon, PortugalDepartment of Gastroenterology, Centro Hospitalar Universitário de Lisboa Central, E.P.E, Lisbon, PortugalDepartment of Gastroenterology, Centro Hospitalar Universitário de Lisboa Central, E.P.E, Lisbon, PortugalDepartment of Gastroenterology, Centro Hospitalar Universitário de Lisboa Central, E.P.E, Lisbon, PortugalDepartment of Gastroenterology, Centro Hospitalar Universitário de Lisboa Central, E.P.E, Lisbon, PortugalDepartment of Pediatric Surgery, Centro Hospitalar Universitário de Lisboa Central, E.P.E, Lisbon, PortugalDepartment of Gastroenterology, Centro Hospitalar Universitário de Lisboa Central, E.P.E, Lisbon, PortugalIntroduction: 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 with 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 between January 1994 and June 2022. Results: Sixty-five ERCPs were performed on 57 children with a median age of 13 years (range 1–17 years). Eleven ERCPs were performed on 9 patients up to 5 years old. Indications for ERCP were as follows: biliary obstruction (n = 40), mainly due to choledocholithiasis, lithiasic acute pancreatitis (n = 19), recurrent pancreatitis (n = 3), stent extraction (n = 2), and post-operative biliary fistula (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 (3.1%), and no procedure-related mortality occurred. Conclusion: 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.https://www.karger.com/Article/FullText/529090adult-trained endoscopistendoscopic retrograde cholangiopancreatographypediatric endoscopic retrograde cholangiopancreatographychildrencannulation success rate |
| spellingShingle | Rita Ornelas Saraiva Verónica Pavão Borges Mário Jorge Silva Rafaela Loureiro Tiago Capela Gonçalo Ramos Jorge Canena António Mateus Dias Rui Alves João Coimbra Endoscopic Retrograde Cholangiopancreatography on Pediatric Patients: Experience of a Portuguese Adult Gastroenterology Department GE: Portuguese Journal of Gastroenterology adult-trained endoscopist endoscopic retrograde cholangiopancreatography pediatric endoscopic retrograde cholangiopancreatography children cannulation success rate |
| title | Endoscopic Retrograde Cholangiopancreatography on Pediatric Patients: Experience of a Portuguese Adult Gastroenterology Department |
| title_full | Endoscopic Retrograde Cholangiopancreatography on Pediatric Patients: Experience of a Portuguese Adult Gastroenterology Department |
| title_fullStr | Endoscopic Retrograde Cholangiopancreatography on Pediatric Patients: Experience of a Portuguese Adult Gastroenterology Department |
| title_full_unstemmed | Endoscopic Retrograde Cholangiopancreatography on Pediatric Patients: Experience of a Portuguese Adult Gastroenterology Department |
| title_short | Endoscopic Retrograde Cholangiopancreatography on Pediatric Patients: Experience of a Portuguese Adult Gastroenterology Department |
| title_sort | endoscopic retrograde cholangiopancreatography on pediatric patients experience of a portuguese adult gastroenterology department |
| topic | adult-trained endoscopist endoscopic retrograde cholangiopancreatography pediatric endoscopic retrograde cholangiopancreatography children cannulation success rate |
| url | https://www.karger.com/Article/FullText/529090 |
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