14. INITIAL REVIEW OF ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY RESULTS IN CHILDREN AT THE VIETNAM NATIONAL CHILDREN'S HOSPITAL
Main Article Content
Abstract
Background: Endoscopic retrograde cholangiopancreatography (ERCP) is very necessary in diagnosis and treatment of some biliopancreatic disorders on pediatrics. There are few published data on this issue even in major centers around the world.
Aims: Initial review of results and complication of ERCP in children. Materials and Methods: Descriptive study enrolled 10 retrospective and 5 prospective patients who performed ERCP in Vietnam National Children’s Hospital from July 1, 2018 to November 12, 2021.
Results: 8/15 (53,3%) boys and 7/15 (46,7%) girls from 6 to 15 years old. The indications of ERCP included recurrent pancreatitis in 11/15 (73,3%) children, choledocholithiasis 3/15 (20%), biliary fistula post-liver transplantation 1/15 (6,7%). The cannulation success rate in the overall procedure was in 13/15 patients (86,7%). Diagnose after ERCP were pancreatic duct dilatation by stones in 5/15 (33,3%) children, choledocholithiasis 2/15 (13,3%), pancreatic duct dilatation without reason 2/15 (13,3%), choledochal dilatation without reason 1/15 (6,7%), choledochal fistula 1/15 (6,7%), normal results 2/15 (13,3%) and failure 2/15 (13,3%). Interventional success rate was 100% (pancreatic stent in 7/7 children, stone extraction 7/7 and sphincterotomy 2/2. Acute pancreatitis after ERCP was 5/15 patients (33,3%).
Conclusion: ERCP in children had high diagnostic value (86.7%), effective in pancreaticobiliary disease treating (100%) and safe.
Article Details
Keywords
Endoscopic retrograde cholangiopancreatography, children.
References
gastrointestinal endoscopy in children–today and
tomorrow. Clinical endoscopy, 2018, 51.2: 142.
[2] Bollen TL, Van Santvoort HC, Besselink
MG et al., The Atlanta Classification of acute
pancreatitis revisited. Journal of British Surgery,
2018, 95(1), 6-21.
[3] Tringali A, Thomson M, Dumonceau JM et al.,
Pediatric gastrointestinal endoscopy: European
society of gastrointestinal endoscopy (ESGE) and
European society for paediatric gastroenterology
hepatology and nutrition (ESPGHAN) guideline
executive summary. Endoscopy, 2017, 49(01),
83-91.
[4] Yıldırım AE, Altun R, Ocal S et al., The safety
and efficacy of ERCP in the pediatric population
with standard scopes: Does size really matter?.
Springerplus, 2016, 5(1), 1-5.
[5] Felux J, Sturm E, Busch A et al., ERCP in
infants, children and adolescents is feasible and
safe: results from a tertiary care center. United
European gastroenterology journal, 2017, 5.7:
1024-1029.
[6] Keil R, Drábek J, Lochmannová J et al., ERCP
in infants, children, and adolescents—Different
roles of the methods in different age groups. PloS
one, 2019, 14(1), e0210805.
[7] Keane MG, Kumar M, Cieplik N et al.,
Paediatric pancreaticobiliary endoscopy: a 21-
year experience from a tertiary hepatobiliary
centre and systematic literature review. BMC
pediatrics, 2018, 18(1), 1-11.
[8] Vitale DS, Lin TK, Trends in pediatric endoscopic
retrograde cholangiopancreatography and
interventional endoscopy. The Journal of
Pediatrics, 2021, 232, 10-12.