PloS one, 2019-01, Vol.14 (1), p.e0210805-e0210805
2019
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- Autor(en) / Beteiligte
- Titel
- ERCP in infants, children, and adolescents-Different roles of the methods in different age groups
- Ist Teil von
- PloS one, 2019-01, Vol.14 (1), p.e0210805-e0210805
- Ort / Verlag
- United States: Public Library of Science
- Erscheinungsjahr
- 2019
- Quelle
- MEDLINE
- Beschreibungen/Notizen
- Endoscopic retrograde cholangiopancreatography (ERCP) is seldom used in children, and published series have limited numbers of pediatric patients. The aim of this retrospective observational study was to assess the efficacy and safety of pediatric ERCP in a large group of children. Data were evaluated from 626 children with biliopancreatic disorders admitted to University Hospital Motol, Prague, between January 1999 and January 2018. Clinical data were obtained by retrospective evaluation of our database of pediatric ERCP procedures and from clinical records. We performed 856 ERCPs on 626 pediatric patients; of these procedures, 59% were therapeutic and 41% were diagnostic. We achieved 96% technical success. Indications for ERCP and pathological findings differed in different age groups. The main role of ERCP was in excluding biliary atresia in those aged less than one year. In children aged 1 to 6 years, the most frequent diagnoses were choledochal cyst followed by choledocholithiasis. In children aged 7 to 12 years and 13 to 19 years, the most frequent diagnoses were choledocholithiasis followed by pancreatic pathology. The overall complication rate found in this study was similar to rates observed in adult populations. Our study shows the efficacy and safety of diagnostic and therapeutic ERCP in a large series of infants and children with technical success and complication rates comparable to those in adults. Our data show that ERCP had different roles in different age groups of children.
- Sprache
- Englisch
- Identifikatoren
- ISSN: 1932-6203eISSN: 1932-6203DOI: 10.1371/journal.pone.0210805Titel-ID: cdi_plos_journals_2168179164
- Format
- –
- Schlagworte
- Adolescent, Adolescents, Adults, Age, Age Factors, Bile, Biliary atresia, Biliary Tract Diseases - diagnosis, Biliary Tract Diseases - surgery, Biology and Life Sciences, Care and treatment, Child, Child, Preschool, Children, Cholangiopancreatography, Endoscopic Retrograde - adverse effects, Cholangiopancreatography, Endoscopic Retrograde - instrumentation, Cholangiopancreatography, Endoscopic Retrograde - methods, Czech Republic, Diagnosis, Diagnostic systems, Endoscopes, Endoscopic retrograde cholangiopancreatography, Endoscopy, Female, Gallstones, Gastroenterology, Hospitals, Humans, Infant, Infant, Newborn, Infants, Internal medicine, Male, Medical diagnosis, Medicine, Medicine and Health Sciences, Methods, Pancreas, Pancreatic Diseases - diagnosis, Pancreatic Diseases - surgery, Patients, Pediatric gastroenterology, Pediatrics, People and Places, Population, Population studies, Postoperative Complications - radiotherapy, Retrospective Studies, Safety, Surgery, Teenagers, Treatment Outcome, Young Adult