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The safety and efficacy of ERCP in the pediatric population with standard scopes: Does size really matter?
Experience with endoscopic retrograde cholangiopancreatography in the pediatric population is limited. The aim of this study was to evaluate the outcomes of ERCP in the pediatric population performed by adult gastroenterologists with standard duodenoscopes. This study is a structured retrospective r...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer International Publishing
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4760957/ https://www.ncbi.nlm.nih.gov/pubmed/26933627 http://dx.doi.org/10.1186/s40064-016-1749-9 |
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author | Yıldırım, Abdullah Emre Altun, Reskan Ocal, Serkan Kormaz, Murat Ozcay, Figen Selcuk, Haldun |
author_facet | Yıldırım, Abdullah Emre Altun, Reskan Ocal, Serkan Kormaz, Murat Ozcay, Figen Selcuk, Haldun |
author_sort | Yıldırım, Abdullah Emre |
collection | PubMed |
description | Experience with endoscopic retrograde cholangiopancreatography in the pediatric population is limited. The aim of this study was to evaluate the outcomes of ERCP in the pediatric population performed by adult gastroenterologists with standard duodenoscopes. This study is a structured retrospective review of endoscopic reports, computerized and paper medical records, and radiographic images of patients under the age of 18 who underwent ERCP for any indication at a tertiary referral centre. Data regarding demographic characteristics and medical history of patients, indications, technical success rate, final clinical diagnosis, and complications were analyzed. Forty-eight children with a mean age of 13 years (range 2–17) underwent a total of 65 ERCPs. The indications of ERCP were as follows; suspected choledocholithiasis (55 %), post-liver transplantation anastomotic biliary strictures (21 %), post-surgical bile duct injury (10 %), choledochal cyst (2 %), recurrent or chronic pancreatitis (10 %), and trauma (2 %). The cannulation success rate in the overall procedure was 93.8 %. Therapeutic interventions were performed in 70.7 % of patients. Post ERCP pancreatitis was the most common complication occurring in 9.2 % of patients, and no procedure related mortality occurred. When performed by well-trained adult gastroenterologists, the use of endoscopic retrograde cholangiopancreatography with standard duodenoscopes is safe in pediatric population. |
format | Online Article Text |
id | pubmed-4760957 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Springer International Publishing |
record_format | MEDLINE/PubMed |
spelling | pubmed-47609572016-03-01 The safety and efficacy of ERCP in the pediatric population with standard scopes: Does size really matter? Yıldırım, Abdullah Emre Altun, Reskan Ocal, Serkan Kormaz, Murat Ozcay, Figen Selcuk, Haldun Springerplus Research Experience with endoscopic retrograde cholangiopancreatography in the pediatric population is limited. The aim of this study was to evaluate the outcomes of ERCP in the pediatric population performed by adult gastroenterologists with standard duodenoscopes. This study is a structured retrospective review of endoscopic reports, computerized and paper medical records, and radiographic images of patients under the age of 18 who underwent ERCP for any indication at a tertiary referral centre. Data regarding demographic characteristics and medical history of patients, indications, technical success rate, final clinical diagnosis, and complications were analyzed. Forty-eight children with a mean age of 13 years (range 2–17) underwent a total of 65 ERCPs. The indications of ERCP were as follows; suspected choledocholithiasis (55 %), post-liver transplantation anastomotic biliary strictures (21 %), post-surgical bile duct injury (10 %), choledochal cyst (2 %), recurrent or chronic pancreatitis (10 %), and trauma (2 %). The cannulation success rate in the overall procedure was 93.8 %. Therapeutic interventions were performed in 70.7 % of patients. Post ERCP pancreatitis was the most common complication occurring in 9.2 % of patients, and no procedure related mortality occurred. When performed by well-trained adult gastroenterologists, the use of endoscopic retrograde cholangiopancreatography with standard duodenoscopes is safe in pediatric population. Springer International Publishing 2016-02-19 /pmc/articles/PMC4760957/ /pubmed/26933627 http://dx.doi.org/10.1186/s40064-016-1749-9 Text en © Yıldırım et al. 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. |
spellingShingle | Research Yıldırım, Abdullah Emre Altun, Reskan Ocal, Serkan Kormaz, Murat Ozcay, Figen Selcuk, Haldun The safety and efficacy of ERCP in the pediatric population with standard scopes: Does size really matter? |
title | The safety and efficacy of ERCP in the pediatric population with standard scopes: Does size really matter? |
title_full | The safety and efficacy of ERCP in the pediatric population with standard scopes: Does size really matter? |
title_fullStr | The safety and efficacy of ERCP in the pediatric population with standard scopes: Does size really matter? |
title_full_unstemmed | The safety and efficacy of ERCP in the pediatric population with standard scopes: Does size really matter? |
title_short | The safety and efficacy of ERCP in the pediatric population with standard scopes: Does size really matter? |
title_sort | safety and efficacy of ercp in the pediatric population with standard scopes: does size really matter? |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4760957/ https://www.ncbi.nlm.nih.gov/pubmed/26933627 http://dx.doi.org/10.1186/s40064-016-1749-9 |
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