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Endoscopic Ultrasonography in Pediatric Patients with Pancreatobiliary Disease: Single-Center Trial

PURPOSE: The use of Endoscopic ultrasonography (EUS) in pediatric patients is not as common as in adults. The aim of this study is to evaluate the role of EUS in the diagnosis of pancreatobiliary disease in childhood. METHODS: Between December 2016 and January 2018, the findings of patients who unde...

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Autores principales: Demirbaş, Fatma, Kaymazlı, Mustafa, Çaltepe, Gönül, Abbasguliyev, Hasan, Kalaycı, Ayhan Gazi, Bektaş, Ahmet
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8007838/
https://www.ncbi.nlm.nih.gov/pubmed/33833972
http://dx.doi.org/10.5223/pghn.2021.24.2.164
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author Demirbaş, Fatma
Kaymazlı, Mustafa
Çaltepe, Gönül
Abbasguliyev, Hasan
Kalaycı, Ayhan Gazi
Bektaş, Ahmet
author_facet Demirbaş, Fatma
Kaymazlı, Mustafa
Çaltepe, Gönül
Abbasguliyev, Hasan
Kalaycı, Ayhan Gazi
Bektaş, Ahmet
author_sort Demirbaş, Fatma
collection PubMed
description PURPOSE: The use of Endoscopic ultrasonography (EUS) in pediatric patients is not as common as in adults. The aim of this study is to evaluate the role of EUS in the diagnosis of pancreatobiliary disease in childhood. METHODS: Between December 2016 and January 2018, the findings of patients who underwent EUS were evaluated retrospectively. RESULTS: Of the 41 patients included in the study 25 were girls (61.0%), mean age was 12.2±4.2 years. EUS was performed for biliary colic in 21 (51.2%), for recurrent pancreatitis in 12 (29.2%), for cholecystitis/cholangitis in 5 (12.2%), and for acute pancreatitis in 3 (7.4%) patients. EUS had a significant clinical effect in the decision of treatment and follow-up of 6/21 biliary colic cases, in diagnosis and follow-up of 6/12 recurrent pancreatitis cases, in decision-making and monitoring of invasive procedures (ERCP/surgery) of 3/5 acute cholecystitis/cholangitis and 2/3 of acute pancreatitis cases as well as in follow-up of the other cases. The effectiveness of EUS in determining direct treatment and invasive intervention was 43.9%. None of the patients had complications related to the EUS procedure. CONCLUSION: Although current guidelines show that EUS can be used in pediatric patients, this is limited to a few published studies. In this study, it is shown that EUS is a safe method for the diagnosis, follow-up and treatment of common pancreatobiliary pathologies in childhood.
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spelling pubmed-80078382021-04-07 Endoscopic Ultrasonography in Pediatric Patients with Pancreatobiliary Disease: Single-Center Trial Demirbaş, Fatma Kaymazlı, Mustafa Çaltepe, Gönül Abbasguliyev, Hasan Kalaycı, Ayhan Gazi Bektaş, Ahmet Pediatr Gastroenterol Hepatol Nutr Original Article PURPOSE: The use of Endoscopic ultrasonography (EUS) in pediatric patients is not as common as in adults. The aim of this study is to evaluate the role of EUS in the diagnosis of pancreatobiliary disease in childhood. METHODS: Between December 2016 and January 2018, the findings of patients who underwent EUS were evaluated retrospectively. RESULTS: Of the 41 patients included in the study 25 were girls (61.0%), mean age was 12.2±4.2 years. EUS was performed for biliary colic in 21 (51.2%), for recurrent pancreatitis in 12 (29.2%), for cholecystitis/cholangitis in 5 (12.2%), and for acute pancreatitis in 3 (7.4%) patients. EUS had a significant clinical effect in the decision of treatment and follow-up of 6/21 biliary colic cases, in diagnosis and follow-up of 6/12 recurrent pancreatitis cases, in decision-making and monitoring of invasive procedures (ERCP/surgery) of 3/5 acute cholecystitis/cholangitis and 2/3 of acute pancreatitis cases as well as in follow-up of the other cases. The effectiveness of EUS in determining direct treatment and invasive intervention was 43.9%. None of the patients had complications related to the EUS procedure. CONCLUSION: Although current guidelines show that EUS can be used in pediatric patients, this is limited to a few published studies. In this study, it is shown that EUS is a safe method for the diagnosis, follow-up and treatment of common pancreatobiliary pathologies in childhood. The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition 2021-03 2021-03-04 /pmc/articles/PMC8007838/ /pubmed/33833972 http://dx.doi.org/10.5223/pghn.2021.24.2.164 Text en Copyright © 2021 by The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition https://creativecommons.org/licenses/by-nc/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Demirbaş, Fatma
Kaymazlı, Mustafa
Çaltepe, Gönül
Abbasguliyev, Hasan
Kalaycı, Ayhan Gazi
Bektaş, Ahmet
Endoscopic Ultrasonography in Pediatric Patients with Pancreatobiliary Disease: Single-Center Trial
title Endoscopic Ultrasonography in Pediatric Patients with Pancreatobiliary Disease: Single-Center Trial
title_full Endoscopic Ultrasonography in Pediatric Patients with Pancreatobiliary Disease: Single-Center Trial
title_fullStr Endoscopic Ultrasonography in Pediatric Patients with Pancreatobiliary Disease: Single-Center Trial
title_full_unstemmed Endoscopic Ultrasonography in Pediatric Patients with Pancreatobiliary Disease: Single-Center Trial
title_short Endoscopic Ultrasonography in Pediatric Patients with Pancreatobiliary Disease: Single-Center Trial
title_sort endoscopic ultrasonography in pediatric patients with pancreatobiliary disease: single-center trial
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8007838/
https://www.ncbi.nlm.nih.gov/pubmed/33833972
http://dx.doi.org/10.5223/pghn.2021.24.2.164
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