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Utility of endoscopic retrograde cholangiopancreatography in management of pediatric pancreaticobiliary disease

BACKGROUND: The purpose of this study was to evaluate the utility of endoscopic retrograde cholangiopancreatography (ERCP) in pediatric patients with pancreaticobiliary diseases. METHODS: A retrospective review was performed on patients who underwent ERCP for the treatment of biliary tract disease a...

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Autores principales: Makita, Satoshi, Amano, Hizuru, Kawashima, Hiroki, Hinoki, Akinari, Shirota, Chiyoe, Tainaka, Takahisa, Sumida, Wataru, Yokota, Kazuki, Okamoto, Masamune, Takimoto, Aitaro, Yasui, Akihiro, Nakagawa, Yoichi, Uchida, Hiroo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8919614/
https://www.ncbi.nlm.nih.gov/pubmed/35287648
http://dx.doi.org/10.1186/s12887-022-03207-3
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author Makita, Satoshi
Amano, Hizuru
Kawashima, Hiroki
Hinoki, Akinari
Shirota, Chiyoe
Tainaka, Takahisa
Sumida, Wataru
Yokota, Kazuki
Okamoto, Masamune
Takimoto, Aitaro
Yasui, Akihiro
Nakagawa, Yoichi
Uchida, Hiroo
author_facet Makita, Satoshi
Amano, Hizuru
Kawashima, Hiroki
Hinoki, Akinari
Shirota, Chiyoe
Tainaka, Takahisa
Sumida, Wataru
Yokota, Kazuki
Okamoto, Masamune
Takimoto, Aitaro
Yasui, Akihiro
Nakagawa, Yoichi
Uchida, Hiroo
author_sort Makita, Satoshi
collection PubMed
description BACKGROUND: The purpose of this study was to evaluate the utility of endoscopic retrograde cholangiopancreatography (ERCP) in pediatric patients with pancreaticobiliary diseases. METHODS: A retrospective review was performed on patients who underwent ERCP for the treatment of biliary tract disease and detailed examination of pancreatitis at our institution from January 1999 to December 2020. RESULTS: ERCP was performed for congenital biliary dilatation (CBD) (n = 42), choledocholithiasis (n = 9), common bile duct stenosis (n = 1), and several types of pancreatitis (n = 13). The only severe complication of ERCP was common bile duct injury. Three (5.8%) of 52 biliary diseases failed to be treated by ERCP. All patients with pancreatic disease were correctly diagnosed and treated. CONCLUSIONS: Endoscopic biliary drainage with a temporary stent was adequate for symptomatic relief in CBD. Stenting of the pancreatic duct was useful for improving the angulation and drainage of the pancreatic duct. ERCP was useful for understanding the anatomy of the pancreatic duct and revealing potential treatments. Therefore, ERCP and transendoscopic therapy are sufficiently feasible in pediatric patients and should be actively introduced for the investigation and treatment of pancreaticobiliary diseases.
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spelling pubmed-89196142022-03-16 Utility of endoscopic retrograde cholangiopancreatography in management of pediatric pancreaticobiliary disease Makita, Satoshi Amano, Hizuru Kawashima, Hiroki Hinoki, Akinari Shirota, Chiyoe Tainaka, Takahisa Sumida, Wataru Yokota, Kazuki Okamoto, Masamune Takimoto, Aitaro Yasui, Akihiro Nakagawa, Yoichi Uchida, Hiroo BMC Pediatr Research BACKGROUND: The purpose of this study was to evaluate the utility of endoscopic retrograde cholangiopancreatography (ERCP) in pediatric patients with pancreaticobiliary diseases. METHODS: A retrospective review was performed on patients who underwent ERCP for the treatment of biliary tract disease and detailed examination of pancreatitis at our institution from January 1999 to December 2020. RESULTS: ERCP was performed for congenital biliary dilatation (CBD) (n = 42), choledocholithiasis (n = 9), common bile duct stenosis (n = 1), and several types of pancreatitis (n = 13). The only severe complication of ERCP was common bile duct injury. Three (5.8%) of 52 biliary diseases failed to be treated by ERCP. All patients with pancreatic disease were correctly diagnosed and treated. CONCLUSIONS: Endoscopic biliary drainage with a temporary stent was adequate for symptomatic relief in CBD. Stenting of the pancreatic duct was useful for improving the angulation and drainage of the pancreatic duct. ERCP was useful for understanding the anatomy of the pancreatic duct and revealing potential treatments. Therefore, ERCP and transendoscopic therapy are sufficiently feasible in pediatric patients and should be actively introduced for the investigation and treatment of pancreaticobiliary diseases. BioMed Central 2022-03-14 /pmc/articles/PMC8919614/ /pubmed/35287648 http://dx.doi.org/10.1186/s12887-022-03207-3 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Makita, Satoshi
Amano, Hizuru
Kawashima, Hiroki
Hinoki, Akinari
Shirota, Chiyoe
Tainaka, Takahisa
Sumida, Wataru
Yokota, Kazuki
Okamoto, Masamune
Takimoto, Aitaro
Yasui, Akihiro
Nakagawa, Yoichi
Uchida, Hiroo
Utility of endoscopic retrograde cholangiopancreatography in management of pediatric pancreaticobiliary disease
title Utility of endoscopic retrograde cholangiopancreatography in management of pediatric pancreaticobiliary disease
title_full Utility of endoscopic retrograde cholangiopancreatography in management of pediatric pancreaticobiliary disease
title_fullStr Utility of endoscopic retrograde cholangiopancreatography in management of pediatric pancreaticobiliary disease
title_full_unstemmed Utility of endoscopic retrograde cholangiopancreatography in management of pediatric pancreaticobiliary disease
title_short Utility of endoscopic retrograde cholangiopancreatography in management of pediatric pancreaticobiliary disease
title_sort utility of endoscopic retrograde cholangiopancreatography in management of pediatric pancreaticobiliary disease
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8919614/
https://www.ncbi.nlm.nih.gov/pubmed/35287648
http://dx.doi.org/10.1186/s12887-022-03207-3
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