Diagnosis and treatment of bilio-pancreatic disorders in pediatric patients. Experience from a tertiary care center
Keywords:
coledocolitiasis, CPRE, Colangiopancreatografía retrograda endoscópica, esfinterotomía, pediatríaAbstract
Introduction: Endoscopic retrograde cholangiopancreatography (ERCP) is a useful endoscopic procedure for the diagnosis and treatment of biliary tract and pancreatic conditions in children.
Objective: To describe the results of endoscopic retrograde cholangiopancreatography in pediatric patients with biliopancreatic disorders.
Methods: An observational, descriptive, cross-sectional study was carried out at the Hepato-Biliary Surgery and Liver Transplant Service of the ?William Soler? Pediatric Teaching Hospital from February 4, 2012 to December 20, 2019. Endoscopic retrograde cholangiopancreatography studies were reviewed and clinical data, indications, diagnoses and complications were recorded.
Results: Fifty-three children were included with 14 (5-18) years of median (range) age, 33 (62%) were female. Of seventy-eight cholangiopancreatographies performed, 18 (23%) were diagnostic and 60 (77%) therapeutic.? The main indication of the study was abdominal pain with cholestasis in 37 (47%) patients.Post-surgical stenosis of the biliary tract was the main diagnosis in 23 (29%), followed by normal studies in18 (23%). Biliary sphincterotomy was performed in 50 (83.3%) patients and bile duct prosthesis placement in 17 (28.3%) cases. A 98.7% cannulation rate was obtained. Complications occurred in three cases (5%), two patients(3.3%) presented post-ERCP mild pancreatitisand one (1.7%). Cholangitis. No deaths were reported.
Conclusions: The results prove the success achieved in specialized centers for endoscopic diagnosis and therapy of biliopancreatic disorders in pediatric patients with minimal complications.
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