Efficacy of ERCP in infancy and childhood
Standard
Efficacy of ERCP in infancy and childhood. / Reinshagen, K; Müldner, A; Manegold, B; Kähler, G.
in: KLIN PADIATR, Jahrgang 219, Nr. 5, 01.09.2007, S. 271-6.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
Harvard
APA
Vancouver
Bibtex
}
RIS
TY - JOUR
T1 - Efficacy of ERCP in infancy and childhood
AU - Reinshagen, K
AU - Müldner, A
AU - Manegold, B
AU - Kähler, G
PY - 2007/9/1
Y1 - 2007/9/1
N2 - BACKGROUND: Endoscopic retrograde cholangiopancreatography (ERCP) is a well established diagnostic and therapeutic tool in adult and pediatric patients. Because of its inherent risks we analysed our series in an attempt to better define the diagnostic and therapeutic roles of ERCP and its effectiveness in children.METHODS: All ERCPs performed in our department during a 10-year period in patients age 14 years and under were reviewed retrospectively. Indications, diagnostic findings, therapeutic interventions and final outcome were documented.RESULTS: A total of 61 procedures were performed on 47 patients whose median age was 8.56 years. ERCP was successful in 53 of 61 interventions (89%) with a complication rate of 6%. Thirty patients underwent diagnostic ERCP. In these a pathological diagnosis was established in 57%. In patients without morphological changes in ultrasound or magnet resonance imaging ERCP failed to set diagnosis too. Seventeen patients had therapeutic ERCPs. All of these interventions were performed with similar or better outcome than in adults.CONCLUSION: Indications for diagnostic ERCP are morphologic biliary or pancreatic duct disorders, but only where higher resolution imaging is necessary for therapeutic decisions. Without morphologic changes on ultrasound or magnetic resonance imaging we rarely see any indication for diagnostic ERCP. Efficacy of therapeutic ERCP in childhood is similar or even better to that in adults. Prognoses are directly dependent from the basic disease of the patient.
AB - BACKGROUND: Endoscopic retrograde cholangiopancreatography (ERCP) is a well established diagnostic and therapeutic tool in adult and pediatric patients. Because of its inherent risks we analysed our series in an attempt to better define the diagnostic and therapeutic roles of ERCP and its effectiveness in children.METHODS: All ERCPs performed in our department during a 10-year period in patients age 14 years and under were reviewed retrospectively. Indications, diagnostic findings, therapeutic interventions and final outcome were documented.RESULTS: A total of 61 procedures were performed on 47 patients whose median age was 8.56 years. ERCP was successful in 53 of 61 interventions (89%) with a complication rate of 6%. Thirty patients underwent diagnostic ERCP. In these a pathological diagnosis was established in 57%. In patients without morphological changes in ultrasound or magnet resonance imaging ERCP failed to set diagnosis too. Seventeen patients had therapeutic ERCPs. All of these interventions were performed with similar or better outcome than in adults.CONCLUSION: Indications for diagnostic ERCP are morphologic biliary or pancreatic duct disorders, but only where higher resolution imaging is necessary for therapeutic decisions. Without morphologic changes on ultrasound or magnetic resonance imaging we rarely see any indication for diagnostic ERCP. Efficacy of therapeutic ERCP in childhood is similar or even better to that in adults. Prognoses are directly dependent from the basic disease of the patient.
KW - Adolescent
KW - Age Factors
KW - Biliary Tract Diseases/diagnosis
KW - Child
KW - Child, Preschool
KW - Cholangiopancreatography, Endoscopic Retrograde/adverse effects
KW - Female
KW - Humans
KW - Infant
KW - Magnetic Resonance Imaging
KW - Male
KW - Pancreatic Diseases/diagnosis
KW - Pancreatic Ducts/diagnostic imaging
KW - Retrospective Studies
KW - Ultrasonography
U2 - 10.1055/s-2006-942196
DO - 10.1055/s-2006-942196
M3 - SCORING: Journal article
C2 - 17763292
VL - 219
SP - 271
EP - 276
JO - KLIN PADIATR
JF - KLIN PADIATR
SN - 0300-8630
IS - 5
ER -