Value of endoscopic retrograde cholangiopancreatography for the diagnosis and treatment of pediatric pancreaticobiliary maljunction
10.3760/cma.j.cn321463-20230301-00614
- VernacularTitle:内镜逆行胰胆管造影术在儿童胰胆管合流异常中的诊疗价值
- Author:
Shuang NIE
1
;
Hao ZHU
;
Shanshan SHEN
;
Wen LI
;
Wei CAI
;
Zhengyan QIN
;
Feng LIU
;
Bin ZHANG
;
Yuling YAO
;
Lei WANG
;
Xiaoping ZOU
Author Information
1. 南京大学医学院附属鼓楼医院消化科，南京 210008
- Keywords:
Child;
Cholangiopancreatography, endoscopic retrograde;
Pancreaticobiliary maljunction;
Endoscopic therapy
- From:
Chinese Journal of Digestive Endoscopy
2024;41(2):137-141
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the safety and effectiveness of endoscopic retrograde cholangiopancreatography (ERCP) for the diagnosis and treatment of pediatric pancreaticobiliary maljunction (PBM).Methods:Data of 40 pediatric patients under 14 with PBM diagnosed and treated by ERCP at Department of Gastroenterology, Nanjing Drum Tower Hospital, the Affiliated Hospital of Nanjing University Medical School from November 2012 to September 2022 were collected. PBM types, ERCP-related diagnosis and treatment, adverse events and prognosis were retrospectively analyzed.Results:Nineteen cases were P-B type (joining of common bile duct with pancreatic duct), 17 were B-P type (joining of pancreatic duct with common bile duct), and 4 were complex type. Forty children with PBM underwent 50 ERCP-related operations, among which 48 procedures succeeded. One case failed during cannulation of ERCP, replaced by rendezvous-assisted endoscopic retrograde pancreatography (RV-ERP) afterwards. There were no serious postoperative adverse events such as bleeding, perforation or death. Thirty-four patients (85%) were followed up successfully, among which 14 underwent further surgery and 20 continued conservative treatment.Conclusion:ERCP is the golden standard to diagnose pediatric PBM, and it is also safe and effective treatment for PBM.
