Endoscopic retrograde cholangiopancreatography for children with pancreaticobiliary diseases: a large-scale study
10.3760/cma.j.issn.1007-5232.2019.01.007
- VernacularTitle:经内镜逆行胰胆管造影术应用于儿童胆胰疾病的大样本研究
- Author:
Di ZHANG
1
;
Xiaowei TANG
;
Cong XU
;
Xiangyu WU
;
Han BAO
;
Xiaofeng ZHANG
Author Information
1. 南京医科大学附属杭州市第一人民医院消化内科 310006
- Keywords:
Cholangiopancreatography;
endoscopic retrograde;
Child;
Pancreatic diseases;
Bile duct diseases
- From:
Chinese Journal of Digestive Endoscopy
2019;36(1):31-35
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the efficacy and safety of endoscopic retrograde cholangiopancreatography ( ERCP ) for the diagnosis and treatment of children with pancreaticobiliary diseases. Methods Clinical data of 115 children with pancreaticobiliary diseases who underwent ERCP between July 2006 and June 2016 at Hangzhou First People' s Hospital were reviewed. Anesthesia types, therapeutic methods,success rate and postoperative complications were summarized. Results A total of 221 ERCP procedures were performed on 115 patients. Eighty one cases were diagnosed as common bile duct stones, 22 bile duct cysts, 3 biliary ascariasis, 66 chronic pancreatitis, 45 pancreas divisum, and 43 acute pancreatitis. Thirty-one procedures were performed under general anesthesia. Dissection of pancreatic duct and biliary duct, calculus removal, insertion of pancreatic duct and biliary duct, and draining in pancreatic duct or biliary duct were performed. The success rate of the ERCP procedure was 98. 6％ ( 218/221) with complication rate of 7. 2％( 16/221 ) . In terms of postoperative complications, post-ERCP pancreatitisoccurred in 7 ( 3. 2％) cases, bleeding in 5 ( 2. 3％) , and postoperative cholangitis in 4 ( 1. 8％) . All the complications were cured after treatment. Conclusion Congenital anatomic anomalies are common in children with pancreaticobiliary diseases. Early diagnosis and treatment of ERCP by an experienced endoscopist for children with pancreaticobiliary diseases is effective and safe.
