Risk factors for pancreatitis after endoscopic retrograde cholangiopancreatography in children
10.7499/j.issn.1008-8830.2402047
- VernacularTitle:儿童经内镜逆行胰胆管造影术后胰腺炎发生的危险因素分析
- Author:
Lu YANG
1
;
Yan FU
;
Zheng-Hao SUN
;
Jia ZHOU
;
Juan TANG
;
Jing NI
Author Information
1. 昆明医科大学第二附属医院消化内科,云南昆明 650032
- Keywords:
Endoscopic retrograde cholangiopancreatography;
Pancreaticobiliary disease;
Post-ERCP pancreatitis;
Risk factor;
Child
- From:
Chinese Journal of Contemporary Pediatrics
2024;26(7):690-694
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the application of endoscopic retrograde cholangiopancreatography(ERCP)in children and the risk factors for post-ERCP pancreatitis(PEP).Methods A retrospective analysis was conducted on the clinical data of 66 children,aged≤16 years,who underwent ERCP for pancreaticobiliary diseases at the Gastrointestinal Endoscopy Center of the Second Affiliated Hospital of Kunming Medical University from September 2013 to September 2023.The incidence rate of PEP and the risk factors for the development of PEP were analyzed.Results A total of 78 ERCP procedures were performed on 66 children,with 5 diagnostic ERCPs,69 therapeutic ERCPs,and 4 failed procedures.The success rate of ERCP operations was 95%(74/78).There were 17 cases of PEP in total,with an incidence rate of 22%.In the PEP group,the proportion of children with normal preoperative bilirubin and the proportion of guidewire insertion into the pancreatic duct during surgery were higher than in the non-PEP group(P<0.05).The multivariate logistic regression analysis showed that guidewire insertion into the pancreatic duct was an independent risk factor for PEP(P<0.05).Conclusions With the increasing application of ERCP in children with pancreaticobiliary diseases,it is important to select an appropriate intubation technique during surgery to avoid blindly entering the guidewire into the pancreatic duct and reduce the occurrence of PEP.
