Endoscopic retrograde cholangiopancreatography in pancreatic and biliary tract disease in Korean children

作     者：Joo Young Jang Chong Hyun Yoon Kyung Mo Kim 

作者机构：Department of PediatricsAsan Medical Center Children's HospitalUniversity of Ulsan College of MedicineSeoul 138-736South Korea Department of PediatricsAjou University School of MedicineSuwon 443-721South Korea Department of Pediatric RadiologyAsan Medical Center Children's HospitalUniversity of Ulsan College of MedicineSeoul 138-736South Korea Department of PediatricsAsan Medical Center Children’s HospitalUniversity of Ulsan College of MedicineSeoul 138-736South Korea 

出 版 物：《World Journal of Gastroenterology》 (世界胃肠病学杂志（英文版）)

年 卷 期：2010年第16卷第4期

页      面：490-495页

核心收录：

学科分类：1002[医学-临床医学] 100202[医学-儿科学] 10[医学] 

主　　题：Endoscopic retrograde cholangiopancreatography Pancreatic diseases Biliary tract diseases Choledochal cyst Pancreatitis Pediatrics 

摘      要：AIM:To assess the indications,findings,therapeutic procedures,safety,and complications of endoscopic retrograde cholangiopancreatography(ERCP) performed in Korean ***:The demographic characteristics,indications for ERCP,findings,therapeutic procedures,and complications of 122 pediatric patients who underwent 245 ERCPs in the Asan Medical Center between June 1994 and March 2008 were ***:The mean age of the 122 patients was 8.0 ± 4.2 *** were biliary pathology in 78(64.0%),pancreatic pathology in 43(35.2%),and chronic abdominal pain in *** indications included choledochal cysts in 40,choledocholithiasis in 24,suspected sclerosing cholangitis in 8,trauma in 2,and other conditions in *** indications includedacute pancreatitis in 7,acute recurrent pancreatitis in 11,chronic pancreatitis in 20,trauma in 3,and pancreatic mass in *** the 245 ERCPs,success rate was 98.4% and 190(77.6%) were for therapeutic purposes,including endoscopic nasal drainage(51.8%),biliary sphincterotomy(38.0%),pancreatic sphincterotomy(23.3%),stent insertion(15.1%),stone extraction(18.8%),and balloon dilatation(11.0%).Complications were postERCP pancreatitis in 16(6.5%),ileus in 23(9.4%),hemorrhage in 2(0.8%),perforation in 2(0.8%),sepsis in 1(0.4%),and impacted basket in 1(0.4%).There were no procedure-related deaths,and most complications improved under supportive ***:This study showed that there is a high incidence of choledochal cyst and diagnostic and therapeutic ERCP for the management of various biliary and pancreatic diseases was safe and effective in Korean children.