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Changing pattern of indications of endoscopic retrograde cholangiopancreatography in children and adolescents:a twelve-year experience

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World Journal of Pediatrics 2015年第2期11卷 154-159页

作者： Carlos o Kieling Cristiane Hallal camila o spessato Luciana M Ribeiro Helenice Breyer Helena AS Goldani Ismael Maguilnik Post-Graduate Program of Sciences in Gastroenterology and Hepatology Universidade Federal do Rio Grande do Sul Pediatric Gastroenterology Unit Hospital de Clínicas de Porto AlegreFaculdade de MedicinaUniversidade Federal do Rio Grande do SulBrazil Endoscopy Service Hospital de Clínicas de Porto AlegreFaculdade de MedicinaUniversidade Federal do Rio Grande do SulBrazil

Background:There are few data regarding endoscopic retrograde cholangiopancreatography(ERCP)usefulness in children and *** reviewed the long-term experience with diagnostic and therapeutic ERCP in a tertiary single center in Southern ***:A retrospective chart review of patients aged 0-18 years who had undergone ERCPs from January 2000 to June 2012 was *** on demographics,indications,diagnosis,treatments,and complications were ***:Seventy-five ERCPs were performed in 60 *** median age of the patients at the procedure was 13.9 years(range:1.2-17.9).of the 60 patients,47(78.3%)were *** all ERCPs,48(64.0%)were performed in patients above 10 years and 35(72.9%)of them were in *** was indicated for patients with bile duct obstruction(49.3%),sclerosing cholangitis(18.7%),post-surgery complication(12%),biliary stent(10.7%),choledochal cyst(5.3%),and pancreatitis(4%).The complication rate of ERCP was 9.7%involving mild bleeding,pancreatitis and *** who had therapeutic procedures were older(13.7±3.9 vs.9.9±4.9 years;P=0.001)and had more extrahepatic biliary abnormalities(82%vs.50%;P=0.015)than those who had diagnostic ERCPs.A marked change in the indications of ERCPs was found,i.e.,from 2001 to 2004,indications were more diagnostic and from 2005 therapeutic procedures were ***:Diagnostic ERCPs are being replaced by magnetic resonance cholangiopancreatography and also by endoscopic *** these procedures are complementary and ERCP still has a role for therapeutic purposes.

关键词： adolescents cholangiopancreatography endoscopic retrograde

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