Endoscopic Retrograde Cholangiopancreaticography in Children: A Single-center Experience From Northern India
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Date
2019-03
Journal Title
Journal ISSN
Volume Title
Publisher
Indian Academy of Pediatrics
Abstract
Objective: To evaluate spectrum, efficacy and safety of Endoscopic retrogradecholangiopancreatography (ERCP) in pediatric population. Methods: Retrospective caserecord review of pediatric patients (age ≤15 y) undergoing ERCP between January 2011 toJune 2015 at a tertiary care referral hospital in New Delhi, India. The Indications for ERCP,cannulation success rate, procedure success rate and complications were recorded.Results: The mean (SD) age of the participants were 11.5 (3) years. 164 ERCP procedureswere done in 126 patients (67 males). All procedures were done under conscious sedation.The common indications for ERCP were choledocholithiasis (50, 30.5%), chronic calcificpancreatitis (38,23.2%), main pancreatic duct injury with leak (21,12.8%), and bile leak(12,7.3%). The cannulation success rate was 90.4% (114 out of 126), while proceduralsuccess rate was 86% (141 out of 164). Overall 8 complications were encountered; all weresuccessfully managed conservatively. Conclusions: ERCP in children can be successfullyperformed at centers with such expertise.
Description
Keywords
Choledocholithiasis, Diagnosis, Endoscopy, Management.
Citation
Dahale Amol Sonyabapu, Puri Amarender Singh, Sachdeva Sanjeev, Srivastava Siddharth, Kumar Ajay. Endoscopic Retrograde Cholangiopancreaticography in Children: A Single-center Experience From Northern India. Indian Pediatrics. 2019 Mar; 56(3): 196-198