Diagnostic and therapeutic ERCP in the pediatric age group

摘要: The role and value of endoscopic retrograde cholangiopancreatography (ERCP) in the pediatric age group is not well established, because pancreatic biliary diseases are less common children. This however case areas like Eastern Province Saudi Arabia where sickle cell disease (SCD) other hemoglobinopathies common, with increased frequency cholelithiasis choledocholithiasis. purpose this study was to evaluate indications, findings, safety therapies ERCP One hundred twenty five children had diagnostic and/or therapeutic as part their management at our hospital. Their medical records were reviewed for: diagnosis, sex, Hb electrophoresis, indication for ERCP, therapy complications. There 77 males 48 females. presentation ranged from 5–18 year (mean 13.25 year). majority them (77.6%). indications were: obstructive jaundice (67.2%), recurrent colic or without (10.4%), acute chronic pancreatitis (7.2%), postoperative bile leak (2.4%), cholangitis hepatitis unknown etiology (3.2%), cirrhosis (4%), thalassemia (0.8%), hemobilia cholecystitis ulcerative colitis (0.8%). In six children, done following laparoscopic cholecystectomy. carried out under sedation 91 (72.8%) general anesthesia 34. It successful 121 (96.8%) while cannulation Ampulla failed four. normal 43 but eight showed evidence recent stone passage six, there gallstones. remaining revealed: CBD stones (18 patients), dilated (17 (19 tree (10 (six (two choledocho-duodenal fistula (one patient), choledochal cyst septate gallbladder multiple cysts patient) stricture patient). procedures out: 35 sphincterotomy extraction, 20 sphincterotomy, four stenting, one underwent removal a stent, two insertion nasobiliary tube endoprosethesis. no mortality. bleeding site which stopped after adrenaline injection. Four patients (3.2%) developed transient mild settled conservatively. safe both procedure. can provide valuable information aid diagnosis technical feasibility sphincterotomy. specially so era cholecystectomy, should be treatment choice who going have previously undergone