Pediatric ERCP in the Setting of Acute Pancreatitis: A Secondary Analysis of an International Multicenter Cohort Study.
J Pediatr Gastroenterol Nutr
; 76(6): 817-821, 2023 06 01.
Article
en En
| MEDLINE
| ID: mdl-36913706
ABSTRACT
Previous studies have demonstrated the safety of performing endoscopic retrograde cholangiopancreatography (ERCP) in the pediatric population; however, few have addressed the outcomes of children undergoing ERCP during acute pancreatitis (AP). We hypothesize that ERCP performed in the setting of AP can be executed with similar technical success and adverse event profiles to those in pediatric patients without pancreatitis. Using the Pediatric ERCP Database Initiative, a multi-national and multi-institutional prospectively collected dataset, we analyzed 1124 ERCPs. One hundred and ninety-four (17%) of these procedures were performed in the setting of AP. There were no difference in the procedure success rate, procedure time, cannulation time, fluoroscopy time, or American Society of Anesthesiology class despite patients with AP having higher American Society of Gastrointestinal Endoscopy grading difficulty scores. This study suggests that ERCP can be safely and efficiently performed in pediatric patients with AP when appropriately indicated.
Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Pancreatitis
/
Colangiopancreatografia Retrógrada Endoscópica
Tipo de estudio:
Clinical_trials
/
Etiology_studies
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Observational_studies
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Risk_factors_studies
Idioma:
En
Revista:
J Pediatr Gastroenterol Nutr
Año:
2023
Tipo del documento:
Article