Usefulness and safety of endoscopic retrograde cholangiopancreatography in children with pancreaticobiliary maljunction

Takeshi Hiramatsu, Akihiro Itoh, Hiroki Kawashima, Eizaburo Ohno, Yuya Itoh, Hiroyuki Sugimoto, Hajime Sumi, Kohei Funasaka, Masanao Nakamura, Ryoji Miyahara, Yoshiaki Katano, Masatoshi Ishigami, Naoki Ohmiya, Kenitiro Kaneko, Hisami Ando, Hidemi Goto, Yoshiki Hirooka

研究成果: Article

9 引用 (Scopus)

抄録

Background To assess the diagnostic ability and safety of endoscopic retrograde cholangiopancreatography (ERCP) in in-depth preoperative examination of children patients with pancreaticobiliary maljunction (PBM). Methods In 63 patients with a definite diagnosis of PBM, the ability to visualize the bile and main pancreatic ducts was compared between ERCP, which was performed in 63 patients with a definite diagnosis of PBM, and magnetic resonance cholangiopancreatography (MRCP), which was performed before ERCP in 29 patients. For ERCP, its complications were also evaluated. Results The intrahepatic bile ducts could be visualized using ERCP in 44 patients (69.8%) and using MRCP in 18 (62.1%). The extrahepatic bile ducts could be visualized using ERCP in 59 patients (93.7%) and using MRCP in 29 (100%). The rates of the visualization of the main pancreatic duct and pancreaticobiliary ductal union were significantly higher in using ERCP than in using MRCP (96.8 vs. 41.4% and 90.5 vs. 37.9%, respectively; P < 0.0001). As complications, hyperamylasemia developed in 12 patients (19%), but no other severe complications such as pancreatitis were observed. Conclusions ERCP as part of an in-depth preoperative examination of children with PBM is useful and safe.

元の言語English
ページ(範囲)377-381
ページ数5
ジャーナルJournal of Pediatric Surgery
50
発行部数3
DOI
出版物ステータスPublished - 01-03-2015
外部発表Yes

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Endoscopic Retrograde Cholangiopancreatography
Magnetic Resonance Cholangiopancreatography
Safety
Pancreatic Ducts
Hyperamylasemia
Intrahepatic Bile Ducts
Extrahepatic Bile Ducts
Bile
Pancreatitis

All Science Journal Classification (ASJC) codes

  • Surgery
  • Pediatrics, Perinatology, and Child Health

これを引用

Hiramatsu, Takeshi ; Itoh, Akihiro ; Kawashima, Hiroki ; Ohno, Eizaburo ; Itoh, Yuya ; Sugimoto, Hiroyuki ; Sumi, Hajime ; Funasaka, Kohei ; Nakamura, Masanao ; Miyahara, Ryoji ; Katano, Yoshiaki ; Ishigami, Masatoshi ; Ohmiya, Naoki ; Kaneko, Kenitiro ; Ando, Hisami ; Goto, Hidemi ; Hirooka, Yoshiki. / Usefulness and safety of endoscopic retrograde cholangiopancreatography in children with pancreaticobiliary maljunction. :: Journal of Pediatric Surgery. 2015 ; 巻 50, 番号 3. pp. 377-381.
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title = "Usefulness and safety of endoscopic retrograde cholangiopancreatography in children with pancreaticobiliary maljunction",
abstract = "Background To assess the diagnostic ability and safety of endoscopic retrograde cholangiopancreatography (ERCP) in in-depth preoperative examination of children patients with pancreaticobiliary maljunction (PBM). Methods In 63 patients with a definite diagnosis of PBM, the ability to visualize the bile and main pancreatic ducts was compared between ERCP, which was performed in 63 patients with a definite diagnosis of PBM, and magnetic resonance cholangiopancreatography (MRCP), which was performed before ERCP in 29 patients. For ERCP, its complications were also evaluated. Results The intrahepatic bile ducts could be visualized using ERCP in 44 patients (69.8{\%}) and using MRCP in 18 (62.1{\%}). The extrahepatic bile ducts could be visualized using ERCP in 59 patients (93.7{\%}) and using MRCP in 29 (100{\%}). The rates of the visualization of the main pancreatic duct and pancreaticobiliary ductal union were significantly higher in using ERCP than in using MRCP (96.8 vs. 41.4{\%} and 90.5 vs. 37.9{\%}, respectively; P < 0.0001). As complications, hyperamylasemia developed in 12 patients (19{\%}), but no other severe complications such as pancreatitis were observed. Conclusions ERCP as part of an in-depth preoperative examination of children with PBM is useful and safe.",
author = "Takeshi Hiramatsu and Akihiro Itoh and Hiroki Kawashima and Eizaburo Ohno and Yuya Itoh and Hiroyuki Sugimoto and Hajime Sumi and Kohei Funasaka and Masanao Nakamura and Ryoji Miyahara and Yoshiaki Katano and Masatoshi Ishigami and Naoki Ohmiya and Kenitiro Kaneko and Hisami Ando and Hidemi Goto and Yoshiki Hirooka",
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Hiramatsu, T, Itoh, A, Kawashima, H, Ohno, E, Itoh, Y, Sugimoto, H, Sumi, H, Funasaka, K, Nakamura, M, Miyahara, R, Katano, Y, Ishigami, M, Ohmiya, N, Kaneko, K, Ando, H, Goto, H & Hirooka, Y 2015, 'Usefulness and safety of endoscopic retrograde cholangiopancreatography in children with pancreaticobiliary maljunction', Journal of Pediatric Surgery, 巻. 50, 番号 3, pp. 377-381. https://doi.org/10.1016/j.jpedsurg.2014.08.024

Usefulness and safety of endoscopic retrograde cholangiopancreatography in children with pancreaticobiliary maljunction. / Hiramatsu, Takeshi; Itoh, Akihiro; Kawashima, Hiroki; Ohno, Eizaburo; Itoh, Yuya; Sugimoto, Hiroyuki; Sumi, Hajime; Funasaka, Kohei; Nakamura, Masanao; Miyahara, Ryoji; Katano, Yoshiaki; Ishigami, Masatoshi; Ohmiya, Naoki; Kaneko, Kenitiro; Ando, Hisami; Goto, Hidemi; Hirooka, Yoshiki.

:: Journal of Pediatric Surgery, 巻 50, 番号 3, 01.03.2015, p. 377-381.

研究成果: Article

TY - JOUR

T1 - Usefulness and safety of endoscopic retrograde cholangiopancreatography in children with pancreaticobiliary maljunction

AU - Hiramatsu, Takeshi

AU - Itoh, Akihiro

AU - Kawashima, Hiroki

AU - Ohno, Eizaburo

AU - Itoh, Yuya

AU - Sugimoto, Hiroyuki

AU - Sumi, Hajime

AU - Funasaka, Kohei

AU - Nakamura, Masanao

AU - Miyahara, Ryoji

AU - Katano, Yoshiaki

AU - Ishigami, Masatoshi

AU - Ohmiya, Naoki

AU - Kaneko, Kenitiro

AU - Ando, Hisami

AU - Goto, Hidemi

AU - Hirooka, Yoshiki

PY - 2015/3/1

Y1 - 2015/3/1

N2 - Background To assess the diagnostic ability and safety of endoscopic retrograde cholangiopancreatography (ERCP) in in-depth preoperative examination of children patients with pancreaticobiliary maljunction (PBM). Methods In 63 patients with a definite diagnosis of PBM, the ability to visualize the bile and main pancreatic ducts was compared between ERCP, which was performed in 63 patients with a definite diagnosis of PBM, and magnetic resonance cholangiopancreatography (MRCP), which was performed before ERCP in 29 patients. For ERCP, its complications were also evaluated. Results The intrahepatic bile ducts could be visualized using ERCP in 44 patients (69.8%) and using MRCP in 18 (62.1%). The extrahepatic bile ducts could be visualized using ERCP in 59 patients (93.7%) and using MRCP in 29 (100%). The rates of the visualization of the main pancreatic duct and pancreaticobiliary ductal union were significantly higher in using ERCP than in using MRCP (96.8 vs. 41.4% and 90.5 vs. 37.9%, respectively; P < 0.0001). As complications, hyperamylasemia developed in 12 patients (19%), but no other severe complications such as pancreatitis were observed. Conclusions ERCP as part of an in-depth preoperative examination of children with PBM is useful and safe.

AB - Background To assess the diagnostic ability and safety of endoscopic retrograde cholangiopancreatography (ERCP) in in-depth preoperative examination of children patients with pancreaticobiliary maljunction (PBM). Methods In 63 patients with a definite diagnosis of PBM, the ability to visualize the bile and main pancreatic ducts was compared between ERCP, which was performed in 63 patients with a definite diagnosis of PBM, and magnetic resonance cholangiopancreatography (MRCP), which was performed before ERCP in 29 patients. For ERCP, its complications were also evaluated. Results The intrahepatic bile ducts could be visualized using ERCP in 44 patients (69.8%) and using MRCP in 18 (62.1%). The extrahepatic bile ducts could be visualized using ERCP in 59 patients (93.7%) and using MRCP in 29 (100%). The rates of the visualization of the main pancreatic duct and pancreaticobiliary ductal union were significantly higher in using ERCP than in using MRCP (96.8 vs. 41.4% and 90.5 vs. 37.9%, respectively; P < 0.0001). As complications, hyperamylasemia developed in 12 patients (19%), but no other severe complications such as pancreatitis were observed. Conclusions ERCP as part of an in-depth preoperative examination of children with PBM is useful and safe.

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