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査読

15 被引用数 (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.

本文言語English
ページ(範囲)377-381
ページ数5
ジャーナルJournal of Pediatric Surgery
50
3
DOI
出版ステータスPublished - 01-03-2015
外部発表はい

All Science Journal Classification (ASJC) codes

  • 外科
  • 小児科学、周産期医学および子どもの健康

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