Colangiopancreatografía retrógrada endoscópica en pacientes menores de 18 años: nuestra experiencia

Cerezo-Ruiz, Antonio; Casáis-Juanena, Luis Leonardo; Naranjo-Rodríguez, Antonio; Hervás-Molina, Antonio José; García-Sánchez, María-Rosa; Reyes-López, A.; González-Galilea, Ángel; Calero-Ayala, Benigno; Sánchez-Ruiz, Francisco; Dios-Vega, Juan Francisco de

doi:10.1157/13127090

Cited by 3 publications

(7 citation statements)

References 15 publications

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“…Regarding the age group, it was found that the most operated patients were schoolchildren with a total of 48 procedures, which corresponds to 73.8% of the ERCPs performed, while the least operated patients were infants with only two procedures, i.e., 3.1%. This is in agreement with what has been found in the literature, which reports that the majority of interventions are performed in school patients, i.e., between six and 12 years of age [ 15 , 19 - 21 ].…”

Section: Discussionsupporting

confidence: 93%

“…To analyze the success rate, the variable "successful cannulation" was defined as "successful procedure" and we found a success rate of 80%, since of the total number of procedures performed, 80% (52) achieved successful cannulation, while 20% (13) did not. In different studies, the success rate was defined as the achievement of cannulation and repletion of the desired conduit, finding success rates ranging from 76.47% to 100%, which agrees with that found in the present study [ 15 , 21 ].…”

Section: Discussionsupporting

confidence: 91%

“…The age range of the intervened patients corresponds to 1.5 and 15.8 years with a mean age of 8.18 years, which is in agreement with what is described in the literature, where mean ages of 9.89, 13.5, 14.6, and 15 years are reported [ 15 , 20 - 22 ].…”

Section: Discussionsupporting

confidence: 89%

“…Similar behavior was observed in Cerezo-Ruiz et al's study, in which 33.3% of the indications corresponded to post-transplant liver complications, 27.77% to suspected biliary obstruction, and 22.2% to the evaluation of pancreatitis. Among the indications found in different studies, we also found biliary obstruction, pancreatitis, pancreatic duct disruption, and biliary leakage [ 15 , 19 , 21 ].…”

Section: Discussionmentioning

confidence: 75%

“…Based on our study with the information decoded, we know that a total of 30 patients were treated at the Fundación Santa Fe de Bogotá between January 2007 and June 2015, of which 63.3% (19) correspond to female patients and 36.7% (11) to male patients, which corresponds to the gender behavior described in different studies in which the prevalence of the female gender is reported between 57% and 73% of the patients treated [ 15 , 18 , 19 ].…”

Section: Discussionmentioning

confidence: 88%

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Endoscopic Retrograde Cholangiopancreatography in Children: Nine Years' Experience at Santa Fe Foundation in Bogota, Colombia

Gómez¹,

Ceballos²,

Rozo³

et al. 2023

Cureus

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Introduction: Experience in the use of diagnostic and/or therapy of endoscopic retrograde cholangiopancreatography (ERCP) in children is limited. This is due to the underdiagnosis of pancreaticobiliary disease in the pediatric population and specialist personnel in this procedure. Objective: To determine the safety and success rate of ERCP in children at Hospital Fundación Santa Fe de Bogotá between January 2007 and June 2015. Methodology: This was an observational, descriptive, retrospective case series study of patients under 18 years, who underwent ERCP between January 2007 and June 2015. The following variables were analyzed: indication, duration, type of procedure, rate of success, and complications. Results: A total of 30 patients were included, in whom 65 ERCP procedures were performed. Successful cannulation was achieved in 52 of the 65 procedures (80%). Among the complications that occurred, there were four cases of pancreatitis (6.2%), two cases of bleeding (3.1%), and one case of bacteremia (1.5%), and in most cases (58 in total, 89.2%), there were no complications. Discussion: The pediatric gastroenterology group of the Fundación Santa Fe de Bogotá has obtained good results in performing ERCP in the pediatric population with a success rate of 80% associated with a null mortality rate. There is enough literature available to conclude that performing ERCP in the pediatric population maintains an adequate success rate and a low complication rate. In all the studies evaluated, a null mortality rate was found, so it is considered that this procedure is safe in patients under 18 years of age.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 75%

Section: Discussionmentioning

confidence: 88%

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Endoscopic Retrograde Cholangiopancreatography in Children: Nine Years' Experience at Santa Fe Foundation in Bogota, Colombia

Gómez¹,

Ceballos²,

Rozo³

et al. 2023

Cureus

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Endoscopic retrograde cholangio-pancreatography in the management of biliary complications after paediatric liver transplantation - a retrospective study

Karthik

Quak

2017

Transpl Int

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The published paediatric experience with endoscopic retrograde cholangio-pancreatography (ERCP) in the diagnosis and management of biliary complications following liver transplantation (LT) is limited. We describe our experience with ERCP in the management of children following LT who presented with biliary complications, over a 20-year period (1995-2014). The retrospectively reviewed data are summarized descriptively. Of 94 children (47 boys) who received 102 liver transplants at our centre, seven children (five boys, two girls) underwent ERCP after liver transplantation. In total, 25 ERCP procedures were carried out in these patients. The median age at liver transplantation was 10.7 (3.9-16.2) years. The median interval between LT and the first ERCP was 28 days (12 days-6.8 years). All patients were on standard calcineurin-inhibitor-based immunosuppression regimens. Six of the seven patients underwent ERCP on more than one occasion [median number of ERCP sessions per patient- 4, (1-6)]. Seventeen procedures were carried out under conscious sedation, remaining eight under general anaesthesia. Sedation was achieved employing a standard regimen (Midazolam 5 mg with Pethidine 50 mg) and occasionally Fentanyl. ERCP is an effective and safe intervention from both diagnostic and therapeutic point of view, in the management of post-LT biliary complications in children.

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Bleeding risk in endoscopic retrograde cholangiopancreatography. Impact of the use of antithrombotic drugs

2017

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Colangiopancreatografía retrógrada endoscópica en pacientes menores de 18 años: nuestra experiencia

Cited by 3 publications

References 15 publications

Endoscopic Retrograde Cholangiopancreatography in Children: Nine Years' Experience at Santa Fe Foundation in Bogota, Colombia

Endoscopic Retrograde Cholangiopancreatography in Children: Nine Years' Experience at Santa Fe Foundation in Bogota, Colombia

Endoscopic retrograde cholangio-pancreatography in the management of biliary complications after paediatric liver transplantation - a retrospective study

Bleeding risk in endoscopic retrograde cholangiopancreatography. Impact of the use of antithrombotic drugs

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