Endoscopic cholangiopancreatography in the infant: evaluation of a new prototype pediatric duodenoscope

Guelrud, Moisés; Jaén, Domingo; Torres, Pedro Rosales; Mujica, Carmen; Mendoza, Sonia; Rivero, Elsa; Römer, H; Avila, Blanmyl; Viera, Lourdes

doi:10.1016/s0016-5107(87)71474-6

Cited by 48 publications

(14 citation statements)

References 13 publications

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“…Some published studies demonstrate a lower complication rate for children [5,22,23], whereas others depict rates similar to adults [18,[24][25][26]. The ERCP-related complication rates are similar to those associated with other upper gastrointestinal tract endoscopic procedures [17].…”

Section: Success and Complicationsmentioning

confidence: 89%

Endoscopic retrograde cholangiopancreatography is useful and safe in children

Paris

Bejjani

Beaunoyer

et al. 2010

Journal of Pediatric Surgery

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Section: Success and Complicationsmentioning

confidence: 89%

Endoscopic retrograde cholangiopancreatography is useful and safe in children

Paris

Bejjani

Beaunoyer

et al. 2010

Journal of Pediatric Surgery

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“…It varies from 27 to 98% according to the endoscopist experience [7][8][9][10]. In our unpublished experience with 184 neonates and young infants with neonatal cholestasis, the procedure was successful technically in 93% of cases.…”

Section: Pancreatic Indicationsmentioning

confidence: 88%

“…In neonates and infants younger than 12 months, ERCP is performed with a special Olympus pediatric duodenoscope PJF [7] (Olympus America, Inc., Lehigh Valley, PA), which has an insertion tube diameter of 7.5 mm, a channel of 2.0 mm, and an elevator. A standard adult duodenoscope with an instrument tip outer diameter of 10.5 mm and working channel of 3.2 mm can be used for most children and adolescents.…”

Section: Instrumentsmentioning

confidence: 99%

ERCP in children

Guelrud

Gelrud

2014

Ercp

Self Cite

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“…in the diagnosis of neonatal cholestasis, the rate of successful cannulation of the common bile duct in neonates and young infants is often lower than in adults, ranging from 27% to 95% in various reports. [1617] Experience of the endoscopists may account for a large part of the variability. In addition, ERCP usually conducted in tertiary centres where the majority of the ERCPs are performed by one experienced operator.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the use of laparoscopic-guided cholecystocholangiography and liver biopsy in definitive diagnosis of neonatal cholestatic jaundice

Shreef

Al-Helal

2016

Afr J Paediatr Surg

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Background:Once it is established that a jaundiced infant has direct hyperbilirubinemia, the principal diagnostic concern is to differentiate hepatocellular from obstructive cholestasis. Traditional tests such as ultrasonography, percutaneous liver biopsy and technetium 99 m hepatobiliary iminodiacetic acid (HIDA) scan are often not sufficiently discriminating. Definitive exclusion of biliary atresia (BA) in the infant with cholestatic jaundice usually requires mini-laparotomy and intra-operative cholangiography. This approach has many drawbacks because those sick infants are subjected to a time-consuming procedure with the probability of negative surgical exploration.Aim of the Study:The aim of this study was to determine the feasibility of laparoscopic-guided cholecystocholangiography (LGCC) and its accuracy and safety in the diagnosis of BA and thus preventing unnecessary laparotomy in infants whose cholestasis is caused by diseases other than BA.Patients and Methods:Twelve cholestatic infants with direct hyperbilirubinemia subjected to LGCC (age, 7–98 days; mean, 56 days) after ultrasound scan and (99 mTc) HIDA scan and percutaneous liver biopsy failed to provide the definitive diagnosis.Results:One patient had completely absent gall bladder (GB) so the laparoscopic procedure was terminated and laparotomy was done (Kasai operation). Four patients had small size GB; they underwent LGCC that showed patent common bile duct with atresia of common hepatic duct, so laparotomy and Kasai operation was performed. Seven patients had well-developed GB, LGCC revealed patent biliary tree, so laparoscopic liver biopsies were taken for histopathology. Five of those patients had neonatal hepatitis, and two had cholestasis as a complication of prolonged TPN. No perioperative complications or mortalities were recorded.Conclusion:When the diagnosis neonatal cholestasis remains elusive after traditional investigations, LGCC is an accurate and simple method for differentiating BA from hepatocellular causes.

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Endoscopic cholangiopancreatography in the infant: evaluation of a new prototype pediatric duodenoscope

Cited by 48 publications

References 13 publications

Endoscopic retrograde cholangiopancreatography is useful and safe in children

Endoscopic retrograde cholangiopancreatography is useful and safe in children

ERCP in children

Evaluation of the use of laparoscopic-guided cholecystocholangiography and liver biopsy in definitive diagnosis of neonatal cholestatic jaundice

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