Endoscopic ultrasonography in pediatric patients—Experience from a tertiary care center in India

Mahajan, Ramit; Simon, Ebby George; Chacko, Ashok; Dn, Reddy; Kalyan, P Rupesh; Joseph, Anjilivelil Joseph; Dutta, Amit Kumar; Chowdhury, Sudipta Dhar; Kurien, Reuben Thomas

doi:10.1007/s12664-016-0619-2

Cited by 22 publications

(30 citation statements)

References 17 publications

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“…Impact of EUS in pediatric patients in various studies is shown in Table 3. [3][4][5][6][7][8][9] Impact on patient management ranges from 35.5% to 98% in various studies.…”

Section: Indicationsmentioning

confidence: 99%

“…The study showed a positive impact of EUS in 51 of 52 procedures. A recently published retrospective study from India reemphasized the safety and efficacy of EUS in children; [9] 123 diagnostic and 2 therapeutic EUS procedures were performed in 121 children. The most common indication was pancreaticobiliary (118 procedures in 114 children) followed by mediastinum (n = 5) and stomach (n = 2).…”

Section: Pancreaticobiliary Disordersmentioning

confidence: 99%

“…A positive clinical impact was documented in 43 (35.5%) patients with minor adverse events in three patients. [9] Single session procedures combining EUS with endoscopic retrograde cholangiopancreatography (ERCP) in children with suspected biliary obstruction has been used for both diagnosis and relief of obstruction. It allows both procedures to be performed in same sedation.…”

Section: Pancreaticobiliary Disordersmentioning

confidence: 99%

“…However, it needs further studies involving pediatric patients. [3] 13 (5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17) 15/15, precluded ERCP in 9 93% Cohen, JPGN 2008 [4] 12 (1.5-18) 32/19, FNA in 7 44% Bjerring, JPGN 2008 [5] 12 (0.5-15) 18/13 78% Attila, Gastro-intest Endosc 2009 [6] 13.5 (3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17) 38/25, FNA 9/12 accuracy NA Al-Rashdan, JPGN 2010 [7] 16 (4-18) 56/46, 4 celiac block, 1 EUS guided pancreatogram…”

Section: Pancreaticobiliary Disordersmentioning

confidence: 99%

“…Scheers I, JPGN 2015 [8] 12 (2-17) 51/52 98% Mahajan, IJG 2016 [9] 15. Ramesh, JPGN 2013 [18] 8.4+2.1 years 7 PFC drain Success 100%, 2 reintervention De Angelis, World J Gastrointest Endosc 2013 [19] 7, 10 and 11 years Miniprobe drainage in 3 100% Jazrawi Dig Dis Sci 2011 [20] 11.8 (4-17) years 10 PFC, 8 drainage, 2 aspiration 100%…”

Section: %mentioning

confidence: 99%

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Role of endoscopic ultrasound in pediatric gastrointestinal diseases

Singh

Choudhary

Puri

2016

Journal of Digestive Endoscopy

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Endoscopic ultrasound (EUS) is a well-established diagnostic and therapeutic modality for adults. It is extremely helpful for a broad range of diagnostic indications including upper gastrointestinal (GI) malignancies, submucosal lesions, pancreatic lesions (masses, cystic lesions), chronic pancreatitis, etiological workup of recurrent acute pancreatitis, common bile duct evaluation (calculi versus tumor), gallbladder lesions/microliths, and rectal malignancy; well-established therapeutic roles include fine-needle aspiration of lesions/lymph nodes, pancreatic fluid collection drainage, pancreatic duct drainage, biliary drainage, gallbladder drainage, pelvic abscess drainage, celiac plexus block, or neurolysis. Some recent studies have reported the use of EUS in the pediatric population. EUS is safe and easy to perform in the pediatric population also. However, there is paucity of data on use of EUS in pediatric population. In contrast with its regular therapeutic use in adults, EUS is not commonly performed in children for therapeutic reasons and most of the data are available on diagnostic use only. All of studies have shown that EUS is safe and a useful modality with a positive impact on management in majority of study population. EUS is very useful in pediatric population for the evaluation of upper GI tract submucosal lesions or rectal masses, pancreaticobiliary disorders, characterization of esophageal strictures, and for evaluation of enteric duplication cysts. The advent of miniprobe that can be passed through conventional endoscopes has increased the applicability of EUS in infants and children. Although there are limited data regarding use of EUS in pediatric population, it appears to be a very promising diagnostic and therapeutic tool.

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“…Impact of EUS in pediatric patients in various studies is shown in Table 3. [3][4][5][6][7][8][9] Impact on patient management ranges from 35.5% to 98% in various studies.…”

Section: Indicationsmentioning

confidence: 99%

Section: Pancreaticobiliary Disordersmentioning

confidence: 99%

Section: Pancreaticobiliary Disordersmentioning

confidence: 99%