Role of ERCP in pediatric blunt abdominal trauma: A case series at a level one pediatric trauma center

Garvey, Erin M.; Haakinson, Danielle J.; McOmber, Mark; Notrica, David M.

doi:10.1016/j.jpedsurg.2014.08.017

Cited by 42 publications

(16 citation statements)

References 23 publications

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“…Endoscopic retrograde cholangiopancreatography in liver trauma appears to have a role in patients with major bile duct injuries [48,49]. Therapeutic interventions often include sphincterotomy and stenting to decrease biliary tract pressure.…”

Section: Endoscopic Retrograde Cholangiopancreatographymentioning

confidence: 99%

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Pediatric blunt abdominal trauma

Notrica

2015

Current Opinion in Critical Care

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Section: Endoscopic Retrograde Cholangiopancreatographymentioning

confidence: 99%

“…Therapeutic interventions often include sphincterotomy and stenting to decrease biliary tract pressure. Stenting across the injury may be possible in selective cases [46,49].…”

Section: Endoscopic Retrograde Cholangiopancreatographymentioning

confidence: 99%

Pediatric blunt abdominal trauma

Notrica

2015

Current Opinion in Critical Care

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“…ERCP and the expertise needed to perform this procedure in pediatric population may not be readily available and can limit utilization of ERCP at smaller centers. [7] Most of previously reported studies are from small case series with retrospective data, and literature for the pediatric population is even more sparse. However, ERCP has been recommended for consideration in all children with blunt abdominal trauma since as early as 1986.…”

Section: Discussionmentioning

confidence: 99%

ERCP with stenting of Traumatic Pancreatic duct transection: A case report

Shah¹

2016

Ulus Travma Acil Cerrahi Derg

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Pancreatic injuries, though rare, are associated with high morbidity because of location of pancreas adjacent to the various hollow and solid organs. Difficulty in early diagnosis adds to morbidity. Condition of the pancreatic duct is an important factor in grading the injury and deciding upon course of management. Conservative management is the line of treatment in lower grade injuries. Higher grades of pancreatic injuries are usually managed surgically. Endoscopic retrograde cholangiopancreaticography (ERCP) has recently emerged as an effective diagnostic as well as therapeutic modality for hepatobiliary and pancreatic pathologies. Presently described is case of a 12-year-old boy who presented with post-traumatic complete transection of pancreatic duct, which was successfully managed by ERCP-guided stenting of the duct. Therapeutic advantages of ERCP in trauma setting and difficulties involved are highlighted.

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“…This examination is the last resort for strictly diagnostic purposes, but it is indicated if injury to the pancreatic duct is suspected but cannot be confirmed using another modality. The method also plays a role in the treatment of pancreatic duct injury (9,35,36).…”

Section: Diagnostic Imagingmentioning

confidence: 99%

“…ERCP involving insertion of a stent is regarded as a non-surgical treatment method (9,20,28,35,36), although this is an intervention which, among other things, is associated with an increased risk of pancreatitis. Stent treatment may reduce leakage of pancreatic secretions into the pancreatic cavity (in cases of pseudocyst or pancreatic fistula).…”

Section: Conservative Treatmentmentioning

confidence: 99%