Publication Date
6-1-2023
Journal
Journal of Pediatric Gastroenterology and Nutrition
DOI
10.1097/MPG.0000000000003762
PMID
36913706
PMCID
PMC10198832
PubMedCentral® Posted Date
6-1-2024
PubMedCentral® Full Text Version
Author MSS
Published Open-Access
yes
Keywords
Child, Humans, Cholangiopancreatography, Endoscopic Retrograde, Pancreatitis, Acute Disease, Retrospective Studies, Fluoroscopy, Acute pancreatitis, endoscopic retrograde cholangiopancreatography, safety, procedure success, outcomes
Abstract
Previous studies have demonstrated the safety of performing endoscopic retrograde cholangiopancreatography (ERCP) in the pediatric population; however, few have addressed the outcomes of children undergoing ERCP during acute pancreatitis (AP). We hypothesize that ERCP performed in the setting of AP can be executed with similar technical success and adverse event profiles to those in pediatric patients without pancreatitis. Using the Pediatric ERCP Database Initiative, a multi-national and multi-institutional prospectively collected dataset, we analyzed 1124 ERCPs. One hundred and ninety-four (17%) of these procedures were performed in the setting of AP. There were no difference in the procedure success rate, procedure time, cannulation time, fluoroscopy time, or American Society of Anesthesiology class despite patients with AP having higher American Society of Gastrointestinal Endoscopy grading difficulty scores. This study suggests that ERCP can be safely and efficiently performed in pediatric patients with AP when appropriately indicated.
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Digestive System Diseases Commons, Gastroenterology Commons, Medical Sciences Commons, Patient Safety Commons, Pediatrics Commons