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

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Abstract

Background and Aims

Although endoscopic ultrasound (EUS) is used in the management of various gastrointestinal (GI) diseases in adults, data on its role in children is limited. This study evaluated the indications, safety, and impact of EUS in children.

Methods

Records of children (<18 years age) who underwent EUS between January 2006 and September 2014 were reviewed retrospectively and analyzed.

Results

One hundred and twenty-one children (70 males, 51 females) aged 15.2 ± 2.9 years (mean ± SD) underwent 123 diagnostic (including fine needle aspiration cytology (FNAC) in 7) and 2 therapeutic EUS procedures. Conscious sedation was used in 81 procedures (65 %) and general anesthesia in 44 (35 %). The pancreaticobiliary system was evaluated in 114 (118 procedures), mediastinum in 5, and stomach in 2 patients. EUS diagnosed chronic pancreatitis (21 patients), pancreatic necrosis (1), splenic artery pseudoaneurysm (1), gastric varix (1), pseudocysts (3), insulinomas (2), other pancreatic masses (2), choledocholithiasis (2), choledochal cysts (2), portal biliopathy (1), esophageal leiomyoma (1), gastric neuroendocrine tumor (NET) (1), and GI stromal tumor in stomach (1). EUS-guided FNAC was positive in four of seven patients (two had tuberculosis, one pancreatic solid pseudopapillary tumor, and one gastric NET). Three patients had minor adverse events. EUS had a positive clinical impact in 43 (35.5 %) patients.

Conclusions

EUS is feasible and safe in children. It provides valuable information that helps in their clinical management.

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Authors and Affiliations

  1. Department of Gastroenterology, Christian Medical College, Vellore, 632 004, Tamil Nadu, India

    Ramit Mahajan, Ebby George Simon, Ashok Chacko, D. Viswanath Reddy, P. Rupesh Kalyan, A. J. Joseph, Amit Kumar Dutta, Sudipta Dhar Chowdhury & Reuben Thomas Kurien

Authors
  1. Ramit Mahajan
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  2. Ebby George Simon
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  3. Ashok Chacko
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  4. D. Viswanath Reddy
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  5. P. Rupesh Kalyan
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  6. A. J. Joseph
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  7. Amit Kumar Dutta
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  8. Sudipta Dhar Chowdhury
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  9. Reuben Thomas Kurien
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Corresponding author

Correspondence to Ebby George Simon.

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Conflict of interest

RM, EGS, AC, DVR, PRK, AJJ, AKD, SDC, and RTK declare that they have no conflict of interest.

Informed consent

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975 as revised in 2008. We did not obtain informed consent from individual patients as it was a retrospective study. Institutional ethics committee clearance was obtained.

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Mahajan, R., Simon, E.G., Chacko, A. et al. Endoscopic ultrasonography in pediatric patients—Experience from a tertiary care center in India. Indian J Gastroenterol 35, 14–19 (2016). https://doi.org/10.1007/s12664-016-0619-2

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  • DOI: https://doi.org/10.1007/s12664-016-0619-2

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