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Endoscopic Retrograde Cholangiopancreatography in Pediatric Populations

  • Mayssan Muftah
  • Rushikesh Shah
  • Chris Fritzen
  • Cary G. Sauer
  • Alvin J. Freeman
  • Field F. WillinghamEmail author
Invited Commentary

Introduction

Endoscopic retrograde cholangiopancreatography (ERCP) has grown in its utility in the pediatric population since it was first described. The overall number of pediatric ERCPs performed has increased due to an increased incidence of pancreatobiliary disease in the pediatric population. Despite increased use, there is limited data regarding the efficacy and safety in pediatric cohorts, and minimal data on measures to minimize post-ERCP complications in children. We aim to discuss the role and safety of ERCP in children, the use of rectal indomethacin for post-ERCP pancreatitis (PEP), and the evolving role of ERCP in managing pancreatobiliary injuries secondary to blunt abdominal trauma.

ERCP in pediatric patients

During the period between 2000 and 2009, a total of 22,153 pediatric ERCPs were performed in the USA, with an overall increase of ERCPs from 5337 to 6733 performed per year. Therapeutic procedures made up 78% of the procedures, largely due to the decline in...

Keywords

Pediatric endoscopic retrograde cholangiopancreatography Pancreatic duct injury Blunt abdominal trauma Post-ERCP pancreatitis Rectal indomethacin 

Notes

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  • Mayssan Muftah
    • 1
  • Rushikesh Shah
    • 2
  • Chris Fritzen
    • 3
  • Cary G. Sauer
    • 3
  • Alvin J. Freeman
    • 3
  • Field F. Willingham
    • 2
    • 3
    Email author
  1. 1.Department of MedicineEmory University School of MedicineAtlantaUSA
  2. 2.Department of Medicine, Division of Digestive DiseasesEmory University School of MedicineAtlantaUSA
  3. 3.Gastroenterology, Hepatology and Nutrition, Children’s Healthcare of AtlantaEmory University School of MedicineAtlantaUSA

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