The use of pediatric endoscopic retrograde cholangiopancreatography (ERCP) has grown in scope and practice since it was first reported in 1976 (Waye, Am J Gastroenterol 65:461–463, 1976). Some indications for ERCP overlap with adults, and some indications present with more frequency in children including pancreaticobiliary injuries following blunt abdominal trauma and congenital abnormalities. Unique procedural considerations include the type of duodenoscope used, the method of anesthesia, and the experience of the endoscopists in performing ERCP in pediatric patients. Success and complication rates appear to parallel those seen in adults. Although post-ERCP pancreatitis is the most common complication in children and adults, pharmacopreventive approaches such as the use of indomethacin have not been established in pediatric cohorts. As in an adult population, ERCP can be critically indicated in children, at times managing and treating urgent or life-threatening conditions.
KeywordsPediatric Endoscopic retrograde cholangiopancreatography Indications Adverse events Pancreatitis Biliary obstruction
This manuscript was supported in part by a development grant from the Department of Medicine at Emory University School of Medicine.
The authors report no conflicts of interest with the work contained in this manuscript.
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