Amol Sonyabapu Dahale1, Amarender Singh Puri2, Sanjeev Sachdeva1, Siddharth Srivastava1, Ajay Kumar1. 1. Department of Gastroenterology, GB Pant Hospital, New Delhi, India. 2. Department of Gastroenterology, GB Pant Hospital, New Delhi, India. Correspondence to: Dr Amarender Singh Puri, Director-Professor and Head of the Department of Gastroenterology, GB Pant Hospital, New Delhi 110 002, India. amarender.puri@gmail.com.
Abstract
OBJECTIVE: To evaluate spectrum, efficacy and safety of Endoscopic retrograde cholangiopancreatography (ERCP) in pediatric population. METHODS: Retrospective case record review of pediatric patients (age ≤15 y) undergoing ERCP between January 2011 to June 2015 at a tertiary care referral hospital in New Delhi, India. The Indications for ERCP, cannulation success rate, procedure success rate and complications were recorded. RESULTS: The mean (SD) age of the participants were 11.5 (3) years. 164 ERCP procedures were done in 126 patients (67 males). All procedures were done under conscious sedation. The common indications for ERCP were choledocholithiasis (50, 30.5%), chronic calcific pancreatitis (38,23.2%), main pancreatic duct injury with leak (21,12.8%), and bile leak (12,7.3%). The cannulation success rate was 90.4% (114 out of 126), while procedural success rate was 86% (141 out of 164). Overall 8 complications were encountered; all were successfully managed conservatively. CONCLUSIONS: ERCP in children can be successfully performed at centers with such expertise.
OBJECTIVE: To evaluate spectrum, efficacy and safety of Endoscopic retrograde cholangiopancreatography (ERCP) in pediatric population. METHODS: Retrospective case record review of pediatric patients (age ≤15 y) undergoing ERCP between January 2011 to June 2015 at a tertiary care referral hospital in New Delhi, India. The Indications for ERCP, cannulation success rate, procedure success rate and complications were recorded. RESULTS: The mean (SD) age of the participants were 11.5 (3) years. 164 ERCP procedures were done in 126 patients (67 males). All procedures were done under conscious sedation. The common indications for ERCP were choledocholithiasis (50, 30.5%), chronic calcific pancreatitis (38,23.2%), main pancreatic duct injury with leak (21,12.8%), and bile leak (12,7.3%). The cannulation success rate was 90.4% (114 out of 126), while procedural success rate was 86% (141 out of 164). Overall 8 complications were encountered; all were successfully managed conservatively. CONCLUSIONS: ERCP in children can be successfully performed at centers with such expertise.