Introduction: Experience with endoscopic retrograde cholangiopancreatography (ERCP) in the pediatric population is limited. Few medical centers have experts specifically trained in pediatric therapeutic endoscopy. As a result, patients are generally referred to adult endoscopists with high experience in the procedure. The aim of this study was to characterize the experience of an adult endoscopy unit with ERCP on pediatric patients, with a special focus on very young patients. Methods: We retrospectively analyzed indications, technical success rate, final clinical diagnosis, and complications of ERCPs in children #x3c;18 years at our tertiary referral hospital center between January 1994 and June 2022. Results: Sixty-five ERCPs were performed on 57 children with a median age of 13 years (range 1–17 years). Eleven ERCPs were performed on 9 patients up to 5 years old. Indications for ERCP were as follows: biliary obstruction (n = 40), mainly due to choledocholithiasis, lithiasic acute pancreatitis (n = 19), recurrent pancreatitis (n = 3), stent extraction (n = 2), and post-operative biliary fistula (n = 1). The cannulation success rate was 95.1%. Therapeutic interventions were performed in 79% of ERCP. All patients were followed up as inpatients. Complications were recorded in two procedures (3.1%), and no procedure-related mortality occurred. Conclusion: In our experience, ERCP in children can be safely performed with high success rates by advanced adult-trained expert endoscopists at a high-volume center.
GE Port J Gastroenterol

中文翻译：

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儿科患者的内镜逆行胰胆管造影术：葡萄牙成人胃肠病科的经验

简介：在儿科人群中进行内镜逆行胰胆管造影术 (ERCP) 的经验有限。很少有医疗中心拥有专门接受过儿科治疗性内窥镜检查培训的专家。因此，患者通常会被转介给具有丰富手术经验的成年内窥镜医师。本研究的目的是描述使用 ERCP 的成人内窥镜检查单元对儿科患者的体验，特别关注非常年幼的患者。方法：我们回顾性分析了 1994 年 1 月至 2022 年 6 月期间在我们三级转诊医院中心 18 岁儿童#x3c 进行 ERCP 的适应症、技术成功率、最终临床诊断和并发症。结果：对 57 名中位年龄为 13 岁（范围 1-17 岁）的儿童进行了 65 次 ERCP。对 9 名 5 岁以下的患者进行了 11 次 ERCP。ERCP 的适应症如下：主要由胆总管结石引起的胆道梗阻（n = 40）、结石性急性胰腺炎（n = 19）、复发性胰腺炎（n = 3）、支架取出（n = 2）和术后胆道瘘管（n = 1）。插管成功率为95.1%。79% 的 ERCP 进行了治疗干预。所有患者均作为住院患者进行随访。两次手术 (3.1%) 记录了并发症，并且没有发生与手术相关的死亡率。结论：根据我们的经验，经过成人培训的高级内镜专家可以在大容量中心安全地对儿童进行 ERCP，而且成功率很高。
GE Port J 胃肠醇