ArticleWorld journal of pediatrics : WJP2015
Changing pattern of indications of endoscopic retrograde cholangiopancreatography in children and adolescents: a twelve-year experience.
Article in World journal of pediatrics : WJP, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 3 of them syntheses that pooled it.
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Who cites it
17 citing papers in PubMed, 3 syntheses or guidelines pooled it, 30 citations in OpenAlex.
- Post-ERCP adverse events in children: a systematic review and meta-analysis of post-ERCP pancreatitis incidence with synthesis of risk factors and prevention strategies.BMC gastroenterology · 2026Pooled it
- Assessing the safety and effectiveness of endoscopic ultrasound for pediatric hepato-pancreatico-biliary disorders: a systematic review.Pediatric radiology · 2025Pooled it
- Paediatric pancreaticobiliary endoscopy: a 21-year experience from a tertiary hepatobiliary centre and systematic literature review.BMC pediatrics · 2018Pooled it
- Endoscopic Retrograde Cholangiopancreatography on Pediatric Patients: Experience of a Portuguese Adult Gastroenterology Department.GE Portuguese journal of gastroenterology · 2024Article
- Endoscopic Retrograde Cholangiopancreatography in Bangladeshi Children: Experiences and Challenges in a Developing Country.Pediatric gastroenterology, hepatology & nutrition · 2022Article
- Usefulness of endoscopic ultrasound in children with pancreatobiliary and gastrointestinal symptoms.Endoscopy international open · 2022Article
- Development of a risk score for choledocholithiasis in pediatric patients.Pediatric surgery international · 2021Article
- Endoscopic retrograde cholangiopancreatography in infants and children.Endoscopy international open · 2021Article
- Endoscopic Ultrasonography in Pediatric Patients with Pancreatobiliary Disease: Single-Center Trial.Pediatric gastroenterology, hepatology & nutrition · 2021Article
- Role of endoscopic ultrasound in pediatric patients: A single tertiary center experience and review of the literature.World journal of gastrointestinal endoscopy · 2020Article
- Comparison of decision-making in neonatal care between China and Japan.World journal of pediatrics : WJP · 2019Article
- Endoscopic retrograde cholangiopancreatography in children: Retrospective series with a long-term follow-up and literature review.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2019Review
- The role of endoscopic ultrasound in children with Pancreatobiliary and gastrointestinal disorders: a single center series and review of the literature.BMC pediatrics · 2017Article
- Endoscopic ultrasonography in pediatric patients--Experience from a tertiary care center in India.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2016Article
- Efficiency of upper gastrointestinal endoscopy in pediatric surgical practice.World journal of clinical pediatrics · 2015Review
- Article
- EUS in pediatric patients.Endoscopic ultrasoundReview
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThere are few data regarding endoscopic retrograde cholangiopancreatography (ERCP) usefulness in children and adolescents. We reviewed the long-term experience with diagnostic and therapeutic ERCP in a tertiary single center in Southern Brazil.
methodsA retrospective chart review of patients aged 0-18 years who had undergone ERCPs from January 2000 to June 2012 was done. Data on demographics, indications, diagnosis, treatments, and complications were collected.
resultsSeventy-five ERCPs were performed in 60 patients. The median age of the patients at the procedure was 13.9 years (range: 1.2-17.9). Of the 60 patients, 47 (78.3%) were girls. Of all ERCPs, 48 (64.0%) were performed in patients above 10 years and 35 (72.9%) of them were in girls. ERCP was indicated for patients with bile duct obstruction (49.3%), sclerosing cholangitis (18.7%), post-surgery complication (12%), biliary stent (10.7%), choledochal cyst (5.3%), and pancreatitis (4%). The complication rate of ERCP was 9.7% involving mild bleeding, pancreatitis and cholangitis. Patients who had therapeutic procedures were older (13.7±3.9 vs. 9.9±4.9 years; P=0.001) and had more extrahepatic biliary abnormalities (82% vs. 50%; P=0.015) than those who had diagnostic ERCPs. A marked change in the indications of ERCPs was found, i.e., from 2001 to 2004, indications were more diagnostic and from 2005 therapeutic procedures were predominant.
conclusionsDiagnostic ERCPs are being replaced by magnetic resonance cholangiopancreatography and also by endoscopic ultrasound. All these procedures are complementary and ERCP still has a role for therapeutic purposes.
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