EUS and EUS‐Guided Interventions Alter Clinical Management in Children With Digestive Diseases

Gordon, Kevin; Conway, Jason; Evans, Jerry; Petty, John K.; Fortunato, John E.; Mishra, Girish

doi:10.1097/mpg.0000000000001101

Cited by 26 publications

(28 citation statements)

References 13 publications

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“…26 Therefore, although therapeutic EUS is largely safe in children, unplanned AE may occur and these patients should be preferably managed in centers equipped with multidisciplinary care. 21,27 Complications may be greater if drainage is carried out for WON as compared to pseudocysts and if direct endoscopic necrosectomy is done along with conventional drainage. 28 We did not require necrosectomy for any of our children as the amount of debris in children with WON was small.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic drainage of pancreatic fluid collections: Long‐term outcomes in children

Nabi

Lakhtakia

Basha

et al. 2017

Digestive Endoscopy

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Section: Discussionmentioning

confidence: 99%

Endoscopic drainage of pancreatic fluid collections: Long‐term outcomes in children

Nabi

Lakhtakia

Basha

et al. 2017

Digestive Endoscopy

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“…EUS is only used for special indications in children and has a higher sensitivity than MRCP in the diagnosis of CP 65,114,118 .…”

Section: Cp-v Endoscopicmentioning

confidence: 99%

EPC/HPSG evidence-based guidelines for the management of pediatric pancreatitis

et al. 2018

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“…Therapeutic EUS was performed in 16 cases (7 pancreatic pseudocyst drainage, 7 celiac plexus block, 1 EUS-guided transgastric biliary drainage[ 4 , 6 - 8 , 15 , 16 ] and 1 mediastinal bronchogenic cyst aspiration in our study). The incidence rate of EUS-related complications ranged between 1.96% and 7.1%; which was reported in only 4 studies[ 3 , 4 , 6 , 16 ]. Complications included mild pancreatitis after FNA of solid pancreatic lesions, fever and bleeding after EUS-guided cystogastrostomy and anesthesia-related complications (hypoxia due to airway obstruction and laryngospasm).…”

Section: Discussionmentioning

confidence: 94%

Role of endoscopic ultrasound in pediatric patients: A single tertiary center experience and review of the literature

Altonbary

Hakim

Elkashef

2020

WJGE

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BACKGROUND Although endoscopic ultrasound (EUS) is now widely available and has an established role in adults, the utility of EUS and EUS-guided fine needle aspiration (EUS-FNA) in pediatrics is insufficiently described compared to adults and is supported by only a few studies. AIM To report the experience of a single tertiary center in the use of EUS and EUS-FNA in a pediatric population and to further assess its safety, feasibility, and clinical impact on management. METHODS A retrospective study of 13 children (aged 18 years or younger) identified from our medical database was conducted. A retrospective review of demographic data, procedure indications, EUS findings, and the clinical impact of EUS on the subsequent management of these patients was performed. RESULTS During the 4-year study period, a total of 13 (1.7%) pediatric EUS examinations out of 749 EUS procedures were performed in our unit. The mean age of these 8 females and 5 males was 15.6 years (range: 6-18). Six of the 13 EUS examinations were pancreatobiliary (46.1%), followed by mediastinal 2/13 (15.4%), peri-gastric 2/13 (15.4%), abdominal lymphadenopathy 1/13 (7.7%), tracheal 1/13 (7.7%) and rectal 1/13 (7.7%). Overall, EUS-FNA was performed in 7 patients (53.8%) with a diagnostic yield of 100%. The EUS results had a significant impact on clinical care in 10/13 (77%) cases. No complications occurred in these patients during or after any of the procedures. CONCLUSION EUS and EUS-FNA in the pediatric population are safe, feasible, and have a significant clinical impact on the subsequent management; thus avoiding invasive and unnecessary procedures.

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EUS and EUS‐Guided Interventions Alter Clinical Management in Children With Digestive Diseases

Abstract: In this large cohort study, we found that EUS and EUS-guided interventions assist in diagnosing and altering clinical management in pediatric patients and should be considered in cases with vexing pancreaticobiliary disorders.

Cited by 26 publications

References 13 publications

Endoscopic drainage of pancreatic fluid collections: Long‐term outcomes in children

Endoscopic drainage of pancreatic fluid collections: Long‐term outcomes in children

EPC/HPSG evidence-based guidelines for the management of pediatric pancreatitis

Role of endoscopic ultrasound in pediatric patients: A single tertiary center experience and review of the literature

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