Endoscopic Ultrasound in Pediatric Patients With Pancreatobiliary Disease

Téllez-Ávila, Félix Ignacio; Duarte-Medrano, Gilberto; Herrera-Mora, David; López-Arce, Gustavo; Leal-García, Mariana; Ramírez-Martínez, Maribel; Ramírez-Luna, Miguel Ángel

doi:10.1097/sle.0000000000000673

Cited by 13 publications

(11 citation statements)

References 21 publications

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“…In a Latin American study describing the diagnostic value of EUS in pediatric patients with pancreaticobiliary disorders, EUS showed abnormalities in 85% of patients. 15 The main indications of EUS in this study was the recurrent acute pancreatitis (54%). The main EUS findings were microlithiasis (25.9%), chronic pancreatitis (16.7%), and pancreatic tumors in (11.1%) of patients.…”

Section: Discussionmentioning

confidence: 71%

Safety and efficacy of endoscopic ultrasound as a diagnostic and therapeutic tool in pediatric patients: a multicenter study

Ragab

Kassas

Madkour

et al. 2022

Clin Med Insights Gastroenterol

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Background: Despite the well-established diagnostic and therapeutic applications of endoscopic ultrasound (EUS) in adults, data about its use in children are limited. In this study, we tried to assess the feasibility, safety, and clinical impact of EUS in pediatric patients. Methods: Data of pediatric patients (<18 years) referred for EUS over a 3-year period to the endoscopy units of four Egyptian tertiary centers were retrospectively analyzed. Significant impact was defined as a new diagnosis or treatment attributed to the EUS procedure. Results: Twenty-four diagnostic and five therapeutic EUS procedures were conducted in 29 children with a median age of 9 years. Indications for EUS included assessment of solid pancreatic mass ( n = 3), pancreatic cyst ( n = 2), suspected chronic pancreatitis ( n = 9), pancreatic pseudocyst (PPC) ( n = 5), recurrent hypoglycemia ( n = 1), bile duct mass ( n = 1), subepithelial lesion (esophageal, duodenal or anorectal) ( n = 4), mediastinal mass ( n = 1), pelvic mass ( n = 3), and mass at splenic hilum ( n = 1). Therapeutically, five patients underwent cystogastrostomy for symptomatic PPC with 100% technical and clinical success. EUS was able to diagnose 21 out of the other 24 patients. EUS-guided tissue acquisition was performed in 11 patients with definitive histopathological diagnosis in 10 patients (91%). There was no procedure-related major complication, while minor complications occurred in two cases (transient pain in one case, temporary fever, and vomiting in two cases). Conclusion: Standard linear EUS equipment and accessories can be used safely and effectively in selected pediatric patients for diagnostic and therapeutic purposes.

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Section: Discussionmentioning

confidence: 71%

Safety and efficacy of endoscopic ultrasound as a diagnostic and therapeutic tool in pediatric patients: a multicenter study

Ragab

Kassas

Madkour

et al. 2022

Clin Med Insights Gastroenterol

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“…Since the Bizzarri review, there have been at least two series published on EUS in pediatrics. These series, despite having slightly different goals, continue to show similar indications and a positive clinical impact ( 17 , 18 ).…”

Section: Discussionmentioning

confidence: 81%

EUS in Pediatrics: A Multicenter Experience and Review

Piester

Liu

2021

Front. Pediatr.

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Background/Aim: Endoscopic ultrasound (EUS) is a well-established tool used in the evaluation and treatment of a wide range of pathologies in adult medicine. EUS in pediatrics has been shown to be safe and technically effective, and its use continues to evolve. This article aims to describe the EUS experience at our tertiary-care centers with regard to safety, technical success, and its impact in clinical management. We also discuss the current and developing diagnostic and therapeutic uses for EUS in pediatrics such as in pancreaticobiliary disease, congenital anomalies, eosinophilic esophagitis, inflammatory bowel disease, and liver disease.Methods: This is a retrospective review of EUS performed by two pediatric gastroenterologists trained as endosonographers between April 2017 and November 2020. Patient demographics, procedure indication, procedure characteristics, technical success, and complications were collected. Literature review was performed to describe current and future uses of EUS in pediatrics.Results: Ninety-eight EUS were performed with 15 (15.3%) including fine needle aspiration/biopsy and 9 (9.2%) cases being therapeutic. Most common indications include choledocholithiasis (n = 31, 31.6%), pancreatic fluid collections (n = 18, 18.4%), chronic and acute recurrent pancreatitis (n = 14, 14.3%), and acute pancreatitis characterization (n = 13, 13.3%). Notable indications of pancreatic mass (n = 6, 6.1%) and luminal lesions/strictures (n = 6, 6.1%) were less common. Complications were limited with one instance of questionable GI bleeding after cystgastrostomy creation. Ninety-eight of 98 (100%) cases were technically successful.Conclusion/Discussion: EUS has been shown to be performed safely and successfully in the pediatric population by pediatric endosonographers. This study and review support its use in pediatric practice and demonstrate the wide variety of indications for EUS such as pancreatic cystgastrostomy, celiac plexus neurolysis, and evaluation of chronic pancreatitis. This literature review also demonstrates areas of potential development for EUS within the practice of pediatric gastroenterology.

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“…При этом авторы сходятся во мнении, что эндо-УЗИ оказалось полезным методом, в подавляющем большинстве наблюдений оказавшим влияние на выбор или изменение тактики лечения (табл. 2) [13][14][15][16][17].…”

Section: Discussionunclassified

Endoscopic Ultrasound in pediatric patients. First experience

et al. 2020

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Aim. To evaluate the informational content of endoscopic ultrasound in pediatric patients with pancreatobiliary diseases. Materials and methods. The study included 16 patients with pancreatobiliary diseases, who were examined with 17 endoscopic ultrasounds within 14 months. The follow-up was 12 months. Results. Endoscopic ultrasound was informative in all 16 patients and in 14 patients it had an impact on the management. The main diseases that were indications for the examination included choledocholithiasis, pancreatobiliary abnormalities, relapsing pancreatitis, pancreatic cysts, as well as a combination of these diseases. There were no complications during the diagnostic examination as well as during the procedure done under the control of endoscopic ultrasonography. Conclusion. Endoscopic ultrasound is promising, effective and safe not only in adults but also in pediatric patients.

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Endoscopic Ultrasound in Pediatric Patients With Pancreatobiliary Disease

Cited by 13 publications

References 21 publications

Safety and efficacy of endoscopic ultrasound as a diagnostic and therapeutic tool in pediatric patients: a multicenter study

Safety and efficacy of endoscopic ultrasound as a diagnostic and therapeutic tool in pediatric patients: a multicenter study

EUS in Pediatrics: A Multicenter Experience and Review

Endoscopic Ultrasound in pediatric patients. First experience

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