Endoscopic Ultrasound in pediatric patients. First experience

Солодинина, Е. Н.; Chekmazov, I A; Efremenkov, Artem M.; Fomicheva, N. V.; Sokolov, Yu. Yu.

doi:10.16931/1995-5464.20204118-125

Cited by 2 publications

(1 citation statement)

References 23 publications

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“…Анализ самих конкрементов показал, что пигментированные конкременты встречаются чаще (47%), чем холестериновые конкременты (13%) у пациентов с расширенными желчными протоками, из чего следует, что их образование связано с медленной эвакуацией или застоем желчи из-за дисфункции сфинктера Одди [8,11]. Еще одним фактором образования конкрементов в просвете внепеченочных желчных протоков, при отсутствии конкрементов в желчном пузыре, исследователи видят в наличии панкреатобилиарного рефлюкса [12]. Этой же группой японских авторов было установлено, что конкременты в желчных протоках и желчном пузыре при АПБС встречаются чаще у взрослых (23% пациентов), чем у детей с (9%) [10].…”

Section: Introductionunclassified

Microcholedocholithiasis in a patient with an anomaly of the pancreatobiliary maljunction

Korzheva,

Burdyukov,

Kolotilshchikov

et al. 2023

jour

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To date, the diagnosis of both microcholedocholithiasis and anomalies of the pancreatobiliary maljunction is a difficult task. It is the improvement of the diagnostic algorithm for this category of patients that allows us to start timely treatment. In this clinical case, the diagnosis of microcholedocholithiasis and anomalies of the pancreatobiliary maljunction is described, which is extremely rare and causes difficulties in making a diagnosis and choosing a treatment strategy. The aim: to determine the information content of various types of research in the diagnosis of microcholedocholithiasis in anomalies of the pancreatobiliary fistula. Materials and methods: in the GKB im. S. P. Botkin received a patient with severe pain in the upper abdomen, weakness. In the emergency room, the patient underwent a complete blood count, biochemical blood test and transabdominal ultrasound, after transfer to the surgical department, MSCT and EUS were performed. Results: according to the results of EUS, it was revealed in the patient that the pancreatic duct opens into the common bile duct at a distance of 15 mm from the OBD zone, and calculi with a diameter of up to 2 mm were detected in the terminal bile duct. At the same time, the patient underwent retrograde transpapillary intervention with papillotomy and removal of the calculus. Conclusions: the combination of microcholedocholithiasis and anomalies of the pancreatobiliary maljunction is an extremely rare pathology. The use of a comprehensive therapeutic and diagnostic approach makes it possible to detect an anomaly of the pancreatobiliary maljunction and calculi with a diameter of 2 mm in the bile duct, which makes it possible to reasonably and timely perform surgical treatment avoiding the development of serious complications.

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Section: Introductionunclassified

Microcholedocholithiasis in a patient with an anomaly of the pancreatobiliary maljunction

Korzheva,

Burdyukov,

Kolotilshchikov

et al. 2023

jour

View full text Add to dashboard Cite

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Endosonography of the pancreatobiliary area in pediatric patients. The first experience

Солодинина

Sokolov

Efremenkov

et al. 2021

Russian Journal of Pediatric Surgery

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Introduction. The diagnostics of malformations and diseases in the organs of pancreatobiliary area in children is an actual problem. An increase in the number of pediatric patients with pancreatobiliary anomalies, complications of cholelithiasis, acute and chronic pancreatitis requires the development of new techniques of non-invasive diagnostics which would allow to choose the optimal curative tactics.Material and methods. The article presents authors' experience of performing endosonography in 44 children, aged 2–17, during 2.5 years. Indications for endosonography were: complicated cholelithiasis, choledochal cyst, pancreatic duct dilatation, lithiasis of the Wirsung’s duct, cystic and solid formations in the pancreas and omental sac. Fine-needle aspirations under endosonography control were performed in 10 patients; transgastric drainage of pancreatic pseudocysts - in 6 children.Results. In all cases, endosonography turned out to be an informative diagnostic option. The curative tactics was changed in 21 (47.7%) patients after receiving endosonographic findings. Besides, such findings clarified anatomical and topographic features of organs in the pancreatobiliary zone in 15 (34.1%) patients; endosonographic findings helped to define the optimal volume of surgical intervention in 6 (13.6%) patients. There were no complications during diagnostic procedures. Bleeding into the lumen of pseudocyst was noted in a patient with transgastric drainage.Conclusion. Endosonography in children is an informative non-invasive technique for diagnosing malformations and diseases of the pancreatobiliary region because it allows to obtain the final picture of biliary and pancreatic ducts, of the site and nature of focal lesions in the pancreas, as well as to clarify indications for various interventions.

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Endoscopic Ultrasound in pediatric patients. First experience

Cited by 2 publications

References 23 publications

Microcholedocholithiasis in a patient with an anomaly of the pancreatobiliary maljunction

Microcholedocholithiasis in a patient with an anomaly of the pancreatobiliary maljunction

Endosonography of the pancreatobiliary area in pediatric patients. The first experience

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