EUS-Guided Celiac Plexus Interventions

Sharma, Zubin; Bansal, Rinkesh Kumar; Puri, Rajesh

doi:10.1055/s-0040-1716585

Cited by 2 publications

(2 citation statements)

References 22 publications

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“…EUS can also be used therapeutically to perform celiac plexus block where an analgesic and steroid (or sclerosing agent) are injected at the celiac plexus. Unfortunately, this has shown limited benefit in adult patients with chronic pancreatitis and is also not widely studied in pediatrics ( 45 , 46 ).…”

Section: Discussionmentioning

confidence: 99%

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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Section: Discussionmentioning

confidence: 99%

EUS in Pediatrics: A Multicenter Experience and Review

Piester

Liu

2021

Front. Pediatr.

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“…Journal of Digestive Endoscopy in 2020 were "Interpretation of benign gastric mucosal lesions using narrow-band imaging" by Paghadhar et al 10 and "EUS-guided celiac plexus interventions" by Sharma et al 11…”

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confidence: 99%

Best of the Best Articles of 2020

Goenka

Afzalpurkar

2021

Journal of Digestive Endoscopy

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EUS-Guided Celiac Plexus Interventions

Cited by 2 publications

References 22 publications

EUS in Pediatrics: A Multicenter Experience and Review

EUS in Pediatrics: A Multicenter Experience and Review

Best of the Best Articles of 2020

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