Nationwide Evolution of Pediatric Endoscopic Retrograde Cholangiopancreatography Indications, Utilization, and Readmissions over Time

Barakat, Monique T.; Cholankeril, George; Gugig, Roberto; Berquist, William E.

doi:10.1016/j.jpeds.2020.11.019

Cited by 18 publications

(16 citation statements)

References 23 publications

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“…ERCP in children is performed less frequently, but it is being established as a modality for management of pancreatic and biliary disease [44], with utilization and outcomes following ERCP increasingly studied and described [45]. There are, to date, no independent studies focused on the role of ERCP in pediatric patients with AP; however, based on the extrapolation of guidelines in the adult population, ERCP is often performed in pediatric patients with AP and evidence of biliary obstruction or cholangitis.…”

Section: Course and Complications Of Acute Pancreatitismentioning

confidence: 99%

A Practical Approach to Management of Acute Pancreatitis: Similarities and Dissimilarities of Disease in Children and Adults

Sellers

Barakat

Abu‐El‐Haija

2021

JCM

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Acute pancreatitis (AP) is associated with significant morbidity and mortality, and it substantially contributes to the healthcare burden of gastrointestinal disease and quality of life in children and adults. AP across the lifespan is characterized by similarities and differences in epidemiology, diagnostic modality, etiologies, management, adverse events, long-term outcomes, and areas in greatest need of research. In this review, we touch on each of these shared and distinctive features of AP in children and adults, with an emphasis on recent advances in the conceptualization and management of AP.

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Section: Course and Complications Of Acute Pancreatitismentioning

confidence: 99%

A Practical Approach to Management of Acute Pancreatitis: Similarities and Dissimilarities of Disease in Children and Adults

Sellers

Barakat

Abu‐El‐Haija

2021

JCM

Self Cite

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“…Because of the diversity of diseases classi cation and complexity of speci c therapeutic treatment, sex and age strati cation were not included in the study. Barakat et al [17] (2021) Asenov et al [19] (2019) Wen et al [20] (2019) [22] (2019)…”

Section: Study Characteristicsmentioning

confidence: 99%

Therapeutic Endoscopic Retrograde Cholangiopancreatography for Pediatric Hepato-Pancreato-Biliary diseases: A Systematic Review and Meta-analysis

Sun

Zheng

et al. 2022

Preprint

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Background: Hepato-pancreato-biliary (HPB) disease has different causes and types between children and adults, which have been diagnosed increasingly in the pediatric group. Endoscopic retrograde cholangiopancreatography (ERCP) has been gradually considered as a therapeutic method in adults, while in pediatric patients, there are not many reports of its usage. This systematic review and meta-analysis aims to assess the use condition of therapeutic ERCP in the management of pediatric HPB diseases.Methods: This systematic literature search was conducted in the PubMed、Embase、Web of Science and the Cochrane library databases to identify all relevant articles published from inception to February 2022 that evaluated therapeutic ERCP in pediatric patients with Hepato-Pancreato-Biliary diseases. The researchers included studies that patients were less than 18 years old and underwent therapeutic ERCP procedures. A random-effects model was used to analyze the usage rate of therapeutic ERCP-procedures, procedural success rates, adverse events rates, and the rate of different therapeutic procedures. Subgroup analysis, sensitivity analysis, and meta-regression were conducted to analyze the source of heterogeneity.Results: A total of 33 articles were included. After homogenization, the overall usage of therapeutic interventions accounts for 77% (95%CI74%-81%) in all ERCP procedures. After excluding outlier studies, the estimation of therapeutic procedure success rate is 74% (95% CI 69 %-79%), adverse events rate is 8% ( 95% CI 6 %-10%). In our study, stent placement is the most common procedure which makes up 75% (95%CI 65%-86%) of all therapeutic procedures. In addition, the usage proportion of sphincterotomy (ST), stone extraction/removal, bougienage/Balloon dilation is respectively 46% (95% CI 39 %-53%), 34% (95% CI 31%-38%), and 26% (95% CI 22%-29%).Conclusions: ERCP procedure is gradually considered as a therapeutic technique in pediatric patients, the proportion of therapeutic ERCP is 77% of total usage, which is increasing by the year. Meanwhile, its success rate is relatively high. It reflects that this operation modality is promising in the treatment of Hepato-pancreato-biliary disorders and is gradually expanded as more branch technologies are being used. A variety of operations can be achieved through ERCP procedures, and more functions should be developed in the future.

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“…Over the last 10–15 years, pediatric gastroenterologists have increasingly pursued training in interventional endoscopy. Pediatric ERCP, EUS, and other advanced endoscopic procedures are now performed safely and effectively in specialized centers by pediatric providers worldwide ( 5 – 7 ). New training opportunities for pediatric gastroenterologists in interventional endoscopy continue to arise ( 8 ).…”

Section: Introductionmentioning

confidence: 99%

Endoscopic Advancements in Pediatric Pancreatitis

Saad

Vitale

2022

Front. Pediatr.

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Nationwide Evolution of Pediatric Endoscopic Retrograde Cholangiopancreatography Indications, Utilization, and Readmissions over Time

Cited by 18 publications

References 23 publications

A Practical Approach to Management of Acute Pancreatitis: Similarities and Dissimilarities of Disease in Children and Adults

A Practical Approach to Management of Acute Pancreatitis: Similarities and Dissimilarities of Disease in Children and Adults

Therapeutic Endoscopic Retrograde Cholangiopancreatography for Pediatric Hepato-Pancreato-Biliary diseases: A Systematic Review and Meta-analysis

Endoscopic Advancements in Pediatric Pancreatitis

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