Therapeutic ERCP in paediatric patients

Tumor enucleation with preoperative endoscopic transpapillary stenting for pediatric insulinoma

“…ERCP is an established procedure in the management of most benign and malignant biliary-pancreatic diseases in children and adult patients. Rocca et al [16] reported that ERCP was performed in a 4-week-old Fig. 1 CT demonstrated that the enhanced pancreatic head tumor was 1.9 cm in diameter and located at the ventral aspect of the common bile duct (white arrow) and beside the pancreatic main duct (black arrow).…”

Safety and efficacy of one-stage total laparoscopic treatment of common bile duct stones in children

“…Only one patient in our series benefited from a MRCP due to lack of radiologic experience in this field in our center. MRCP requires radiological skills for analysis and presents with several disadvantages: the poor definition of the intrahepatic biliary tree, the inherent poor spatial resolution for small stones, and for tiny pancreatic and bile ducts in children, cost and availability [3,9]. However, other studies about MRCP using secretin are more promising with a sensitivity and specificity approaching 98 up to 100 %, respectively, in patients with common bile duct obstruction [2].…”

“…Moreover, the major differences between ERCP in child and adult patients is related to the type of anesthesia administered and the type of duodenoscope used. This fact made Rocca et al to advocate the rendezvous technique with intraoperative treatment of CBD stones while laparoscopic cholecystectomy which avoids two sessions of general anesthesia and reduces the risk of ERCP-related pancreatitis, thanks to selective bile duct cannulation [3].…”

“…Although experience with diagnostic and therapeutic ERCP with ES in children has been growing in the past few years [2][3][4], there are few data concerning safety and technical outcomes in comparison with ERCP in adults [5]. Moreover, ERCP realization requires almost systematically general anesthesia (GA) in children [4].…”

Endoscopic Therapy for Patients With Pancreaticobiliary Maljunction: A Follow-up Study

“…Oncotarget 44861 www.impactjournals.com/oncotarget Nonetheless, Data on the experience of ERCP in the management of PBM are limited to small series [2][3][4][5][6][7][8][9][10]. Two studies speculated that endoscopic sphincterotomy (EST) was less effective in those patients with undilated common channel, but their sample size was quite small [2,7].…”