Tratamiento endoscópico de afecciones biliopancreáticas en niños. Análisis de 31 pacientes

Quintanilla, Raúl Antonio Brizuela; Torres, Julián Francisco Ruiz; Contreras, Juan Yerandy Ramos; Hernández, Jorge García-Menocal; Contino, Norberto Alonso; Poyato, Samira Becil; Martínez, Ramón Villamil

doi:10.1016/j.endomx.2016.03.002

Cited by 2 publications

(4 citation statements)

References 14 publications

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“…A total of seven patients presented complications, which included bacteremia (one case), bleeding (two cases), and pancreatitis (four cases), thus concluding that the complication rate was 10.8% with pancreatitis (6.2%) being the most common complication. The above is in agreement with the literature, which reports that complication rates range between 4% and 8.3%, with mild acute pancreatitis as the main complication with a rate ranging between 2% and 5.7% [15,19,21].…”

Section: Discussionsupporting

confidence: 93%

“…Regarding the age group, it was found that the most operated patients were schoolchildren with a total of 48 procedures, which corresponds to 73.8% of the ERCPs performed, while the least operated patients were infants with only two procedures, i.e., 3.1%. This is in agreement with what has been found in the literature, which reports that the majority of interventions are performed in school patients, i.e., between six and 12 years of age [ 15 , 19 - 21 ].…”

Section: Discussionsupporting

confidence: 93%

“…Based on our study with the information decoded, we know that a total of 30 patients were treated at the Fundación Santa Fe de Bogotá between January 2007 and June 2015, of which 63.3% (19) correspond to female patients and 36.7% (11) to male patients, which corresponds to the gender behavior described in different studies in which the prevalence of the female gender is reported between 57% and 73% of the patients treated [15,18,19].…”

Section: Discussionmentioning

confidence: 77%

“…Similar behavior was observed in Cerezo-Ruiz et al's study, in which 33.3% of the indications corresponded to post-transplant liver complications, 27.77% to suspected biliary obstruction, and 22.2% to the evaluation of pancreatitis. Among the indications found in different studies, we also found biliary obstruction, pancreatitis, pancreatic duct disruption, and biliary leakage [ 15 , 19 , 21 ].…”

Section: Discussionmentioning

confidence: 77%

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Endoscopic Retrograde Cholangiopancreatography in Children: Nine Years' Experience at Santa Fe Foundation in Bogota, Colombia

Gómez¹,

Ceballos²,

Rozo³

et al. 2023

Cureus

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Introduction: Experience in the use of diagnostic and/or therapy of endoscopic retrograde cholangiopancreatography (ERCP) in children is limited. This is due to the underdiagnosis of pancreaticobiliary disease in the pediatric population and specialist personnel in this procedure. Objective: To determine the safety and success rate of ERCP in children at Hospital Fundación Santa Fe de Bogotá between January 2007 and June 2015. Methodology: This was an observational, descriptive, retrospective case series study of patients under 18 years, who underwent ERCP between January 2007 and June 2015. The following variables were analyzed: indication, duration, type of procedure, rate of success, and complications. Results: A total of 30 patients were included, in whom 65 ERCP procedures were performed. Successful cannulation was achieved in 52 of the 65 procedures (80%). Among the complications that occurred, there were four cases of pancreatitis (6.2%), two cases of bleeding (3.1%), and one case of bacteremia (1.5%), and in most cases (58 in total, 89.2%), there were no complications. Discussion: The pediatric gastroenterology group of the Fundación Santa Fe de Bogotá has obtained good results in performing ERCP in the pediatric population with a success rate of 80% associated with a null mortality rate. There is enough literature available to conclude that performing ERCP in the pediatric population maintains an adequate success rate and a low complication rate. In all the studies evaluated, a null mortality rate was found, so it is considered that this procedure is safe in patients under 18 years of age.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 77%

Section: Discussionmentioning

confidence: 77%

See 2 more Smart Citations

Endoscopic Retrograde Cholangiopancreatography in Children: Nine Years' Experience at Santa Fe Foundation in Bogota, Colombia

Gómez¹,

Ceballos²,

Rozo³

et al. 2023

Cureus

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Complicaciones secundarias a colangiopancreatografía endoscópica en el hospital regional de occidente (HRO), desde enero del 2016 a diciembre del 2020

Alegría¹

2023

LATAM

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Una colangiopancreatografía endoscópica representa una herramienta diagnóstica y terapéutica para patologías de origen obstructivo de las vías biliares, sin embargo, pese a que es la alternativa de elección, al ser un procedimiento quirúrgico que resulta invasivo, representa un riesgo de complicaciones, las cuales pueden ser desde leves (infección del sitio de incisión) hasta severas (pancreatitis), y en determinado momento pueden implicar el deceso del paciente. El objetivo de la investigación, se basó en determinar las complicaciones manifestadas posterior a la realización de una Colangiopancreatografía Endoscópica, en los pacientes a quienes se les realizó dicho procedimiento en el Hospital Regional de Occidente, durante el período del 01 de enero de 2016 al 31 de diciembre de 2020. Se realizó un estudio descriptivo, retrospectivo con base en datos clínicos de pacientes a quienes se les realizó colangiopancreatografía endoscópica (CPRE) en una población diagnosticada con patología obstructiva de las vías biliares, recolectados por medio de una boleta, desde los expedientes de los pacientes. Posteriormente, se utilizó Epi Info, como herramienta de análisis de datos estadísticos, con el fin de generar resultados comparables con la literatura consultada. Se analizó un total de 230 expedientes en los que predominó el sexo femenino con 144 casos (63 %), la proporción con mayor prevalencia con respecto a la edad se estableció entre los 41 y 50 años. La indicación más frecuente fue coledocolitiasis residual con un total de 140 pacientes (60%). Tras la realización del procedimiento, 34 pacientes presentaron complicaciones (15%), de las cuales la pancreatitis fue la más frecuente (5.2%), seguidas por hemorragia (3.9%), infección (3.04%), perforación (1.3%) y embolia (1.3%).

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Tratamiento endoscópico de afecciones biliopancreáticas en niños. Análisis de 31 pacientes

Cited by 2 publications

References 14 publications

Endoscopic Retrograde Cholangiopancreatography in Children: Nine Years' Experience at Santa Fe Foundation in Bogota, Colombia

Endoscopic Retrograde Cholangiopancreatography in Children: Nine Years' Experience at Santa Fe Foundation in Bogota, Colombia

Complicaciones secundarias a colangiopancreatografía endoscópica en el hospital regional de occidente (HRO), desde enero del 2016 a diciembre del 2020

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