Conjugated Hyperbilirubinemia in Infants: Is There Still a Role for ERCP?
Journal
Canadian journal of gastroenterology & hepatology
ISSN: 2291-2797
Titre abrégé: Can J Gastroenterol Hepatol
Pays: Egypt
ID NLM: 101623613
Informations de publication
Date de publication:
2021
2021
Historique:
received:
31
03
2021
accepted:
17
06
2021
entrez:
14
7
2021
pubmed:
15
7
2021
medline:
21
10
2021
Statut:
epublish
Résumé
Over a twenty-year period, we performed 255 ERCP procedures in infants aged up to 1 year. ERCP was indicated in cholestatic infants with suspicion of biliary obstruction. The most common diagnosis was biliary atresia (48%), choledochal cysts (13%), and choledocholithiasis (4%). The procedure complication rate was 13.7%. Hyperamylasemia occurred in 12.9%. More severe complications were rare-0.8% of ERCP procedure. There were no cases of postprocedural pancreatitis or death. Our study has proved that ERCP is a safe and reliable method in this age group. Its high specificity and negative predictive value for extrahepatic biliary atresia can prevent unnecessary surgeries in patients with normal bile ducts or endoscopically treatable pathologies.
Identifiants
pubmed: 34258256
doi: 10.1155/2021/9969825
pmc: PMC8249117
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
9969825Informations de copyright
Copyright © 2021 Jan Stovicek et al.
Déclaration de conflit d'intérêts
The authors declare that they have no conflicts of interest.
Références
Future Sci OA. 2020 Mar 17;6(5):FSO466
pubmed: 32518681
World J Surg. 2017 Oct;41(10):2631-2637
pubmed: 28589237
World J Pediatr. 2016 Feb;12(1):35-43
pubmed: 26684313
J Pediatr. 2015 Apr;166(4):897-902.e1
pubmed: 25681196
Am J Surg. 1977 Aug;134(2):263-9
pubmed: 889044
J Pediatr Gastroenterol Nutr. 2019 Jan;68(1):64-67
pubmed: 30044307
Pediatrics. 2009 May;123(5):1280-6
pubmed: 19403492
PLoS One. 2019 Jan 17;14(1):e0210805
pubmed: 30653580
Gastrointest Endosc. 1991 Sep-Oct;37(5):522-6
pubmed: 1936828
Endoscopy. 2010 Feb;42(2):121-6
pubmed: 20140829
PLoS One. 2015 Jul 29;10(7):e0132270
pubmed: 26221719
J Pediatr Gastroenterol Nutr. 2004 Aug;39(2):115-28
pubmed: 15269615
Hepatology. 2008 Apr;47(4):1233-40
pubmed: 18306391
J Pediatr Gastroenterol Nutr. 2000 Oct;31(4):411-7
pubmed: 11045839
Prz Gastroenterol. 2017;12(4):303-309
pubmed: 29359001
J Pediatr Gastroenterol Nutr. 2020 Aug;71(2):e54-e58
pubmed: 32304552