EUS and EUS-Guided Interventions Alter Clinical Management in Children With Digestive Diseases

Journal of Pediatric Gastroenterology and Nutrition
Kevin GordonGirish Mishra

Abstract

Endoscopic ultrasound (EUS) ± fine needle aspiration (FNA) is a useful tool to evaluate gastrointestinal tract disorders in adults because of its established feasibility and safety. Its role in children has not been well established and continues to evolve. Our objective was to evaluate the utility and impact on clinical management of EUS and EUS-guided interventions in the pediatric population at our institution. Retrospective, single-center study including 43 patients undergoing EUS and EUS-FNA between August 2005 and January 2012. Fifty-one EUS procedures were performed in 43 patients, 30 girls, median age 14.5 (range 4-18). The most common indications were suspected biliary obstruction in 11 of 51 (22%), pancreatic cysts in 10 of 51 (20%), acute or recurrent pancreatitis in 9 of 51 (18%), and abdominal pain in 8 of 51 (16%). The most common findings of EUS included normal 11 of 51 (22%), pancreas cyst 6 of 51 (12%), pancreatic pseudocyst 5 of 51 (10%), biliary system sludge or stones 9 of 51 (18%), and acute and chronic pancreatitis 5 of 51 (10%). EUS-FNA was performed in 13 cases: 7 solid masses or nodes, 4 pancreatic pseudocyst, 1 pancreatic cyst, and 1 celiac plexus block. FNA cyst drainage was successful in resolving al...Continue Reading

References

Jul 28, 2005·Gastrointestinal Endoscopy·Shyam VaradarajuluMohamad A Eloubeidi
May 22, 2008·Journal of Pediatric Gastroenterology and Nutrition·Shlomi CohenErwin Santo
Jul 9, 2008·Journal of Pediatric Gastroenterology and Nutrition·O S BjerringM B Mortensen
Jul 7, 2009·Gastrointestinal Endoscopy·Tan AttilaDouglas O Faigel
Aug 5, 2010·Journal of Pediatric Gastroenterology and Nutrition·Abdullah Al-RashdanMohammad Al-Haddad
Mar 8, 2011·Journal of Pediatric Surgery·Lucas P NeffJohn K Petty
Mar 17, 2011·Journal of Pediatric Gastroenterology and Nutrition·James L BuxbaumShyam Varadarajulu
May 28, 2011·Journal of Pediatric Surgery·Erminia RomeoLuigi Dall'Oglio
Jul 13, 2012·Journal of Pediatric Gastroenterology and Nutrition·Jayapal RameshShyam Varadarajulu
Jul 13, 2012·Journal of Pediatric Gastroenterology and Nutrition·Greggy D LarocheJohn E Fortunato

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Citations

Dec 16, 2016·Journal of Pediatric Gastroenterology and Nutrition·Zaheer NabiDuvuur Nageshwar Reddy
Apr 5, 2017·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Zaheer NabiD Nageshwar Reddy
Dec 12, 2017·Clinical Endoscopy·Zaheer Nabi, Duvvur Nageshwar Reddy
Jul 2, 2019·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Félix I Téllez-ÁvilaMiguel Ramírez-Luna
Jul 7, 2017·Current Opinion in Pediatrics·Maisam Abu-El-HaijaJaimie D Nathan
Jan 21, 2017·Journal of Pediatric Gastroenterology and Nutrition·Jaya Agarwal
Nov 3, 2020·World Journal of Gastrointestinal Endoscopy·Ahmed Youssef AltonbaryWagdi Elkashef
Jan 11, 2021·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Manabu TagawaYuji Mizokami

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