The Roles of EUS and ERCP in the Evaluation and Treatment of Chronic Pancreatitis in Children: A Position Paper from the NASPGHAN Pancreas Committee

Journal of Pediatric Gastroenterology and Nutrition
Quin Y LiuVeronique D Morinville

Abstract

Pediatric chronic pancreatitis (CP) is increasingly diagnosed. Endoscopic methods (endoscopic ultrasound (EUS), endoscopic retrograde cholangiopancreatography (ERCP)) are useful tools to diagnose and manage CP. Pediatric knowledge and use of these modalities is limited and warrants dissemination. Literature review of publications relating to use of ERCP and EUS for diagnosis and/or management of CP with special attention to studies involving 0-18 years old subjects was conducted with summaries generated. Recommendations were developed and voted upon by authors. Both EUS and ERCP can be used even in small children to assist in diagnosis of CP in cases where cross-sectional imaging is not sufficient to diagnose or characterize the disease. Children under 15 kg for EUS and 10 kg for ERCP can be technically challenging. These procedures should be done optimally by appropriately trained endoscopists and adult gastroenterology providers with appropriate experience treating children. EUS and ERCP-related risks both include perforation, bleeding and pancreatitis. EUS is the preferred diagnostic modality over ERCP due to lower complication rates overall. Both modalities can be used for management of CP-related fluid collections. ERCP ha...Continue Reading

References

Apr 1, 2000·Gastrointestinal Endoscopy·R K HsuP B Cotton
Feb 1, 1963·Archives of Otolaryngology·F R HAASE, A BRENNER
Jun 24, 2004·Journal of Pediatric Surgery·Saud Al-ShanafeySteven Williams
Mar 11, 2005·Gastrointestinal Endoscopy·Elizabeth RajanAlan R Zinsmeister
Mar 15, 2005·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Linda S LeeChristopher C Thompson
Jul 28, 2005·Gastrointestinal Endoscopy·Shyam VaradarajuluMohamad A Eloubeidi
Nov 4, 2005·Zeitschrift für Gastroenterologie·C F DietrichH Frey
Apr 10, 2007·Current Gastroenterology Reports·Ferga C Gleeson, Mark Topazian
May 1, 2007·Gastrointestinal Endoscopy·André Kheng Ho ChongJoseph Romagnuolo
Jul 21, 2007·Gastrointestinal Endoscopy·Shyam VaradarajuluMohamad A Eloubeidi
Nov 30, 2007·The New England Journal of Medicine·David J Brenner, Eric J Hall
Apr 26, 2008·BMJ : British Medical Journal·Gordon H GuyattUNKNOWN GRADE Working Group
May 22, 2008·Journal of Pediatric Gastroenterology and Nutrition·Shlomi CohenErwin Santo
Feb 27, 2009·Gastrointestinal Endoscopy·Marc F CatalanoLyndon V Hernandez
Jul 7, 2009·Gastrointestinal Endoscopy·Tan AttilaDouglas O Faigel
Dec 25, 2009·Journal of Pediatric Gastroenterology and Nutrition·Corey W IqbalMichael B Ishitani
Mar 11, 2010·The American Journal of Gastroenterology·Zhao-Shen LiLi Wang
Jun 10, 2010·European Radiology·Tomás RipollésFructuoso Delgado
Jul 6, 2010·Gastrointestinal Endoscopy·Timothy B Gardner, Michael J Levy
Nov 17, 2010·Ultraschall in der Medizin : Organ der Deutschen Gesellschaft für Ultraschall in der Medizin, [der] Österreichischen Gesellschaft für Ultraschall in der Medizin, [der] Schweizerischen Gesellschaft für Ultraschall in Medizin und Biologie·A SeiceanO Pascu
Oct 4, 2011·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Adrian SăftoiuUNKNOWN European EUS Elastography Multicentric Study Group
Nov 24, 2011·World Journal of Gastroenterology : WJG·Manu Tandan, D Nageshwar Reddy
Feb 22, 2012·Gastroenterology & Hepatology·Paolo Giorgio Arcidiacono
Feb 24, 2012·Journal of Pediatric Gastroenterology and Nutrition·Veronique D MorinvilleUNKNOWN INSPPIRE Group
May 15, 2012·Gastrointestinal Endoscopy·Bradley A BarthSarah A Rodriguez
Sep 25, 2012·Journal of Gastroenterology·Yoshiki HirookaHidemi Goto
Jun 14, 2013·Journal of Pediatric Gastroenterology and Nutrition·Brintha K EnestvedtMichael L Kochman
Sep 26, 2013·Gastrointestinal Endoscopy·Jaya AgarwalG V Rao
Mar 7, 2014·Gastrointestinal Endoscopy·Jenifer R LightdaleUNKNOWN American Society for Gastrointestinal Endoscopy
May 24, 2014·Gastrointestinal Endoscopy·Grzegorz OraczJozef Ryzko
Aug 5, 2014·Gastrointestinal Endoscopy·J Enrique Dominguez-MuñozJose Lariño-Noia
Oct 8, 2014·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Raj J ShahMichel Kahaleh
Jan 8, 2015·Journal of Pediatric Gastroenterology and Nutrition·Isabelle ScheersPierre H Deprez
Feb 13, 2015·Surgical Endoscopy·Matthew J Giefer, Richard A Kozarek
Dec 1, 2015·Gastrointestinal Endoscopy Clinics of North America·Arathi Lakhole, Quin Y Liu
Dec 26, 2015·Journal of Pediatric Gastroenterology and Nutrition·Jie TingAliye Uc
Jan 27, 2016·Gastrointestinal Endoscopy·Matthew J Giefer, Bryan L Balmadrid
Mar 8, 2016·Indian Journal of Gastroenterology : Official Journal of the Indian Society of Gastroenterology·Ramit MahajanReuben Thomas Kurien

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