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Endoscopic Ultrasound in Pediatric Patients With Pancreatobiliary Disease

Téllez-Ávila, Félix I. MD, MSc, PhD*; Duarte-Medrano, Gilberto MD*; Herrera-Mora, David MD*; Lopez-Arce, Gustavo MD*; Leal-García, Mariana MD*; Ramírez-Martínez, Maribel MD; Ramírez-Luna, Miguel MD*

Surgical Laparoscopy Endoscopy & Percutaneous Techniques: August 2019 - Volume 29 - Issue 4 - p 271–274
doi: 10.1097/SLE.0000000000000673
Original Articles
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Background: Endoscopic ultrasound (EUS) is one of the greatest advances of the last few decades for the diagnostic and therapeutic approach of gastrointestinal diseases in adults. However, there are limitations to the application of the procedure in the pediatric population. The aim of this study was to describe the diagnostic yield and therapeutic role of EUS in pediatric patients with pancreatobiliary disease.

Materials and Methods: A retrospective study was performed on a prospective database of pediatric patients who underwent diagnostic and therapeutic endosonographic procedures. All patients seen in a 12-year period were included.

Results: A total of 54 patients were included, including 32 (59.3%) female individuals, with an average age of 16 (9 to 17) years. EUS was abnormal in 46 (85%) patients. Of the abnormal procedures, 4 (7.4%) corresponded to therapeutic ones. The main indication of the study was recurrent acute pancreatitis in 29 (54%). The main endosonographic findings were microlithiasis in 14 (25.9%), chronic pancreatitis in 9 (16.7%), and pancreatic tumors in 6 (11.1%) patients. Follow-up was performed in 31 (57.4%) patients, 19/31 patients underwent surgery, and 4/31 patients had endoscopic retrograde cholangiopancreatography. The median follow-up was 910 (2 to 3916) days. In 100% of the patients with follow-up, the initial diagnosis of EUS was confirmed.

Conclusion: EUS is a useful and safe tool in the pediatric population with pancreatobiliary diseases.

*Department of Gastrointestinal Endoscopy, National Institute of Medical Sciences and Nutrition Salvador Zubirán

National Institute of Pediatrics, Mexico City, Mexico

The authors declares no conflicts of interest.

Reprints: Félix I. Téllez-Ávila, MD, MSc, PhD, Department of Gastrointestinal Endoscopy, National Institute of Medical Sciences and Nutrition Salvador Zubirán, Vasco de Quiroga #15. Col. Sección XVI., Del. Tlalpan, CP 14000 Mexico City, Mexico (e-mail: felixtelleza@gmail.com).

Received November 12, 2018

Accepted February 11, 2019

Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved.