The role of endoscopic retrograde cholangiopancreatography in choledochal cysts and/or abnormal pancreatobiliary junction in children
Introduction : Biliary cysts with an abnormal pancreatobiliary junction are one of the most common pancreatobiliary malformations. The main symptom is cholestasis; endoscopic retrograde cholangiopancreatography (ERCP) plays a key role in diagnosis. Aim : Retrospective evaluation of ERCP performed...
Saved in:
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Termedia Publishing House
2017-12-01
|
| Series: | Gastroenterology Review |
| Subjects: | |
| Online Access: | https://www.termedia.pl/The-role-of-endoscopic-retrograde-cholangiopancreatography-in-choledochal-cysts-and-or-abnormal-pancreatobiliary-junction-in-children,41,31249,1,1.html |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1841548402639241216 |
|---|---|
| author | Jiri Drabek Radan Keil Jan Stovicek Jindra Lochmannova Stepan Hlava Jiri Snajdauf Michal Rygl Jiri Nevoral |
| author_facet | Jiri Drabek Radan Keil Jan Stovicek Jindra Lochmannova Stepan Hlava Jiri Snajdauf Michal Rygl Jiri Nevoral |
| author_sort | Jiri Drabek |
| collection | DOAJ |
| description | Introduction : Biliary cysts with an abnormal pancreatobiliary junction are one of the most common pancreatobiliary malformations. The main symptom is cholestasis; endoscopic retrograde cholangiopancreatography (ERCP) plays a key role in diagnosis.
Aim : Retrospective evaluation of ERCP performed to diagnose abnormalities of the pancreatobiliary junction.
Material and methods : We retrospectively evaluated ERCP performed to diagnose abnormalities of the pancreatobiliary junction, mainly choledochal cysts, in 112 children between 1990 and 2011.
Results : We performed 112 examinations of 50 children with abnormal pancreatobiliary junction and choledochal cysts (15 males and 35 females, average age: 5 years, range: 1 month – 15 years). Cysts were associated with a common channel in 37 (74%) cases, were not associated with a common channel in 9 (18%) cases, and in 3 (6%) cases the common channel lacked cysts. We performed endoscopic papilla sphincterotomy on 33 (66%) patients; endoscopic drainage was performed 62 times, including 17 patients without papilla sphincterotomy. In 15 (30%) cases, we only performed sphincterotomy. Extraction of lithiasis was done in 2 (4%) cases. Both ERCP and magnetic resonance cholangiopancreatography (MRCP) were performed on 13 patients. There was concordance of the choledochal cyst and of the type of cyst in both methods; however, common channels could not be observed by MRCP. There was 1 serious complication (perforation after sphincterotomy) and 11 (9%) mild adverse events.
Conclusions : When performed at an expert centre, ECRP is a safe and reliable procedure for children with choledochal cysts and/or an abnormal pancreatobiliary junction. Endoscopic retrograde cholangiopancreatography remains a reasonable alternative because MRCP has a limited ability to diagnose the precise anomalies of the pancreatobiliary junction and has no therapeutic capabilities. |
| format | Article |
| id | doaj-art-6a966140dd2f464ab100d8ff7f29da64 |
| institution | Kabale University |
| issn | 1895-5770 1897-4317 |
| language | English |
| publishDate | 2017-12-01 |
| publisher | Termedia Publishing House |
| record_format | Article |
| series | Gastroenterology Review |
| spelling | doaj-art-6a966140dd2f464ab100d8ff7f29da642025-01-10T14:06:15ZengTermedia Publishing HouseGastroenterology Review1895-57701897-43172017-12-0112430330910.5114/pg.2017.7210731249The role of endoscopic retrograde cholangiopancreatography in choledochal cysts and/or abnormal pancreatobiliary junction in childrenJiri DrabekRadan KeilJan StovicekJindra LochmannovaStepan HlavaJiri SnajdaufMichal RyglJiri NevoralIntroduction : Biliary cysts with an abnormal pancreatobiliary junction are one of the most common pancreatobiliary malformations. The main symptom is cholestasis; endoscopic retrograde cholangiopancreatography (ERCP) plays a key role in diagnosis. Aim : Retrospective evaluation of ERCP performed to diagnose abnormalities of the pancreatobiliary junction. Material and methods : We retrospectively evaluated ERCP performed to diagnose abnormalities of the pancreatobiliary junction, mainly choledochal cysts, in 112 children between 1990 and 2011. Results : We performed 112 examinations of 50 children with abnormal pancreatobiliary junction and choledochal cysts (15 males and 35 females, average age: 5 years, range: 1 month – 15 years). Cysts were associated with a common channel in 37 (74%) cases, were not associated with a common channel in 9 (18%) cases, and in 3 (6%) cases the common channel lacked cysts. We performed endoscopic papilla sphincterotomy on 33 (66%) patients; endoscopic drainage was performed 62 times, including 17 patients without papilla sphincterotomy. In 15 (30%) cases, we only performed sphincterotomy. Extraction of lithiasis was done in 2 (4%) cases. Both ERCP and magnetic resonance cholangiopancreatography (MRCP) were performed on 13 patients. There was concordance of the choledochal cyst and of the type of cyst in both methods; however, common channels could not be observed by MRCP. There was 1 serious complication (perforation after sphincterotomy) and 11 (9%) mild adverse events. Conclusions : When performed at an expert centre, ECRP is a safe and reliable procedure for children with choledochal cysts and/or an abnormal pancreatobiliary junction. Endoscopic retrograde cholangiopancreatography remains a reasonable alternative because MRCP has a limited ability to diagnose the precise anomalies of the pancreatobiliary junction and has no therapeutic capabilities.https://www.termedia.pl/The-role-of-endoscopic-retrograde-cholangiopancreatography-in-choledochal-cysts-and-or-abnormal-pancreatobiliary-junction-in-children,41,31249,1,1.htmlabnormal pancreatobiliary junction choledochal cyst endoscopic retrograde cholangiopancreatography |
| spellingShingle | Jiri Drabek Radan Keil Jan Stovicek Jindra Lochmannova Stepan Hlava Jiri Snajdauf Michal Rygl Jiri Nevoral The role of endoscopic retrograde cholangiopancreatography in choledochal cysts and/or abnormal pancreatobiliary junction in children Gastroenterology Review abnormal pancreatobiliary junction choledochal cyst endoscopic retrograde cholangiopancreatography |
| title | The role of endoscopic retrograde cholangiopancreatography in choledochal cysts and/or abnormal pancreatobiliary junction in children |
| title_full | The role of endoscopic retrograde cholangiopancreatography in choledochal cysts and/or abnormal pancreatobiliary junction in children |
| title_fullStr | The role of endoscopic retrograde cholangiopancreatography in choledochal cysts and/or abnormal pancreatobiliary junction in children |
| title_full_unstemmed | The role of endoscopic retrograde cholangiopancreatography in choledochal cysts and/or abnormal pancreatobiliary junction in children |
| title_short | The role of endoscopic retrograde cholangiopancreatography in choledochal cysts and/or abnormal pancreatobiliary junction in children |
| title_sort | role of endoscopic retrograde cholangiopancreatography in choledochal cysts and or abnormal pancreatobiliary junction in children |
| topic | abnormal pancreatobiliary junction choledochal cyst endoscopic retrograde cholangiopancreatography |
| url | https://www.termedia.pl/The-role-of-endoscopic-retrograde-cholangiopancreatography-in-choledochal-cysts-and-or-abnormal-pancreatobiliary-junction-in-children,41,31249,1,1.html |
| work_keys_str_mv | AT jiridrabek theroleofendoscopicretrogradecholangiopancreatographyincholedochalcystsandorabnormalpancreatobiliaryjunctioninchildren AT radankeil theroleofendoscopicretrogradecholangiopancreatographyincholedochalcystsandorabnormalpancreatobiliaryjunctioninchildren AT janstovicek theroleofendoscopicretrogradecholangiopancreatographyincholedochalcystsandorabnormalpancreatobiliaryjunctioninchildren AT jindralochmannova theroleofendoscopicretrogradecholangiopancreatographyincholedochalcystsandorabnormalpancreatobiliaryjunctioninchildren AT stepanhlava theroleofendoscopicretrogradecholangiopancreatographyincholedochalcystsandorabnormalpancreatobiliaryjunctioninchildren AT jirisnajdauf theroleofendoscopicretrogradecholangiopancreatographyincholedochalcystsandorabnormalpancreatobiliaryjunctioninchildren AT michalrygl theroleofendoscopicretrogradecholangiopancreatographyincholedochalcystsandorabnormalpancreatobiliaryjunctioninchildren AT jirinevoral theroleofendoscopicretrogradecholangiopancreatographyincholedochalcystsandorabnormalpancreatobiliaryjunctioninchildren AT jiridrabek roleofendoscopicretrogradecholangiopancreatographyincholedochalcystsandorabnormalpancreatobiliaryjunctioninchildren AT radankeil roleofendoscopicretrogradecholangiopancreatographyincholedochalcystsandorabnormalpancreatobiliaryjunctioninchildren AT janstovicek roleofendoscopicretrogradecholangiopancreatographyincholedochalcystsandorabnormalpancreatobiliaryjunctioninchildren AT jindralochmannova roleofendoscopicretrogradecholangiopancreatographyincholedochalcystsandorabnormalpancreatobiliaryjunctioninchildren AT stepanhlava roleofendoscopicretrogradecholangiopancreatographyincholedochalcystsandorabnormalpancreatobiliaryjunctioninchildren AT jirisnajdauf roleofendoscopicretrogradecholangiopancreatographyincholedochalcystsandorabnormalpancreatobiliaryjunctioninchildren AT michalrygl roleofendoscopicretrogradecholangiopancreatographyincholedochalcystsandorabnormalpancreatobiliaryjunctioninchildren AT jirinevoral roleofendoscopicretrogradecholangiopancreatographyincholedochalcystsandorabnormalpancreatobiliaryjunctioninchildren |