Endoscopic retrograde cholangiopancreatography and endoscopic ultrasound in children

Endoscopic retrograde cholangiopancreatography in children.

Gastroduodenoscopy and retrograde cholangiopancreatography has been performed on 25 occasions in 20 children aged between 7 and 16. Radiographs of the clinically relevant duct or ducts were achieved in 96% of attempts, with no complications. The diagnostic information proved useful clinically; in particular it provided a precise map if biliary or pancreatic surgery was being contemplated. Sever...

Choledocholithiasis diagnostics – endoscopic ultrasound or endoscopic retrograde cholangiopancreatography?

It is estimated that 3.4% of patients qualified for cholecystectomy due to cholelithiasis have a coexisting choledocholithiasis. For decades, endoscopic ascending retrograde cholangiopancreatography has been the golden diagnostic standard in cases of suspected choledocholithiasis. The method is associated with a relatively high rate of complications, including acute pancreatitis, the incidence ...

Endoscopic retrograde cholangiopancreatography (E.R.C.P.).

Endoscopic Retrograde Cholangiopancreatography: Summary

Diseases of the pancreas and biliary tree are common in the United States. An estimated 6 per 100,000 people are afflicted with common bile duct stones, representing only a small fraction of those with gallstones. There are approximately 57,400 newly diagnosed cases of malignancy of the pancreas, gallbladder, or extrahepatic biliary tract each year, and the prognosis is usually poor. Pancreatit...

Difficult endoscopic retrograde cholangiopancreatography.

JB Most endoscopists who are asked this question would immediately think of anatomic problems that limit or prevent access to the main duodenal papilla for cannulation, such as prior upper gastrointestinal surgery (eg, Billroth II gastrectomy, Roux-en-Y biliary diversion, or gastric bypass procedures) or gastric outlet obstruction (Figure 1). However, the difficulty of an endoscopic retrograde ...