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ERCP in Pediatric Populations

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Dilemmas in ERCP

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Abstract

The use of pediatric endoscopic retrograde cholangiopancreatography (ERCP) has grown in scope and practice since it was first reported in 1976 (Waye, Am J Gastroenterol 65:461–463, 1976). Some indications for ERCP overlap with adults, and some indications present with more frequency in children including pancreaticobiliary injuries following blunt abdominal trauma and congenital abnormalities. Unique procedural considerations include the type of duodenoscope used, the method of anesthesia, and the experience of the endoscopists in performing ERCP in pediatric patients. Success and complication rates appear to parallel those seen in adults. Although post-ERCP pancreatitis is the most common complication in children and adults, pharmacopreventive approaches such as the use of indomethacin have not been established in pediatric cohorts. As in an adult population, ERCP can be critically indicated in children, at times managing and treating urgent or life-threatening conditions.

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Grant Support

This manuscript was supported in part by a development grant from the Department of Medicine at Emory University School of Medicine.

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The authors report no conflicts of interest with the work contained in this manuscript.

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Authors and Affiliations

  1. Department of Medicine, Emory University School of Medicine, Atlanta, GA, USA

    Mayssan Muftah

  2. Gastroenterology, Hepatology and Nutrition, Children’s Healthcare of Atlanta, Emory University School of Medicine, Atlanta, GA, USA

    Christopher Fritzen

  3. Department of Gastroenterology, Children’s Healthcare of Atlanta, Emory University School of Medicine, Atlanta, GA, USA

    Field F. Willingham

  4. Division of Digestive Diseases, Emory University School of Medicine, Atlanta, GA, USA

    Field F. Willingham

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  1. Mayssan Muftah
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Correspondence to Field F. Willingham .

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  1. Division of Gastroenterology, Washington University in St. Louis School of Medicine, St. Louis, MO, USA

    Daniel K. Mullady

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Muftah, M., Fritzen, C., Willingham, F.F. (2019). ERCP in Pediatric Populations. In: Mullady, D. (eds) Dilemmas in ERCP. Springer, Cham. https://doi.org/10.1007/978-3-030-12741-1_19

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  • DOI: https://doi.org/10.1007/978-3-030-12741-1_19

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