Endoscopic Ultrasound in pediatric patients. First experience
https://doi.org/10.16931/1995-5464.20204118-125
Abstract
Aim. To evaluate the informational content of endoscopic ultrasound in pediatric patients with pancreatobiliary diseases.
Materials and methods. The study included 16 patients with pancreatobiliary diseases, who were examined with 17 endoscopic ultrasounds within 14 months. The follow-up was 12 months.
Results. Endoscopic ultrasound was informative in all 16 patients and in 14 patients it had an impact on the management. The main diseases that were indications for the examination included choledocholithiasis, pancreatobiliary abnormalities, relapsing pancreatitis, pancreatic cysts, as well as a combination of these diseases. There were no complications during the diagnostic examination as well as during the procedure done under the control of endoscopic ultrasonography.
Conclusion. Endoscopic ultrasound is promising, effective and safe not only in adults but also in pediatric patients.
About the Authors
E. N. SolodininaRussian Federation
Elena N. Solodinina – Doct. of Sci. (Med.), Head of the Endoscopic Department
15, Marshala Timoshenko str., Moscow, 121359
I. A. Chekmazov
Russian Federation
Igor A. Chekmazov – Doct. of Sci. (Med.), Deputy Chief Physician for Medical (Surgery)
15, Marshala Timoshenko str., Moscow, 121359
A M. Efremenkov
Russian Federation
Artem M. Efremenkov – Cand. of Sci. (Med.), Head of the Pediatric Surgery Department
15, Marshala Timoshenko str., Moscow, 121359
N. V. Fomicheva
Russian Federation
Natalya V. Fomicheva – Cand. of Sci. (Med.), Endoscopist of the Endoscopic Department
15, Marshala Timoshenko str., Moscow, 121359, Phone: +7-903-592-24-64
Y. Y. Sokolov
Russian Federation
Yury Yu. Sokolov – Doct. of Sci. (Med.), Head of the Pediatric Surgery Department named after academician S.Ya. Doletsky
2/1-1, Barrikadnaya str., Moscow, 125993
References
1. Ainsworth A.P., Rafaelsen S.R., Wamberg P.A., Durup J., Pless T.K., Mortensen M.B. Is there a difference in diagnostic accuracy and clinical impact between endoscopic ultra sonography and magnetic resonance cholangio pancreatography? Endoscopy. 2003; 35 (12): 1029–1032. https://doi.org/10.1055/с-2003-44603.
2. Aljebreen A.M. Role of endoscopic ultrasound in common bile duct stones. Saudi J. Gastroenterol. 2007; 13 (1): 11–16. https://doi.org/10.4103/1319-3767.30459.
3. Gerke H., Jaffe T.A., Mitchell R.M., Byrne M.F., Stiffler H.L., Branch M.S., Baillie J., Jowell P.S. Endoscopic ultrasound and computer tomography are inaccurate methods of classifying cystic pancreatic lesions. Dig. Liver Dis. 2006; 38 (1): 39–44. https://doi.org/10.3748/wjg.v23.i17.3184.
4. Giljaca V., Gurusamy K.S., Takwoingi Y., Higgie D., Poropat G., Štimac D., Davidson B. Endoscopic ultrasound versus magnetic resonance cholangiopancreatography for common bile duct stones. Cochrane Database Syst. Rev. 2015 (2): CD011549. https://doi.org/10.1002/14651858.CD011549.
5. Park M.S., Kim T.K., Kim K.W., Park S.W., Lee J.K., Kim J.S., Lee J.H., Kim K.A., Kim A.Y., Kim P.N., Lee M.G., Ha H.K. Differentiation of extrahepatic bile duct cholangiocarcinoma from benign stricture: findings at MRCP versus ERCP. Radiology. 2004; 233 (1): 234–240. https://doi.org/10.1148/radiol.2331031446
6. Topal B., Van de Moortel M., Fieuws S., Vanbeckevoort D., Steenbergen W., Aerts R., Penninckx F. The value of MRCP in predicting CBD stones in patients with gallstone disease. Br. J. Surg. 2003; 90 (1): 42–47. https://doi.org/10.1002/bjs.4025
7. Tse F., Liu L., Barkun A.N., Armstrong D. EUS: a meta-analysis of test performance in suspected choledocholithiasis. Gastrointest. Endosc. 2008; 67 (2): 235–244. https://doi.org/10.1016/j.gie.2007.09.047
8. Tse F., Barkun J.S., Romagnuolo J., Friedman G., Bornstein J., Barkun A. Nonoperative imaging techniques in suspected biliary tract obstruction. HPB (Oxford). 2006; 8 (6): 409–425. https://doi.org/10.1080/13651820600746867.
9. Al-Rashdan A., LeBlanc J., Sherman S., Mchenry L. Role of endoscopic ultrasound for evaluating gastrointestinal tract disorders in pediatrics: a tertiary care center experience. J. Pediatr. Gastroenterol. Nutr. 2010; 51 (6): 718–722. https://doi.org/10.1097/MPG.0b013e3181dac094.
10. Attila T., Adler D.G., Hilden K., Faigel D. EUS in pediatric patients. Gastrointest. Endosc. 2009; 70 (5): 892–898. https://doi.org/10.1016/j.gie.2009.04.012.
11. Bjerring O.S., Durup J., Qvist N., Mortensen M.B. Impact of upper gastrointestinal endoscopic ultrasound in children. J. Pediatr. Gastroenterol. Nutr. 2008; 47 (1): 110–113. https://doi.org/10.1097/MPG.0b013e31816c74af.
12. Cohen S., Kalinin M., Yaron A., Givony Sh. Endoscopic ultrasonography in pediatric patients with gastrointestinal disorders. J. Pediatr. Gastroenterol. Nutr. 2008; 46 (5): 551–554. https://doi.org/10.1097/MPG.0b013e31815ce571.
13. Raina A., Conrad M.A., Sahn B., Sedarat A., Ginsberg G.G., Ahmad N.A., Chandrasekhara V., Mamula P., Kochman M.L. Endoscopic ultrasound with or without fine-needle aspiration has a meaningful impact on clinical care in the pediatric population. Endosc. Ultrasound. 2017; 6 (3): 195–200. https://doi.org/10.4103/eus.eus_2_17.
14. Roseau G., Palazzo L., Dumontier I., Mougenot J.F., Chaussade S., Navarro J., Couturier D. Endoscopic ultrasonography in the evaluation of pediatric digestive diseases: preliminary results. Endoscopy. 1998; 30 (5): 477–481. https://doi.org/10.1055/s-2007-1001311.
15. Scheers I., Ergun M., Aouattah T., Piessevaux H., Borbath I., Stephenne X., Magnée C., Reding R., Sokal E., Veyckemans F., Weynand B., Deprez P. Diagnostic and therapeutic roles of endoscopic ultrasound in pediatric pancreaticobiliary disorders. J. Pediatr. Gastroenterol. Nutr. 2015; 61 (2): 238–247. https://doi.org/10.1097/MPG.0000000000000692.
16. Téllez-Ávila F.I., Duarte-Medrano G., Herrera-Mora D., LopezArce G., Leal-García M., Ramírez-Martínez M., RamírezLuna M. Endoscopic ultrasound in pediatric patients with pancreato biliary disease. Surg. Laparosc. Endosc. Percutan Tech. 2019; 29 (4): 271–274. https://doi.org/10.1097/SLE.0000000000000673.
17. Varadarajulu S., Wilcox C.M., Eloubeidi M.A. Impact of EUS in the evaluation of pancreaticobiliary disorders in children. Gastrointest. Endosc. 2005; 62 (2): 239–244. https://doi.org/10.1016/s0016-5107(05)00312-3.
18. Fugazza A., Bizzarri B., Gaiani F., Manfredi M., Ghiselli A., Crafa P., Carra M.C., de’Angelis N., de’Angelis G.L. The role of endoscopic ultrasound in children with pancreatobiliary and gastrointestinal disorders: a single center series and review of the literature. BMC Pediatrics. 2017; 17 (1): 203. https://doi.org/10.1186/s12887-017-0956-z.
19. Bizzarri B., Nervi G., Ghiselli A., Manzali E., Di Mario F., Leandro G., Gaiani F., Kayali S., Luigi de’Angelis Gl. Endoscopic ultrasound in pediatric population: a comprehensive review of the literature. Acta Biomed. 2018; 89 (9-S): 33–39. https://doi.org/10.23750/abm.v89i9-S.7876.
20. Olmos J.I., Oleas R., Alcívar J.A., Baquerizo-Burgos J., RoblesMedranda C. Endoscopic ultrasound-guided placement of coils and cyanoacrylate embolization in refractory gastric variceal bleeding: a pediatric case report. Endosc. Int. Open. 2019; 7 (9): E1061–E1063. https://doi.org/10.1055/a-0915-9532.
21. Jazrawi S.F., Barth B.A. Efficacy of endoscopic ultrasoundguided drainage of pancreatic pseudocysts in a pediatric population. Dig. Dis. Sci. 2011; 56 (3): 902–908. https://doi.org/10.1007/s10620-010-1350-y.
22. Jia Y., Maspons A., Othman M.O. The therapeutic use of endoscopic ultrasonography in pediatric patients is safe: a case series. Saudi J. Gastroenterol. 2018; 21 (6): 391–395. https://doi.org/10.4103/1319-3767.167191.
23. Law R., Badillo R., Kwon R.S., Zacu G. EUS-guided cystesophagostomy using a lumen-apposing metal stent for drainage of a pancreatic fluid collection in a pediatric patient. VideoGIE. 2018; 7 (3): 209–210. https://doi.org/10.1016/j.vgie.2018.03.002.
24. Kaufman M., Singh G., Das S., Concha-Parra R., Erber J., Micames C., Gress F. Efficacy of endoscopic ultrasound-guided celiac plexus block and celiac plexus neurolysis for managing abdominal pain associated with chronic pancreatitis and pancreatic cancer. J. Clin. Gastroenterol. 2010; 44 (2): 127–134. https://doi.org/10.1097/MCG.0b013e3181bb854d.
Review
For citations:
Solodinina E.N., Chekmazov I.A., Efremenkov A.M., Fomicheva N.V., Sokolov Y.Y. Endoscopic Ultrasound in pediatric patients. First experience. Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery. 2020;25(4):118-125. (In Russ.) https://doi.org/10.16931/1995-5464.20204118-125