scholarly journals Endoscopic retrograde cholangiopancreatography in infants and children

2021 ◽  
Vol 09 (03) ◽  
pp. E292-E296
Author(s):  
Tone Lise Åvitsland ◽  
Lars Aabakken
Keyword(s):  
Endoscopic Retrograde Cholangiopancreatography ◽  
Medical Records ◽  
Pediatric Patients ◽  
Biliary Stricture ◽  
Infants And Children ◽  
University Hospital ◽  
Older Children ◽  
Endoscopic Retrograde ◽  
Procedure Codes ◽  
In Infants And Children

Abstract Background and study aims Previous reports have suggested that endoscopic retrograde cholangiopancreatography (ERCP) in pediatric patients are safe. However, the total number of cases presented in the literature remains small. We present results regarding safety and outcomes in pediatric patients undergoing ERCP at Oslo University Hospital. Patients and methods Patients < 18 years who underwent ERCP between April 1999 and November 2017 were identified using procedure codes. Medical records were examined for age, gender, diagnosis, indications, type of sedation, findings, interventions, and complications. Results A total of 244 procedures were performed in 158 patients. Fifty-six of these were in 53 infants (age ≤ 1 year). Mean age was 8.8 years. The youngest patient was 8 days old. Mean weight was 5.0 kg in infants, the smallest weighing 2.9 kg. Cannulation failed in 19 (7.8 %). The main indication in infants was suspicion of biliary atresia (n = 38). Six of the procedures (10.7 %) were therapeutic. In children the main indications were biliary stricture (n = 64) and investigation of primary sclerosing cholangitis (PSC) (n = 45). 119 (63.2 %) of these procedures were therapeutic.Complications were uncommon in infants; only two episodes of infection were registered. In children (> 1 year) post-ERCP pancreatitis were seen in 10.4 %. Conclusions Our retrospective series of ERCP procedures includes 56 procedures in infants, which is one of the largest series presented. Complications in infants are rare and post-ERCP pancreatitis was not seen. In older children 10.4 % experienced post-ERCP pancreatitis. In expert hands, ERCP was shown to be acceptably feasible and safe in infants and children.

Endoscopic retrograde cholangiopancreatography in infants and children

2000 ◽  
Vol 35 (1) ◽  
pp. 39-42 ◽  
Author(s):  
RuiFeng Teng ◽  
Kazunori Yokohata ◽  
Naruhiro Utsunomiya ◽  
Shunichi Takahata ◽  
Toshinaga Nabae ◽  
...  
Keyword(s):  
Endoscopic Retrograde Cholangiopancreatography ◽  
Infants And Children ◽  
Endoscopic Retrograde ◽  
In Infants And Children

CONTACT-TYPE DELAYED HYPERSENSITIVITY IN INFANTS AND CHILDREN: INDUCTION OF RHUS SENSITIVITY

PEDIATRICS ◽  
1961 ◽  
Vol 27 (1) ◽  
pp. 51-53
Author(s):  
William L. Epstein
Keyword(s):  
Intermediate Position ◽  
Infants And Children ◽  
Delayed Hypersensitivity ◽  
Older Children ◽  
Contact Sensitization ◽  
Contact Type ◽  
Frequency Of Contact ◽  
In Infants And Children

The frequency of contact sensitization to a Rhus allergen, pentadecyl catechol, was determined in 102 infants and children 1 month to 8 years of age. Children between 3 and 8 years were readily sensitized and showed a depth of sensitivity and intensity of reaction comparable to that seen in adults. Infants below the age of 1 year had a markedly depressed ability to react to Rhus allergens. Children between 1 and 3 years old assumed an intermediate position, being more reactive than infants, but less so than older children. Theoretically these observations suggest that the mechanism of delayed hypersensitivity matures more slowly than other processes of immunity and resistance. Clinically the findings mean that lack of exposure is a more important factor than lack of susceptibility in explaining the diminished incidence of clinical Rhus sensitivity in children below the age of 8 years.

Long-Term Continuous Electrocardiographic Recording in Pediatric Patients

PEDIATRICS ◽  
1965 ◽  
Vol 36 (5) ◽  
pp. 792-797
Author(s):  
BEVERLY C. MORGAN ◽  
PHILIP G. DEANE ◽  
WARREN G. GUNTHEROTH
Keyword(s):  
Pediatric Patients ◽  
Case Reports ◽  
Adult Patients ◽  
Infants And Children ◽  
Pediatric Use ◽  
In Infants And Children

A continuous electrocardiographic system, previously utilized primarily in the evaluation of adult patients has been described as modified for pediatric use. Its usefulness in evaluating arrhythmias in infants and children under a variety of circumstances has been demonstrated with four case reports.

Sa2067 Safety and Efficacy of Endoscopic Retrograde Cholangiopancreatography in Pediatric Patients: A 7-Year Experience

2016 ◽  
Vol 83 (5) ◽  
pp. AB304-AB305 ◽  
Author(s):  
Parit Mekaroonkamol ◽  
Jose Nieto ◽  
Saurabh Chawla ◽  
Alvin J. Freeman ◽  
Zaid Alnoah ◽  
...  
Keyword(s):  
Endoscopic Retrograde Cholangiopancreatography ◽  
Pediatric Patients ◽  
Endoscopic Retrograde ◽  
Safety And Efficacy

scholarly journals Number of Endoscopic Retrograde Cholangiopancreatography Procedures Required for Short Biliary Cannulation Time

2017 ◽  
Vol 2017 ◽  
pp. 1-6 ◽  
Author(s):  
Koichiro Mandai ◽  
Koji Uno ◽  
Yasutoshi Fujii ◽  
Takuji Kawamura ◽  
Kenjiro Yasuda
Keyword(s):  
Pancreatic Cancer ◽  
Bile Duct ◽  
Confidence Interval ◽  
Endoscopic Retrograde Cholangiopancreatography ◽  
Odds Ratio ◽  
Biliary Stricture ◽  
Endoscopic Retrograde ◽  
Biliary Cannulation ◽  
Malignant Biliary Stricture ◽  
Cannulation Success Rate

Background. Several previous studies assessed the competence in endoscopic retrograde cholangiopancreatography (ERCP) using the bile duct cannulation success rate. However, the cannulation time is also important, because a long cannulation time was reported to be a risk factor for post-ERCP pancreatitis. Aim. To determine the number of ERCP procedures required for short cannulation time of the bile duct. Methods. We retrospectively analyzed 605 ERCP procedures performed for bile duct cannulation in patients with native papilla at our institution between March 2012 and December 2015. The successful procedures were divided into 2 groups: group L and group S (cannulation time>15 minutes and ≤15 minutes, resp.). An analysis of the relationship among the biliary cannulation time, ERCP experience, and other factors was then conducted. Results. Multivariate analysis showed that the ERCP experience of ≤300 procedures (odds ratio, 2.080; 95% confidence interval, 1.337–3.142; P=0.001) and malignant biliary stricture due to pancreatic cancer (odds ratio, 1.912; 95% confidence interval, 1.072–3.412; P=0.028) were found to be significantly associated with a cannulation time of >15 minutes. Conclusions. Our findings suggested that an ERCP experience of ≤300 procedures and malignant biliary stricture due to pancreatic cancer were associated with prolonged biliary cannulation time.

A novel, stiff-shaft, flexible-tip guidewire for cannulation of biliary stricture during endoscopic retrograde cholangiopancreatography: a randomized trial

Endoscopy ◽  
2015 ◽  
Vol 46 (10) ◽  
pp. c1-c1
Author(s):  
Jörg Albert ◽  
Katja Lucas ◽  
Natalie Filmann ◽  
Eva Herrmann ◽  
Oliver Schröder ◽  
...  
Keyword(s):  
Randomized Trial ◽  
Endoscopic Retrograde Cholangiopancreatography ◽  
Biliary Stricture ◽  
Endoscopic Retrograde

scholarly journals Physical therapy in infants and preschool children with burns: retrospective descriptive study

2020 ◽  
pp. 1-7
Author(s):  
Mikelini Ayumi Takino ◽  
Edna Yukimi Itakussu ◽  
Celita Salmaso Trelha ◽  
Paola Janeiro Valenciano ◽  
Dirce Shizuko Fujisawa
Keyword(s):  
Physical Therapy ◽  
Medical Records ◽  
Pediatric Patients ◽  
Descriptive Study ◽  
University Hospital ◽  
Burn Treatment ◽  
Convenience Sample ◽  
Traumatic Injuries ◽  
Breathing Techniques ◽  
Therapy Sessions

Introduction: Burns are traumatic injuries that occur due to external events, and particularities of pediatric patients make it more serious condition. Physical therapy is essential to the recovery of children victims of burns and it should be started early during hospitalization. Objective: Define initial and final physical therapy care in children victims of burns, during the period of hospitalization, in a Burn Treatment Centers (BTC). Methods: Retrospective and descriptive study by means of gathering information in medical records of children victims of burns, convenience sample, consisted of patients in the 0-6 age group, that were interned in BTC of University Hospital/ UEL, from January 2011 to February 2014. Results: Data from 102 medical records were collected, physical therapy was realized in 94 (92.1%) cases, being respiratory physical therapy, placements, motor physical therapy, orthosis indication and orientation. In the first, second, last but one and last sessions, the most used breathing techniques were clearence maneuvers; the general placements was the most used; during motor physical therapy, the gait /walking and orientation were used with more frequency in last assistance. Conclusion: The initial physical therapy emphasizes the clearence maneuvers for prevention and treatment of respiratory complications that threaten the survival of the patient. The activities focused on functionality were adressed throughout the hospital stay, especially in the final stage. The physical therapy sessions progressed from passive techniques to active, according to the evolution of patients

Perianal Abscesses and Fistulas in Infants and Children

2020 ◽  
Vol 30 (05) ◽  
pp. 386-390
Author(s):  
Jan-Hendrik Gosemann ◽  
Martin Lacher
Keyword(s):  
Pediatric Patients ◽  
Clinical Presentation ◽  
Perianal Abscess ◽  
Current Evidence ◽  
Surgical Approaches ◽  
Older Children ◽  
Fistula In Ano ◽  
Inflammatory Bowel ◽  
In Infants And Children ◽  
Rule Out

AbstractPerianal abscess (PA) and fistula-in-ano (FIA) are common entities in infancy. Although several hypotheses have been suggested, the pathogenesis of PA/FIA remains elusive. The natural course of these diseases in infancy is self-limiting in the majority of cases whereas older children show similarities to PA/FIA in adults. It is important to rule out rare differential diagnoses of PA/FIA such as inflammatory bowel disease (IBD), surgical complications after colorectal surgery, and immunodeficiencies. Treatment remains empiric, comprises conservative, as well as surgical approaches, and is dependent on the age of the patient. This review summarizes anatomical aspects, current evidence on disease pathogenesis, clinical presentation, and management of pediatric patients with PA and FIA.

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