| 소아 ERCP 34예의 임상적 고찰 |
| 정성희‡·김경모*·서동완·최보화*·윤종현†·윤지열·김정호·이성구·김명환·민영일 |
| 울산대학교 의과대학 서울아산병원 *소아과, †방사선과, 내과, ‡을지의과대학교 을지대학병원 내과 |
| Endoscopic Retrograde Cholangiopancreatography in Thirty-four Children |
| Sung Hee Jung, M.D.‡, Kyung Mo Kim, M.D.*, Dong Wan Seo, M.D., Bo Hwa Choi, M.D.*, Chong Hyun Yoon, M.D.†, Ji Yeol Yoon, M.D., Jung Ho Kim, M.D., Sung Koo Lee, M.D., Myung Hwan Kim, M.D. and Young Il Min, M.D. |
| Departments of *Pediatrics, †Diagnostic Radiology and Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea, ‡Department of Internal Medicine, Eulji Medical Center, Eulji University School of Medicine, Daejeon, Korea |
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| Abstract |
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Background/Aims:
Endoscopic retrograde cholangiopancreatography (ERCP) is being used with increasing frequency as a diagnostic and therapeutic tool in children with suspected disorders of the pancreaticobiliary tract. We reviewed ERCPs performed in children and investigated clinical indications and usefulness of ERCP.
Methods:
A total of 80 ERCPs were performed in 34 patients (age: 17 months∼15 yrs) at Asan Medical Center from 1994 to 2001. Adult side-viewing duodenoscope, Olympus JF or TJF, was used for all procedures. General anesthesia was used in 73% of the patients, whereas intravenous sedation was employed in the remainder.
Results:
Cannulation was successful in 77 attempts (96%). ERCP was commonly indicated for the evaluation of pancreatic disease (18 cases) such as acute pancreatitis (4), recurrent pancreatitis (4), chronic pancreatitis (9), and non-resolving acute pancreatitis (1). Biliary tract diseases (15 cases) were common bile duct stones (4), choledochal cyst (8), and traumatic or nontraumatic common bile duct stricture (3). Therapeutic ERCP (n=20) included sphincterotomy (55.9%), insertion of stents (12%), and removal of common bile duct stones or pancreatic duct stones with balloon or basket (32%). The complications were developed in 12 out of 80 attempts (15%) and resolved with medical management.
Conclusions:
ERCP seems to be a useful and relatively safe procedure in the evaluation of pancreaticobiliary disorders in children and also can be used for nonoperative treatment of these diseordrs. (Korean J Gastrointest Endosc 2003;26:418425) |
| Key Words:
Endoscopic retrograde cholangiopancreatography (ERCP), Children, Pancreas, Pancreatitis, Biliary tract |
| 주요어:
내시경적 역행성 담췌관조영술, 소아, 췌장, 담관, 췌장염 |
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