Korean J Gastrointest Endosc > Volume 26(6); 2003 > Article
Korean Journal of Gastrointestinal Endoscopy 2003;26(6): 418-425.
소아 ERCP 34예의 임상적 고찰
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

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.
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.
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.
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;26:418⁣425)
Key Words: Endoscopic retrograde cholangiopancreatography (ERCP), Children, Pancreas, Pancreatitis, Biliary tract
주요어: 내시경적 역행성 담췌관조영술, 소아, 췌장, 담관, 췌장염
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