Demirbaş Fatma, Kaymazlı Mustafa, Çaltepe Gönül, Abbasguliyev Hasan, Kalaycı Ayhan Gazi, Bektaş Ahmet
Department of Pediatric Gastroenterology, Hepatology and Nutrition, Ondokuz Mayıs University Faculty of Medicine, Samsun, Turkey.
Department of Gastroenterology, Ondokuz Mayıs University Faculty of Medicine, Samsun, Turkey.
Pediatr Gastroenterol Hepatol Nutr. 2021 Mar;24(2):164-172. doi: 10.5223/pghn.2021.24.2.164. Epub 2021 Mar 4.
The use of Endoscopic ultrasonography (EUS) in pediatric patients is not as common as in adults. The aim of this study is to evaluate the role of EUS in the diagnosis of pancreatobiliary disease in childhood.
Between December 2016 and January 2018, the findings of patients who underwent EUS were evaluated retrospectively.
Of the 41 patients included in the study 25 were girls (61.0%), mean age was 12.2±4.2 years. EUS was performed for biliary colic in 21 (51.2%), for recurrent pancreatitis in 12 (29.2%), for cholecystitis/cholangitis in 5 (12.2%), and for acute pancreatitis in 3 (7.4%) patients. EUS had a significant clinical effect in the decision of treatment and follow-up of 6/21 biliary colic cases, in diagnosis and follow-up of 6/12 recurrent pancreatitis cases, in decision-making and monitoring of invasive procedures (ERCP/surgery) of 3/5 acute cholecystitis/cholangitis and 2/3 of acute pancreatitis cases as well as in follow-up of the other cases. The effectiveness of EUS in determining direct treatment and invasive intervention was 43.9%. None of the patients had complications related to the EUS procedure.
Although current guidelines show that EUS can be used in pediatric patients, this is limited to a few published studies. In this study, it is shown that EUS is a safe method for the diagnosis, follow-up and treatment of common pancreatobiliary pathologies in childhood.
内镜超声检查（EUS）在儿科患者中的应用不如在成人中常见。本研究的目的是评估EUS在儿童胰胆疾病诊断中的作用。
回顾性评估2016年12月至2018年1月期间接受EUS检查的患者的检查结果。
本研究纳入的41例患者中，25例为女孩（61.0%），平均年龄为12.2±4.2岁。进行EUS检查的原因包括：21例（51.2%）为胆绞痛，12例（29.2%）为复发性胰腺炎，5例（12.2%）为胆囊炎/胆管炎，3例（7.4%）为急性胰腺炎。EUS在以下方面具有显著临床效果：21例胆绞痛病例中有6例在治疗决策和随访中，12例复发性胰腺炎病例中有6例在诊断和随访中，5例急性胆囊炎/胆管炎中有3例以及3例急性胰腺炎中有2例在侵入性操作（内镜逆行胰胆管造影术/手术）的决策和监测中，以及在其他病例的随访中。EUS在确定直接治疗和侵入性干预方面的有效性为43.9%。所有患者均未出现与EUS检查相关的并发症。
尽管目前的指南表明EUS可用于儿科患者，但这仅限于少数已发表的研究。本研究表明，EUS是诊断、随访和治疗儿童常见胰胆疾病的一种安全方法。
