Roy Sumith, Gitter Rachel, Nguyen Jennifer, Huang Andrew, Huang Clifton
Department of Pediatric Gastroenterology, Cook Children's Health Care System, Fort Worth, TX, United States.
Department of Pediatrics (Pediatric Research Program), University of North Texas Health Science Center, Fort Worth, TX, United States.
Front Pediatr. 2025 Aug 18;13:1634232. doi: 10.3389/fped.2025.1634232. eCollection 2025.
A substantial body of research validates the application of endoscopic ultrasound in adults in the management of biliary and pancreatic conditions. There is limited data regarding its impact on children, although its use has steadily increased over the years. This study aims to assess long-term data on indications, efficacy and safety of endoscopic ultrasound in pediatric patients.
This ambispective registry data reflects a single-center experience of endoscopic ultrasound either as a stand-alone procedure, or in conjunction with guided interventions such as lumen-apposing metal stents or as a pre-assessment tool prior to other interventions such as endoscopic retrograde cholangiopancreatography, both of which were independently performed by a pediatric gastroenterologist.
A total of 294 EUS were performed in 216 patients (55.1% female, median age (IQR) 15 [11.9-16.9] years). Technical success was 100% and no complications were associated with EUS.
This robust dataset adds to the emerging evidence of EUS performed with a high technical success rate coupled with low risk for adverse events.
大量研究证实了内镜超声在成人胆道和胰腺疾病管理中的应用。尽管多年来其使用稳步增加，但关于其对儿童影响的数据有限。本研究旨在评估儿科患者内镜超声在适应证、疗效和安全性方面的长期数据。
这项双前瞻性注册数据反映了一家单中心内镜超声的经验，该操作既可以作为独立程序，也可以与诸如管腔贴附金属支架等引导性干预措施联合使用，或者作为诸如内镜逆行胰胆管造影等其他干预措施之前的预评估工具，这两种操作均由儿科胃肠病学家独立进行。
共对216例患者进行了294次内镜超声检查（女性占55.1%，中位年龄（四分位间距）15 [11.9 - 16.9]岁）。技术成功率为100%，且内镜超声检查未引发并发症。
这个丰富的数据集进一步证明了内镜超声技术成功率高且不良事件风险低这一不断涌现的证据。
