Richieri J P, Chapoy P, Bertolino J G, Salducci J, Grimaud J C
Clinique Résidence du Parc, Marseille.
Gastroenterol Clin Biol. 1994;18(1):21-5.
Nineteen children and adolescents, mean age 9.6 +/- 1.2 years, underwent endoscopic retrograde cholangiopancreatography (ERCP). Indications for ERCP were cholestasis in 11 cases, suspected pancreatic disease or trauma in 8 cases. Equipment and technique used for papilla catheterisation were similar to those routinely used in adults. Bile duct or pancreatic opacification were successfully obtained in all cases. Transient acute pancreatitis following the procedure was observed in one patient, and resolved spontaneously. ERCP confirmed diagnosis suspected after ultrasound study and abdominal CT scan in 9 patients. In the remaining 10 cases, diagnosis was only made by ERCP. Twelve patients were operated based on ERCP results. We conclude that ERCP is rarely performed in children, but remains as useful as in adults in biliary and pancreatic examination.
19名儿童和青少年接受了内镜逆行胰胆管造影术（ERCP），平均年龄为9.6±1.2岁。ERCP的适应证为11例胆汁淤积、8例疑似胰腺疾病或创伤。乳头插管所用设备和技术与成人常规使用的相似。所有病例均成功获得胆管或胰管显影。1例患者术后出现短暂性急性胰腺炎，后自行缓解。9例患者ERCP证实了超声检查和腹部CT扫描后怀疑的诊断。其余10例仅通过ERCP确诊。12例患者根据ERCP结果接受了手术。我们得出结论，ERCP在儿童中很少进行，但在胆道和胰腺检查中与成人一样有用。
