Brief Article
Copyright ©2010 Baishideng.
World J Gastroenterol. Jan 28, 2010; 16(4): 490-495
Published online Jan 28, 2010. doi: 10.3748/wjg.v16.i4.490
Table 1 Indications for ERCP in 122 children n (%)
IndicationsNo. of patientsNo. of procedures
Biliary indication78 (64.0)103 (42.0)
Choledochal cyst40 (32.8)60 (24.5)
Choledocholithiasis24 (19.7)27 (11.0)
Suspected sclerosing cholangitis8 (6.6)8 (3.3)
Trauma2 (1.6)4 (1.6)
Biliary complication after liver transplantation2 (1.6)2 (0.8)
Biliary stenosis after operation1 (0.8)1 (0.4)
Biliary atresia1 (0.8)1 (0.4)
Pancreatic indication43 (35.2)141 (57.6)
Acute pancreatitis7 (5.7)10 (4.1)
Acute recurrent pancreatitis11 (19.7)23 (9.4)
Chronic pancreatitis20 (16.4)102 (41.6)
Pancreatic mass2 (1.6)2 (0.8)
Trauma3 (2.4)4 (1.6)
Chronic abdominal pain1 (0.8)1 (0.4)
Total122245
Table 2 Diagnostic findings in 78 patients with biliary indications
Diagnosis (number of patients)ERCP findings
Bile duct stoneCBD dilatationCBD strictureSCBile leakAUPBDNormalFailure
Choledochal cyst (n = 40)30389251
Choledocholithiasis (n = 24)241946
Suspected SC (n = 8)44
Trauma (n = 2)11
Biliary complication after liver transplantation (n = 2)11
Biliary stenosis after operation (n = 1)11
Biliary atresia (n = 1)1
Table 3 Diagnostic findings in 43 patients with pancreatic indications
Diagnosis (number of patients)ERCP findings
PD dilat-ationPD sten-osisPancreati-colithPD anomalyAUPBDPancreas divisumTrans-section of pancreasOtherNormalFailure
Acute pancreatitis (n = 7)111 CBD stenosis4
Acute recurrent pancreatitis (n = 11)22223
Chronic pancreatitis (n = 20)161161181
Pancreatic mass (n = 2)11 SPPN
Trauma (n = 3)3
Table 4 Therapeutic procedures during 245 ERCPs
Type of endoscopic therapyNumber of procedures (% of 245 cases)
Endoscopic nasal drainage127 (51.8)
Biliary sphincterotomy93 (38.0)
Pancreatic sphincterotomy57 (23.3)
Stone extraction46 (18.8)
Stent insertion37 (15.1)
Balloon dilatation27 (11.0)
Endoscopic drainage of pseudocyst2 (0.8)
Table 5 Incidence of complications following 245 ERCPs
Type of complicationsNumber of episodes (% of 245 cases)
Pancreatitis16 (6.5)
Ileus23 (9.4)
Hemorrhage2 (0.8)
Perforation2 (0.8)
Sepsis1 (0.4)
Impacted basket1 (0.4)