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ERCP-Related adverse events in pediatric patients: a 10-years single-site review

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Topic overview

A 10-year retrospective study of 113 ERCP procedures in 76 pediatric patients demonstrates the procedure's safety and feasibility in children over 3 years old, with post-ERCP pancreatitis (14.2%) and abdominal pain (17.7%) being the most common adverse events. No severe complications like bleeding or perforation occurred, though patients requiring repeat ERCP showed higher initial adverse event rates (57.7%).

Key takeaways

  • ERCP achieved 100% technical success in 76 pediatric patients (ages 3-17) with no bleeding, perforation, or cholangitis over 10 years.
  • Post-ERCP pancreatitis occurred in 14.2% of procedures, making it the most common serious adverse event in pediatric ERCP.
  • Post-ERCP abdominal pain affected 17.7% of cases, representing the most frequent overall complication in this pediatric cohort.
  • Children requiring repeat ERCP had 57.7% adverse event rate at initial procedure, significantly higher than the 14.2% overall average.
  • ERCP is safe and feasible in children over 3 years old when performed at experienced centers with active post-procedure monitoring.

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How to cite: GlobalCastMD. ERCP-Related adverse events in pediatric patients: a 10-years single-site review. GlobalCastMD Medical Library. 2024-07-17. https://dev.library.globalcastmd.com/article/8888?via_space=staycurrentmd

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