Raúl A. Brizuela Quintanilla
National Center of Minimal Access Surgery, Cuba
Title: Endoscopic treatment of biliopancreatic diseases in children. Analysis of 31 patients
Biography
Biography: Raúl A. Brizuela Quintanilla
Abstract
An observational, descriptive study of the records of 53 endoscopic retrograde cholangiopancreatography (ERCP) performed on 31 patients of paediatric age with suspected biliopancreatic disorders at the National Center for Minimal Access Surgery was performed over a period of 2 years and 7 months, from 11 February 2013 to 28 July 2015. Of the total, 8 patients (27%) were male, and 22 (73%) female; 14 (26%) were diagnostic and 39 (74%) therapeutic. The primary indication was to study pain with elevated enzymes in 27 (50%), and the main diagnosis was postoperative benign common bile duct-anastomosis stricture in 14 patients (26%), followed by 10 normal ERCP (19%). The intervention used was endoscopic sphincterotomy (16) for placement of prosthesis (7), followed in frequency by stone extraction (6). There were complications in 2 cases, one (2%) in 21 therapeutic procedures, and one (2%) at diagnosis. Mortality was zero. Our results show the high diagnostic usefulness and therapeutic success of ERCP with minimal risk and complications in paediatric patients.