PDF(Pubmed)
Abstract：
BACKGROUND: Endoscopic retrograde cholangiopancreatography (ERCP) has found extensive use in pediatric patients; however, challenges persist in the application of therapeutic ERCP in infants.
METHODS: This case report details the presentation of a 5.9-kilogram infant with obstructive jaundice and suspected hemolytic anemia who underwent ERCP to alleviate biliary obstruction. The infant was admitted due to clay-colored stools, jaundice, and liver injury. Ultrasound and magnetic resonance cholangiopancreatography (MRCP) revealed dilation of the common bile duct (CBD) accompanied by the presence of stones. ERCP was conducted using a JF-260V duodenoscope under general anesthesia. Successful stone extraction and biliary drainage were achieved.
CONCLUSIONS: In centers with considerable expertise in ERCP and pediatric anesthesia, the use of a conventional adult duodenoscope for therapeutic ERCP in infants can be considered safe and feasible, provided careful and stringent patient selection criteria are applied. In the future, clear guidelines and standardized protocols for the indications and procedures of pediatric ERCP should be established.
METHODS: This case report details the presentation of a 5.9-kilogram infant with obstructive jaundice and suspected hemolytic anemia who underwent ERCP to alleviate biliary obstruction. The infant was admitted due to clay-colored stools, jaundice, and liver injury. Ultrasound and magnetic resonance cholangiopancreatography (MRCP) revealed dilation of the common bile duct (CBD) accompanied by the presence of stones. ERCP was conducted using a JF-260V duodenoscope under general anesthesia. Successful stone extraction and biliary drainage were achieved.
CONCLUSIONS: In centers with considerable expertise in ERCP and pediatric anesthesia, the use of a conventional adult duodenoscope for therapeutic ERCP in infants can be considered safe and feasible, provided careful and stringent patient selection criteria are applied. In the future, clear guidelines and standardized protocols for the indications and procedures of pediatric ERCP should be established.
摘要：
背景：内镜逆行胰胆管造影术（ERCP）已在儿科患者中广泛使用；然而，治疗性ERCP在婴儿中的应用仍然存在挑战.
方法：本病例报告详细介绍了一名5.9公斤患有梗阻性黄疸和疑似溶血性贫血的婴儿，他接受了ERCP以减轻胆道梗阻。婴儿因泥色大便入院,黄疸,和肝损伤。超声和磁共振胰胆管造影（MRCP）显示胆总管（CBD）扩张并伴有结石。在全身麻醉下使用JF-260V十二指肠镜进行ERCP。成功取出结石和胆道引流。
结论：在ERCP和小儿麻醉方面具有相当专业知识的中心，使用常规成人十二指肠镜治疗婴儿ERCP是安全可行的,如果采用仔细和严格的患者选择标准。在未来,应针对儿科ERCP的适应证和操作制定明确的指南和标准化方案.
方法：本病例报告详细介绍了一名5.9公斤患有梗阻性黄疸和疑似溶血性贫血的婴儿，他接受了ERCP以减轻胆道梗阻。婴儿因泥色大便入院,黄疸,和肝损伤。超声和磁共振胰胆管造影（MRCP）显示胆总管（CBD）扩张并伴有结石。在全身麻醉下使用JF-260V十二指肠镜进行ERCP。成功取出结石和胆道引流。
结论：在ERCP和小儿麻醉方面具有相当专业知识的中心，使用常规成人十二指肠镜治疗婴儿ERCP是安全可行的,如果采用仔细和严格的患者选择标准。在未来,应针对儿科ERCP的适应证和操作制定明确的指南和标准化方案.
