Çocuklarda endoskopik retrograd kolanjiopankreatografi: Tek merkez deneyimi

dc.contributor.authorOnat, Pınar Şimşek
dc.contributor.authorDemirtaş, Duygu
dc.contributor.authorGülşen, Hayriye Hızarcıoğlu
dc.contributor.authorGümüş, Ersin
dc.contributor.authorTemizel, İnci Nur Saltık
dc.contributor.authorÖzen, Hasan
dc.contributor.authorDemir, Hülya
dc.contributor.authorParlak, Erkan
dc.date.accessioned2022-07-22T12:03:55Z
dc.date.available2022-07-22T12:03:55Z
dc.date.issued2021-09-28
dc.description.abstractGiriş: Endoskopik retrograde kolanjiopankreatografi (ERCP) endoskopi ile fluoroskopiyi birlikte kullanan pankreas ve safra yolları hastalıklarında tanı ve tedavi imkanı sağlayan işlemdir. Gereç ve Yöntem: Hacettepe Üniversitesi Tıp Fakültesi Gastroenteroloji Endoskopi Ünitesinde Kasım 2017 - Nisan 2020’de ERCP yapılan 46 çocuk hastanın verileri retrospektif incelendi. Bulgular: Yirmi üç hastada biliyer, 23’ünde pankreatik endikasyonla olmak üzere 46 hastaya (29 K, %63,04) toplam 77 (1-5) ERCP işlemi yapıldı. Yaş ortalaması 10,3±4,07 (2,08 -17) yıldı. En küçük hasta 12,6 kg idi. ERCP endikasyonları; 16 hastada koledok taşı şüphesi (%34,8), 9 hastada kronik pankreatit (KP) ve ağrı (%19,6), 8 hastada rekürren akut pankreatit atakları (RAP, %8,7), 4 hastada KP ve RAP (%8,7), 3 hastada karaciğer nakli ve kolestaz (%6,5), 2 hastada benign biliyer darlık (BBD) (%4,3) ve 1 hastada sarılık nedeniyle hastalık ekartasyonu için (%2,2), 1 hastada profilaktik pankreatik stent uygulanması (%2,2), 1 hastada safra yolu ile ilişkili kist hidatik (%2,2) ve 1 hastada pankreas fistülü (%2,2) idi. ERCP’de, 14 (%30,4) KP, 7 (%15.2) koledok kisti, 11 (%23,9) koledok taşı, 4 (%8,7) Oddi sfinkter disfonksiyonu, 3 (%6,5) BBD, 3 (%6,5) anastomoz darlığı, 1 (%2,2) pankreas fistülü, 1 (%2,2) safra yolu ile ilişkili kist hidatik tanıları konuldu. Hastaların 6’sında (%13) anormal pankreatikobiliyer bileşke ve 5’inde (%10.9) pankreas divisium tespit edildi. Hastaların 37’sine (%80,4) endoskopik sfinkterotomi, 10’una (%21,7) dilatasyon yapıldı. 22’sinden (%47,8) taş çıkarıldı ve 27’sine (%58,6) stent takıldı. Pankreatit, kanama, perforasyon gibi major komplikasyon olmadı. Sonuç: Pediyatrik yaş grubunda ERCP’nin deneyimli kişiler tarafından yapıldığı taktirde çocuklarda oldukça güvenilir, etkili bir tanı ve tedavi yöntemidir.tr_TR
dc.description.abstractIntroduction: Endoscopic retrograde cholangiopancreatography (ERCP) is a procedure that uses endoscopy and fluroscopy together to provide diagnosis and treatment in pancreatic and biliary tract diseases. Materials and Methods: The data of 46 pediatric patients who underwent ERCP between November 2017 - April 2020 at Hacettepe University Gastroenterology Endoscopy Unit were retrospectively analyzed. Results: A total of 77 (1-5) ERCP procedures were performed in 46 patients (29 F, 63.04%), 23 with biliary and 23 with pancreatic indications. The mean age was 10.3±4.07 (2.08 -17) years. The smallest patient was 12.6 kg. ERCP indications; suspicion of common bile duct stones in 16 patients (34.8%), chronic pancreatitis (CP) and pain in 9 patients (19.6%), recurrent acute pancreatitis attacks in 8 patients (RAP, 8.7%), CP and RAP in 4 patients (%) 8.7), liver transplantation and cholestasis in 3 patients (6.5%), benign biliary stenosis (BBS) in 2 patients (4.3%) and 1 patient for excluding the disease due to jaundice (2.2%), prophylactic treatment in 1 patient pancreatic stenting (2.2%), biliary tract-related hydatid cyst (2.2%) in 1 patient and pancreatic fistula in 1 patient (2.2%). In ERCP, 14 (30.4%) CP, 7 (15.2%) choledochal cysts, 11 (23.9%) common choledochal stones, 4 (8.7%) sphincter dysfunction of Oddi, 3 (6.5%) BBS, 3 (6.5%) anastomotic stenosis, 1 (2.2%) pancreatic fistula, 1 (2.2%) biliary tract-related hydatid cyst were diagnosed. Abnormal pancreaticobiliary junction was detected in 6 (13%) patients and pancreatic divisium was detected in 5 (10.9%) patients. Endoscopic sphincterotomy was performed in 37 (80.4%) patients, and dilatation was performed in 10 (21.7%) patients. Stones were removed in 22 (47.8%) and stent was placed on 27 (58.6%). There were no major complications such as pancreatitis, bleeding or perforation. Conclusion: If ERCP is performed by experienced people in the pediatric age group, it is a very reliable and effective diagnosis and treatment method in children.en_US
dc.identifier.citationOnat, P. Ş. vd. (2021). "Çocuklarda endoskopik retrograd kolanjiopankreatografi: Tek merkez deneyimi". Güncel Pediatri Dergisi, 19(3), 373-378.tr_TR
dc.identifier.endpage378tr_TR
dc.identifier.issn1304-9054
dc.identifier.issn1308-6308
dc.identifier.issue3tr_TR
dc.identifier.startpage373tr_TR
dc.identifier.urihttps://doi.org/10.4274/jcp.2021.94803
dc.identifier.urihttps://cms.guncelpediatri.com/Uploads/Article_50589/G%C3%BCncel%20Pediatri-19-373.pdf
dc.identifier.urihttp://hdl.handle.net/11452/27985
dc.identifier.volume19tr_TR
dc.indexed.scopusScopusen_US
dc.indexed.wosESCIen_US
dc.language.isotrtr_TR
dc.publisherGalenos Yayıncılıktr_TR
dc.relation.journalGüncel Pediatri / The Journal of Current Pediatricstr_TR
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergitr_TR
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectERCPtr_TR
dc.subjectKronik pankreatittr_TR
dc.subjectKoledok kistitr_TR
dc.subjectKoledok taşıtr_TR
dc.subjectChronic pancreatitisen_US
dc.subjectCholedochal cysten_US
dc.subjectCholedochal stoneen_US
dc.titleÇocuklarda endoskopik retrograd kolanjiopankreatografi: Tek merkez deneyimitr_TR
dc.title.alternativeEndoscopic retrograd colangiopancreatography in children: A single center experienceen_US
dc.typeArticleen_US

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