Pediatric ERCP in the Setting of Acute Pancreatitis: A Secondary Analysis of an International Multicenter Cohort Study

Carolena Trocchia; Racha Khalaf; Ernest Amankwah; Wenly Ruan; Douglas S. Fishman; Bradley A. Barth; Quin Y. Liu; Matthew Giefer; Kyung Mo Kim; Mercedes Martinez; Luigi Dall'oglio; Filippo Torroni; Paola De Angelis; Simona Faraci; Sam Bitton; Steven L. Werlin; Kulwinder Dua; Roberto Gugig; Clifton Huang; Petar Mamula; J. Antonio Quiros; Yuhua Zheng; Travis Piester; Amit Grover; Victor L. Fox; Michael Wilsey; David M. Troendle

doi:10.1097/MPG.0000000000003762

Pediatric ERCP in the Setting of Acute Pancreatitis: A Secondary Analysis of an International Multicenter Cohort Study

Carolena Trocchia, Racha Khalaf, Ernest Amankwah, Wenly Ruan, Douglas S. Fishman, Bradley A. Barth, Quin Y. Liu, Matthew Giefer, Kyung Mo Kim, Mercedes Martinez, Luigi Dall'oglio, Filippo Torroni, Paola De Angelis, Simona Faraci, Sam Bitton, Steven L. Werlin, Kulwinder Dua, Roberto Gugig, Clifton Huang, Petar MamulaJ. Antonio Quiros, Yuhua Zheng, Travis Piester, Amit Grover, Victor L. Fox, Michael Wilsey, David M. Troendle

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

Abstract

Previous studies have demonstrated the safety of performing endoscopic retrograde cholangiopancreatography (ERCP) in the pediatric population; however, few have addressed the outcomes of children undergoing ERCP during acute pancreatitis (AP). We hypothesize that ERCP performed in the setting of AP can be executed with similar technical success and adverse event profiles to those in pediatric patients without pancreatitis. Using the Pediatric ERCP Database Initiative, a multi-national and multi-institutional prospectively collected dataset, we analyzed 1124 ERCPs. One hundred and ninety-four (17%) of these procedures were performed in the setting of AP. There were no difference in the procedure success rate, procedure time, cannulation time, fluoroscopy time, or American Society of Anesthesiology class despite patients with AP having higher American Society of Gastrointestinal Endoscopy grading difficulty scores. This study suggests that ERCP can be safely and efficiently performed in pediatric patients with AP when appropriately indicated.

Original language	English (US)
Pages (from-to)	817-821
Number of pages	5
Journal	Journal of pediatric gastroenterology and nutrition
Volume	76
Issue number	6
DOIs	https://doi.org/10.1097/MPG.0000000000003762
State	Published - Jun 1 2023

Keywords

acute pancreatitis
endoscopic retrograde cholangiopancreatography
outcomes
procedure success
safety

ASJC Scopus subject areas

Pediatrics, Perinatology, and Child Health
Gastroenterology

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10.1097/MPG.0000000000003762

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Trocchia, C., Khalaf, R., Amankwah, E., Ruan, W., Fishman, D. S., Barth, B. A., Liu, Q. Y., Giefer, M., Kim, K. M., Martinez, M., Dall'oglio, L., Torroni, F., De Angelis, P., Faraci, S., Bitton, S., Werlin, S. L., Dua, K., Gugig, R., Huang, C., ... Troendle, D. M. (2023). Pediatric ERCP in the Setting of Acute Pancreatitis: A Secondary Analysis of an International Multicenter Cohort Study. Journal of pediatric gastroenterology and nutrition, 76(6), 817-821. https://doi.org/10.1097/MPG.0000000000003762

Trocchia, C, Khalaf, R, Amankwah, E, Ruan, W, Fishman, DS, Barth, BA, Liu, QY, Giefer, M, Kim, KM, Martinez, M, Dall'oglio, L, Torroni, F, De Angelis, P, Faraci, S, Bitton, S, Werlin, SL, Dua, K, Gugig, R, Huang, C, Mamula, P, Antonio Quiros, J, Zheng, Y, Piester, T, Grover, A, Fox, VL, Wilsey, M & Troendle, DM 2023, 'Pediatric ERCP in the Setting of Acute Pancreatitis: A Secondary Analysis of an International Multicenter Cohort Study', Journal of pediatric gastroenterology and nutrition, vol. 76, no. 6, pp. 817-821. https://doi.org/10.1097/MPG.0000000000003762

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abstract = "Previous studies have demonstrated the safety of performing endoscopic retrograde cholangiopancreatography (ERCP) in the pediatric population; however, few have addressed the outcomes of children undergoing ERCP during acute pancreatitis (AP). We hypothesize that ERCP performed in the setting of AP can be executed with similar technical success and adverse event profiles to those in pediatric patients without pancreatitis. Using the Pediatric ERCP Database Initiative, a multi-national and multi-institutional prospectively collected dataset, we analyzed 1124 ERCPs. One hundred and ninety-four (17%) of these procedures were performed in the setting of AP. There were no difference in the procedure success rate, procedure time, cannulation time, fluoroscopy time, or American Society of Anesthesiology class despite patients with AP having higher American Society of Gastrointestinal Endoscopy grading difficulty scores. This study suggests that ERCP can be safely and efficiently performed in pediatric patients with AP when appropriately indicated.",

keywords = "acute pancreatitis, endoscopic retrograde cholangiopancreatography, outcomes, procedure success, safety",

author = "Carolena Trocchia and Racha Khalaf and Ernest Amankwah and Wenly Ruan and Fishman, {Douglas S.} and Barth, {Bradley A.} and Liu, {Quin Y.} and Matthew Giefer and Kim, {Kyung Mo} and Mercedes Martinez and Luigi Dall'oglio and Filippo Torroni and {De Angelis}, Paola and Simona Faraci and Sam Bitton and Werlin, {Steven L.} and Kulwinder Dua and Roberto Gugig and Clifton Huang and Petar Mamula and {Antonio Quiros}, J. and Yuhua Zheng and Travis Piester and Amit Grover and Fox, {Victor L.} and Michael Wilsey and Troendle, {David M.}",

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doi = "10.1097/MPG.0000000000003762",

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T2 - A Secondary Analysis of an International Multicenter Cohort Study

AU - Trocchia, Carolena

AU - Khalaf, Racha

AU - Amankwah, Ernest

AU - Ruan, Wenly

AU - Fishman, Douglas S.

AU - Barth, Bradley A.

AU - Liu, Quin Y.

AU - Giefer, Matthew

AU - Kim, Kyung Mo

AU - Martinez, Mercedes

AU - Dall'oglio, Luigi

AU - Torroni, Filippo

AU - De Angelis, Paola

AU - Faraci, Simona

AU - Bitton, Sam

AU - Werlin, Steven L.

AU - Dua, Kulwinder

AU - Gugig, Roberto

AU - Huang, Clifton

AU - Mamula, Petar

AU - Antonio Quiros, J.

AU - Zheng, Yuhua

AU - Piester, Travis

AU - Grover, Amit

AU - Fox, Victor L.

AU - Wilsey, Michael

AU - Troendle, David M.

PY - 2023/6/1

Y1 - 2023/6/1

N2 - Previous studies have demonstrated the safety of performing endoscopic retrograde cholangiopancreatography (ERCP) in the pediatric population; however, few have addressed the outcomes of children undergoing ERCP during acute pancreatitis (AP). We hypothesize that ERCP performed in the setting of AP can be executed with similar technical success and adverse event profiles to those in pediatric patients without pancreatitis. Using the Pediatric ERCP Database Initiative, a multi-national and multi-institutional prospectively collected dataset, we analyzed 1124 ERCPs. One hundred and ninety-four (17%) of these procedures were performed in the setting of AP. There were no difference in the procedure success rate, procedure time, cannulation time, fluoroscopy time, or American Society of Anesthesiology class despite patients with AP having higher American Society of Gastrointestinal Endoscopy grading difficulty scores. This study suggests that ERCP can be safely and efficiently performed in pediatric patients with AP when appropriately indicated.

AB - Previous studies have demonstrated the safety of performing endoscopic retrograde cholangiopancreatography (ERCP) in the pediatric population; however, few have addressed the outcomes of children undergoing ERCP during acute pancreatitis (AP). We hypothesize that ERCP performed in the setting of AP can be executed with similar technical success and adverse event profiles to those in pediatric patients without pancreatitis. Using the Pediatric ERCP Database Initiative, a multi-national and multi-institutional prospectively collected dataset, we analyzed 1124 ERCPs. One hundred and ninety-four (17%) of these procedures were performed in the setting of AP. There were no difference in the procedure success rate, procedure time, cannulation time, fluoroscopy time, or American Society of Anesthesiology class despite patients with AP having higher American Society of Gastrointestinal Endoscopy grading difficulty scores. This study suggests that ERCP can be safely and efficiently performed in pediatric patients with AP when appropriately indicated.

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KW - endoscopic retrograde cholangiopancreatography

KW - outcomes

KW - procedure success

KW - safety

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Pediatric ERCP in the Setting of Acute Pancreatitis: A Secondary Analysis of an International Multicenter Cohort Study

Abstract

Keywords

ASJC Scopus subject areas

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