EUS in pediatric patients

Tan Attila, Douglas G. Adler, Kristen Hilden, Douglas Orrick Faigel

Research output: Contribution to journalArticle

54 Citations (Scopus)

Abstract

Background: The knowledge of EUS use in children is limited. Objective: We investigated the indications, feasibility, safety, and clinical utility of EUS in the management of pediatric GI, pancreatobiliary, and mediastinal diseases. Design: Retrospective study. Setting: Two tertiary referral university hospitals. Patients: Consecutive children age younger than 18 years referred over a 7-year period for EUS evaluation. Results: Forty EUS scans were performed in 38 children with a mean age of 13.5 years. The indications for pancreatobiliary endosonography were pancreatitis (n = 10), solid pancreatic mass (n = 7), cystic pancreatic mass (n = 1), cyst in the setting of chronic pancreatitis (n = 1), suspected annular pancreas (n = 1), celiac plexus block (n = 1), suspected common bile duct stone (n = 1), abdominal pain and atrophic pancreas (n = 1), ampullary adenoma (n = 1), and abnormal MRCP in a patient with jaundice (n = 1). The indications for gastric EUS were mucosal lesions (n = 2) and subepithelial lesions (n = 4). The indications for mediastinal endosonography were mediastinal masses/lymph nodes (n = 5). The remaining evaluations were performed for esophageal stricture (n = 1), unexplained abdominal pain (n = 1), unexplained abdominal pain with celiac axis block (n = 1), and perirectal fluid collection (n = 1). EUS-guided FNA (EUS-FNA) was performed in 12 (30%) cases and established the correct diagnosis in 9 (75%). EUS-guided fine-needle injections for celiac axis block were performed in 2 (5%) cases. The procedure was successful in all patients, and no complications related to sedation, EUS, or EUS-FNA were encountered. Limitation: Retrospective study. Conclusion: EUS and EUS-FNA are feasible and safe and have a significant impact on the management of pediatric GI, pancreatobiliary, and mediastinal diseases.

Original languageEnglish (US)
Pages (from-to)892-898
Number of pages7
JournalGastrointestinal Endoscopy
Volume70
Issue number5
DOIs
StatePublished - Nov 2009
Externally publishedYes

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Endoscopic Ultrasound-Guided Fine Needle Aspiration
Mediastinal Diseases
Abdominal Pain
Endosonography
Pediatrics
Abdomen
Retrospective Studies
Celiac Plexus
Esophageal Stenosis
Chronic Pancreatitis
Common Bile Duct
Jaundice
Tertiary Care Centers
Pancreatitis
Adenoma
Needles
Cysts
Pancreas
Stomach
Lymph Nodes

ASJC Scopus subject areas

  • Gastroenterology
  • Radiology Nuclear Medicine and imaging

Cite this

EUS in pediatric patients. / Attila, Tan; Adler, Douglas G.; Hilden, Kristen; Faigel, Douglas Orrick.

In: Gastrointestinal Endoscopy, Vol. 70, No. 5, 11.2009, p. 892-898.

Research output: Contribution to journalArticle

Attila, T, Adler, DG, Hilden, K & Faigel, DO 2009, 'EUS in pediatric patients', Gastrointestinal Endoscopy, vol. 70, no. 5, pp. 892-898. https://doi.org/10.1016/j.gie.2009.04.012
Attila, Tan ; Adler, Douglas G. ; Hilden, Kristen ; Faigel, Douglas Orrick. / EUS in pediatric patients. In: Gastrointestinal Endoscopy. 2009 ; Vol. 70, No. 5. pp. 892-898.
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