Endoscopic retrograde cholangiopancreatography in the treatment of biliopancreatic diseases in pediatric patients

Authors

Keywords:

endoscopic retrograde cholangiopancreatography, extrahepatic cholestasis, sphincterotomy

Abstract

Introduction: Endoscopic retrograde cholangiopancreatography is an endoscopic procedure for the diagnosis and treatment of biliopancreatic diseases.

Objective: To determine the usefulness of endoscopic retrograde cholangiopancreatography in the treatment of biliopancreatic diseases in pediatric patients.

Methods: An observational descriptive study was conducted, including 111 endoscopic retrograde cholangiopancreatographies performed between January 2012 and December 2022 in 95 pediatric patients. The variables studied were age, sex, reason for the procedure, endoscopic and lithiasis diagnosis, therapeutic maneuvers, and complications. Measures of central tendency (mean) and dispersion (standard deviation, maximum and minimum values) were used to analyze the quantitative variables. Qualitative variables were described using absolute and relative frequencies.

Results: 80 (77%) therapeutic endoscopic retrograde cholangiopancreatographies were performed. Sphincterotomy was the most commonly used basic endoscopic technique (73; 91.2%). The cannulation rate was 98.9%, and the gallstone removal and obstructed duct drainage rates were 100%. The procedural complication rate was 8.1%. Competence and performance indicators were above reference values. There was no procedure-related mortality. Morbidity remained within the accepted range (8.1%).

Conclusions: Endoscopic retrograde cholangiopathography is useful for the treatment of biliopancreatic diseases in pediatric patients, and the team demonstrates a satisfactory level of performance in addressing these lesions.

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Author Biographies

Juan Yerandy Ramos Contreras, Hospital Militar Central “Dr. Luis Días Soto”. La Habana, Cuba.

Master's Degree in Minimally Invasive Surgery. Assistant Professor.

Ludmila Martínez Leyva, Hospital Militar Central “Dr. Carlos J. Finlay”. La Habana, Cuba.

Dra. en Ciencias Médicas. Especialista de II grado en Gastroenterología. Máster en procederes diagnósticos en atención primaria de salud. Máster en Cirugía de Mínimo Acceso. Profesor Titular. Investigador Titular. Jefe del Servicio de Gastroenterología del Hospital Militar Central “Dr. Carlos J. Finlay"

Raúl Antonio Brizuela Quintanilla, Hospital Militar Central “Dr. Luis Días Soto”. La Habana, Cuba.

Dr. en Ciencias Médicas. Especialista de segundo grado en Gastroenterología. Profesor Titular. Investigador Auxiliar

Ramón Villamil Martínez, Hospital Pediátrico "William Soler"

Cirujano Pediátrico. Presidente de la Sociedad Cubana de Cirugía Pediátrica y jefe del ´Servicio de Cirugía Hepatobiliar del Hospital "William Soler".

Rubiel Rosales Viera , Hospital Militar Central “Dr. Luis Días Soto”. La Habana, Cuba.

First-degree specialist in Gastroenterology

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Published

2025-10-20

How to Cite

1.
Ramos Contreras JY, Martínez Leyva L, Brizuela Quintanilla RA, Villamil Martínez R, Rosales Viera R. Endoscopic retrograde cholangiopancreatography in the treatment of biliopancreatic diseases in pediatric patients. Rev. cuba. med. mil [Internet]. 2025 Oct. 20 [cited 2025 Oct. 31];54(4):e025076791. Available from: https://revmedmilitar.sld.cu/index.php/mil/article/view/76791

Issue

Vol. 54 No. 4 (2025): October - December (In Progress)

Section

Clinical Practice Article

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Copyright (c) 2025 Juan Yerandy Ramos Contreras, Ludmila Martínez Leyva, Raúl Antonio Brizuela Quintanilla, Ramón Villamil Martínez, Rubiel Rosales Viera

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