Over a twenty-year period, we performed 255 ERCP procedures in infants aged up to 1 year. ERCP was indicated in cholestatic infants with suspicion of biliary obstruction. The most common diagnosis was biliary atresia (48%), choledochal cysts (13%), and choledocholithiasis (4%). The procedure complication rate was 13.7%. Hyperamylasemia occurred in 12.9%. More severe complications were rare-0.8% of ERCP procedure. There were no cases of postprocedural pancreatitis or death. Our study has proved that ERCP is a safe and reliable method in this age group. Its high specificity and negative predictive value for extrahepatic biliary atresia can prevent unnecessary surgeries in patients with normal bile ducts or endoscopically treatable pathologies.
- MeSH
- Biliary Atresia diagnosis MeSH
- Endoscopic Ultrasound-Guided Fine Needle Aspiration methods instrumentation MeSH
- Cholangiopancreatography, Endoscopic Retrograde methods instrumentation MeSH
- Choledocholithiasis diagnostic imaging MeSH
- Cholestasis, Intrahepatic etiology therapy MeSH
- Humans MeSH
- Bile Duct Diseases * diagnostic imaging MeSH
- Check Tag
- Humans MeSH
