Evaluation of the relationship between chronic pancreatitis and endoscopic ultrasonography in pediatric patients

Yıl 2020, Cilt: 28 Sayı: 2, 60 - 66, 30.08.2020

Fatma Demirbaş Mustafa Kaymazlı Gönül Dinler Çaltepe Esra Eren Ayhan Gazi  Kalaycı Ahmet Bektaş

https://doi.org/10.17940/endoskopi.670315

Öz

Data regarding the role of endoscopic
ultrasonography (EUS) in pediatric chronic/ recurrent pancreatitis (CP/RP) is limited. The aim
of this study is to evaluate the role of EUS in the diagnosis and clinical
observation of RP in childhood. Between September
2016 and September 2017 EUS findings of 17 patients with RP
and 20 patients in a control group were evaluated retrospectively, and the
findings were compared. The control group consisted of patients who underwent
EUS for cholecystolithiasis but had no pancreatitis. The most common EUS finding was ≥3 mm
hyperechoic strands in 15 (88.2%) of the patients. According to the Conventional criteria, 11
patients (64.7%) had pathological findings ≥3. No patient in this study
fulfilled the Rosemont criteria for the definitive diagnosis of CP. In the
comparison of the EUS findings of the pancreatitis cases to the control group,
hyperechoic strands
≥3mm in the
pancreatic parenchyma (p<0.001),
lobularity (p=0.004), duct dilatation (p= 0.009) and
hyperechoic duct margin (p<0.001)
were determined to have statistically significant differences. In this study, hyperechoic line is the most common EUS finding
of pancreatitis in childhood. The
threshold number of EUS criteria for the diagnosis of CP in pediatric patients
is unclear. However, in our opinion, the Conventional
criteria are more suitable than the Rosemont criteria
for the diagnosis of CP in childhood. Further studies are
needed in this field.

Anahtar Kelimeler

Child, Endoscopic ultrasonography

Pediatrik hastalarda kronik pankreatit ve endoskopik ultrasonografi arasındaki ilişkinin değerlendirilmesi

Öz

Pediatrik kronik / tekrarlayan pankreatitte (KP / TP) endoskopik ultrasonografinin (EUS) rolüne ilişkin veriler sınırlıdır. Bu çalışmanın amacı, çocukluk çağında RP'nin tanı ve klinik gözleminde EUS'nin rolünü değerlendirmektir. Eylül 2016 ve Eylül 2017 tarihleri arasında TP'li 17 hastanın ve kontrol grubundaki 20 hastanın EUS bulguları retrospektif olarak değerlendirildi ve bulgular karşılaştırıldı. Kontrol grubu kolestolitiyazis nedeniyle EUS uygulanan ancak pankreatiti olmayan hastalardan oluşmaktaydı. En sık EUS bulgusu hastaların 15'inde (% 88,2) ≥3 mm hiperekoik banttı. Konvansiyonel kriterlere göre 11 hastada (% 64,7) ≥3 patolojik bulgu bulundu. Hiçbir hasta, CP'nin kesin tanısı için Rosemont kriterlerini karşılamadı. Pankreatit olgularının EUS bulgularının kontrol grubuyla karşılaştırıldığında, ≥3 mm hiperekoik bantlar, lobülarite, kanal dilatasyonu ve hiperekoik kanal marjı istatistiksel olarak anlamlı düzeyde olduğu saptandı (p <0,001, p = 0,004, p = 0,009, p<0,001,sırasıyla). Bu çalışmada hiperekoik çizgi çocukluk çağında pankreatitin en sık EUS bulgusudur. Pediyatrik hastalarda CP tanısı için EUS kriterlerinin eşik sayısı belirsizdir. Bununla birlikte, bizim görüşümüze göre, konvansiyonel kriterler, çocuklukta KP tanısı için Rosemont kriterlerinden daha uygundur. Bu alanda daha fazla çalışmaya ihtiyaç vardır.

Anahtar Kelimeler

çocuk, Endoskopik ultrosonografi

Kaynakça

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