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Study highlights from November issue of GIE: Gastrointestinal Endoscopy
Date:11/23/2009

edge of EUS in children is limited. This is because of the relatively low incidence of pancreatobiliary and GI neoplasias, presumptive limitations in the size of EUS equipment and accessories, the need for general anesthesia, and the lack of highly trained and experienced endosonographers in pediatric patients. With the refinement of techniques and advances in endosonographic design, several case reports and studies found successful use of EUS in pediatric patients. The aim of this retrospective study was to describe clinical and demographic characteristics, indications, feasibility, safety, and impact of EUS in the pediatric patient population from two university hospitals.

All EUS procedures performed from September 2001 to September 2008 at Oregon Health & Science University, Portland, Oregon, and University of Utah School of Medicine, Salt Lake City, Utah were reviewed. Patients younger than 18 years of age were identified. All EUS procedures were performed by experienced endosonographers who independently performed more than 1,000 EUS procedures in adults. All procedures were performed in facilities specialized in the care of adult patients.

Over the seven-year period, 40 of 6,724 EUS procedures were performed on 38 patients younger than 18 years of age. The procedure was successful in all patients and no complications related to sedation, EUS or EUS-FNA were encountered. The study also found that standard adult EUS equipment and accessories could be used in all patients to successfully perform procedures in children three years of age or older. Disorders of the pancreatobiliary system were the primary indication in the majority of the study cases (62.5 percent), which is in keeping with previous studies.

Researchers concluded that EUS and EUS-FNA are feasible and safe and have a significant impact on the management of pediatric GI, pancreatobiliary, and mediastinal (area of the chest between the lungs) diseases. EUS allows the phys
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Contact: Anne Brownsey
abrownsey@asge.org
630-570-5635
American Society for Gastrointestinal Endoscopy
Source:Eurekalert

Page: 1 2 3 4 5

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