Role of Endoscopic Ultrasound in Pediatric Disease - 27/11/15

Doi : 10.1016/j.giec.2015.08.001

Arathi Lakhole, MD ^a, Quin Y. Liu, MD ^b,^⁎
^a Division of Gastroenterology, Hepatology and Nutrition, Children’s Hospital Los Angeles, 4650 Sunset Boulevard, Mailstop #78, Los Angeles, CA 90027, USA
^b Division of Gastroenterology, Hepatology, and Nutrition, Children’s Hospital Los Angeles, Keck School of Medicine of USC, 4650 Sunset Boulevard, Mailstop #78, Los Angeles, CA 90027, USA

^∗Corresponding author.

Résumé

The application of endoscopic ultrasound (EUS) in children is growing, with studies demonstrating a positive impact of EUS in the management of childhood diseases. EUS has shown to be useful in the evaluation and management of a spectrum of childhood diseases including pancreaticobiliary disease, congenital anomalies, submuocsal lesions, biliary stones disease, inflammatory bowel disease, and eosinophilic esophagitis. Its diagnostic capabilities with fine-needle aspiration and core-needle biopsy are shown to be technically successful, safe, and effective in several pediatric studies. Therapeutic EUS procedures include endoscopic cystgastrostomy, celiac plexus neurolysis, and biliary access. This article discusses the role of EUS for diagnostic and therapeutic purposes in pediatrics.

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Keywords : Pediatric endoscopic ultrasound, Fine-needle aspiration, Pancreatitis, Choledocholithiasis, Endoscopic cystgastrostomy, Autoimmune pancreatitis