Abstract
In recent years, endoscopic retrograde cholangiopancreatography (ERCP) has become the most effective diagnostic method for diseases of the pancreas and bile duct. However, the successful ERCP in children has been very scares. This report presents the ERCP performed in children. One was 6-year-old boy weighing 19kg. ERCP was sucessefully performed using JF-B2(Olympus Co.)under general anesthesia and both biliary and pancreatic ducts were clearly visualized. The diagnosis of congenital choledochal cyst was established. The other was 8-year-old girl weighing 22kg. k RCY was also performed using JF-B2 under general anesthesia and the established diagnesis of congenital choledochal cyst was made. It is considered that ERCP is the most valuable method for the diagnosis of congenital choledochal cyst. The abnormal confluence of the bile and the pancreatic ducts associated with this disease is clarifies by this method. The study of the abnormal connection of both ducts will be useful to solve the pathogenesis of congenital choledochal cyst and to determine the method of operation. An improvement of f iberendoscopy will make it possible to perform ERCP in the newborn infant. By this method, the differential diagnosis of congenital biliary atresia and hepatitis in infant, etc will be established endoscopically.
