{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T12:46:20Z","timestamp":1791549980435,"version":"4.3.4"},"reference-count":31,"publisher":"Georg Thieme Verlag KG","issue":"06","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Endoscopy"],"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:p>Introduction The aims of this retrospective multicenter study were to assess the technical success and adverse events of endoscopic retrograde cholangiopancreatography (ERCP) procedures in children in French and Belgian centers.<\/jats:p>\n                  <jats:p>Methods All children aged 1 day to 17 years who underwent ERCP between January 2008 and March 2019 in 15 tertiary care hospitals were retrospectively included.<\/jats:p>\n                  <jats:p>Results 271 children underwent 470 ERCP procedures. Clinical long-term follow-up was available for 72\u200a% of our patients (340\/470 procedures). The median age at intervention was 10.9 years. ERCP was therapeutic in 90\u200a% (423\/470) and diagnostic in cases of neonatal cholestasis in 10\u200a% of the patients. The most common biliary indication was choledocholithiasis; the most common pancreatic indication was chronic pancreatitis. Biliary cannulation was successful in 92\u200a% of cases (270\/294); pancreatic cannulation in 96\u200a% of cases (169\/176); and planned therapeutic procedures in 92\u200a% of cases (388\/423). The overall complication rate was 19\u200a% (65\/340). The most common complication was post-ERCP pancreatitis (PEP) in 12\u200a% of cases (40\/340) and sepsis in 5\u200a% (18\/340). On univariate analyses, pancreatic stent removal was protective against PEP (odds ratio [OR] 0.1, 95\u200a% confidence interval [CI] 0.01\u200a\u2013\u200a0.75; P\u200a=\u200a0.03), and sepsis was associated with history of liver transplantation (OR 7.27, 95\u200a%CI 1.7\u200a\u2013\u200a31.05; P\u200a=\u200a0.01). Five patients had post-ERCP hemorrhage and two had intestinal perforation. All complications were managed with supportive medical care. There was no procedure-related mortality.<\/jats:p>\n                  <jats:p>Conclusion Our cohort demonstrates that ERCP can be performed safely with high success rates in many pancreaticobiliary diseases of children. The rate of adverse events was similar to that in previous reports.<\/jats:p>","DOI":"10.1055\/a-1209-0155","type":"journal-article","created":{"date-parts":[[2020,6,29]],"date-time":"2020-06-29T18:48:37Z","timestamp":1593456517000},"page":"586-594","source":"Crossref","is-referenced-by-count":21,"title":["Safety of endoscopic retrograde cholangiopancreatography in the pediatric population: a multicenter study"],"prefix":"10.1055","volume":"53","author":[{"given":"Cl\u00e9mence","family":"Mercier","sequence":"additional","affiliation":[{"name":"Department of Pediatric Gastroenterology Hepatology and Nutrition, Children's Hospital of Nancy, Nancy, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mathieu","family":"Pioche","sequence":"additional","affiliation":[{"name":"Department of Endoscopy and Gastroenterology, H\u00f4pital Edouard Herriot, Lyon, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eliane","family":"Albuisson","sequence":"additional","affiliation":[{"name":"CHRU-Nancy, DRCI, D\u00e9partement MPI, Unit\u00e9 de M\u00e9thodologie, Data management et Statistique UMDS, Nancy, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thierry","family":"Ponchon","sequence":"additional","affiliation":[{"name":"Department of Endoscopy and Gastroenterology, H\u00f4pital Edouard Herriot, Lyon, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean-Michel","family":"Gonzalez","sequence":"additional","affiliation":[{"name":"Department of Digestive Endoscopy, Aix-Marseille Universit\u00e9, AP-HM, H\u00f4pital Nord, Marseille, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc","family":"Barthet","sequence":"additional","affiliation":[{"name":"Department of Digestive Endoscopy, Aix-Marseille Universit\u00e9, AP-HM, H\u00f4pital Nord, Marseille, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isabelle","family":"Boytchev","sequence":"additional","affiliation":[{"name":"Gastroenterology Department, Kremlin-Bic\u00eatre University Hospital, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Geoffroy","family":"Vanbiervliet","sequence":"additional","affiliation":[{"name":"Gastroenterology Department, University Hospital, Nice, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Clement","family":"Fortier Beaulieu","sequence":"additional","affiliation":[{"name":"Gastroenterology Department, University Hospital, Nice, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frederic","family":"Prat","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Cochin Hospital, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arthur","family":"Belle","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Cochin Hospital, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julien","family":"Branche","sequence":"additional","affiliation":[{"name":"Gastroenterology Department, Claude Huriez Hospital, Lille, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Phillipe","family":"Grandval","sequence":"additional","affiliation":[{"name":"Hepatogastroenterology Department, AP-HM, H\u00f4pital La Timone, Marseille, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean-Christophe","family":"Valats","sequence":"additional","affiliation":[{"name":"Department of Endoscopy and Gastroenterology, Lapeyronie Hospital, Montpellier, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Franz","family":"Rudler","sequence":"additional","affiliation":[{"name":"Department of Endoscopy and Gastroenterology, Lapeyronie Hospital, Montpellier, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timothee","family":"Wallenhorst","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, University Hospital of Rennes, Pontchaillou, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephane","family":"Koch","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, University Hospital of Besan\u00e7on, Besan\u00e7on, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aur\u00e9lie","family":"Comte","sequence":"additional","affiliation":[{"name":"Department of Pediatric Hepatology, Gastroenterology and Nutrition, CHU Besan\u00e7on, Besan\u00e7on, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicolas","family":"Williet","sequence":"additional","affiliation":[{"name":"Department of Hepato-gastro-enterology, University Hospital of Saint-Etienne, Saint-Etienne, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicolas","family":"Musquer","sequence":"additional","affiliation":[{"name":"Digestive Endoscopy Department, Nantes University Hospital, Nantes, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emmanuel","family":"Coron","sequence":"additional","affiliation":[{"name":"Digestive Endoscopy Department, Nantes University Hospital, Nantes, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aline","family":"Derosiere","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Amiens University Hospital, Universit\u00e9 de Picardie Jules Verne, Amiens, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean-Phillippe","family":"Le Mouel","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Amiens University Hospital, Universit\u00e9 de Picardie Jules Verne, Amiens, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marion","family":"Schaefer","sequence":"additional","affiliation":[{"name":"Department of Endoscopy and Hepatogastroenterology, Regional University Hospital of Nancy, Nancy, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caroline","family":"Chabot","sequence":"additional","affiliation":[{"name":"Department of Pediatric Gastroenterology Hepatology and Nutrition, Children's Hospital of Nancy, Nancy, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isabelle","family":"Scheers","sequence":"additional","affiliation":[{"name":"Department of Pediatric Gastroenterology and Hepatology, Cliniques Universitaires 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