{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T00:39:32Z","timestamp":1789000772565,"version":"build-2803163510"},"reference-count":12,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T00:00:00Z","timestamp":1768348800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Pediatr."],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aimed to summarize the clinical experience of Endoscopic Retrograde Cholangiopancreatography (ERCP) in a pediatric population, analyzing the disease spectrum, procedural characteristics, and clinical outcomes to contribute to the understanding of its application in children.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study reviewed the clinical data of children who presented to our hospital and underwent ERCP and related procedures between January 2021 and December 2024. Collected data encompassed patient demographics, specific disease indications, detailed endoscopic techniques employed, procedural success rates, and the incidence and management of related complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The study cohort had a mean age of 8.31\u2009\u00b1\u20093.63 years. The primary indication for ERCP was pancreatic disease, accounting for 72% (134\/186) of procedures. These included chronic pancreatitis (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200975), pancreatic trauma (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200917), and acute pancreatitis with pseudocysts (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200917). Biliary diseases constituted 28% (52\/186), mainly choledocholithiasis (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200933) and pancreatobiliary maljunction (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20099). Commonly performed endoscopic interventions were pancreatic duct stent placement (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200995), biliary stent placement (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200950), and stone extraction from both ducts (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200970 and 33, respectively). The overall procedural success rate was 90.5% (171\/186). A significant difference was noted when stratified by operation time: procedures completed within 60\u2005min had a 96.7% (115\/119) success rate, compared to 80.0% (56\/70) for those lasting 60\u2005min or longer (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&amp;lt;\u20090.001). Post-procedure complications were recorded in 11 cases (5.9%), including post-pancreatitis (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20096), infection (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20094), and gastrointestinal bleeding (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20091).All complications were all resolved with conservative medical management.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study confirms that pancreatic diseases (accounting for 72%) are the main indication. Endoscopic Retrograde Cholangiopancreatography (ERCP) has a high success rate (90.5%) in the diagnosis and treatment of biliary and pancreatic diseases in children. However, prolonged procedure time (&amp;gt;60\u2005min) significantly reduces the success rate.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fped.2025.1722929","type":"journal-article","created":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T06:30:24Z","timestamp":1768372224000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Application of ERCP in biliary and pancreatic diseases in children: a retrospective analysis of 4-year clinical data from a single center"],"prefix":"10.3389","volume":"13","author":[{"given":"Xiumin","family":"Qin","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Feihong","family":"Yu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hui","family":"Guo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chunna","family":"Zhao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jie","family":"Wu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,1,14]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"335","DOI":"10.1097\/00005176-200003000-00025","article-title":"Endoscopic retrograde cholangiopancreatography in children. Subcommittee on endoscopy and procedures of the patient care committee of the north American society for pediatric gastroenterology and nutrition","volume":"30","author":"Fox","year":"2000","journal-title":"J Pediatr Gastroenterol Nutr"},{"key":"B2","doi-asserted-by":"publisher","first-page":"396","DOI":"10.3760\/cma.j.cn112140-20231128-00392","article-title":"Expert consensus on clinical application management standards of endoscopic retrograde cholangiopancreatography in children (2024)","volume":"62","year":"2024","journal-title":"Zhonghua Er Ke Za Zhi"},{"key":"B3","doi-asserted-by":"publisher","first-page":"83","DOI":"10.1055\/s-0042-111002","article-title":"Pediatric gastrointestinal endoscopy: european society of gastrointestinal endoscopy (ESGE) and European society for paediatric gastroenterology hepatology and nutrition (ESPGHAN) guideline executive summary","volume":"49","author":"Tringali","year":"2017","journal-title":"Endoscopy"},{"key":"B4","doi-asserted-by":"publisher","first-page":"586","DOI":"10.1055\/a-1209-0155","article-title":"Safety of endoscopic retrograde cholangiopancreatography in the pediatric population: a multicenter study","volume":"53","author":"Mercier","year":"2021","journal-title":"Endoscopy"},{"key":"B5","doi-asserted-by":"publisher","first-page":"584","DOI":"10.1016\/j.gie.2024.05.016","article-title":"American Society for gastrointestinal endoscopy guideline on the role of endoscopy in the management of chronic pancreatitis: summary and recommendations","volume":"100","author":"Sheth","year":"2024","journal-title":"Gastrointest Endosc"},{"key":"B6","doi-asserted-by":"publisher","first-page":"504","DOI":"10.3760\/cma.j.issn.1673-4912.2023.07.006","article-title":"Application of endoscopic retrograde cholangiopancreatography on diagnosis and treatment of pediatric chronic pancreatitis","volume":"30","author":"Xiumin","year":"2023","journal-title":"Chin Pediatr Emerg Med"},{"key":"B7","doi-asserted-by":"publisher","first-page":"789","DOI":"10.1016\/j.giec.2023.04.012","article-title":"Endotherapy for pancreas Divisum","volume":"33","author":"Inamdar","year":"2023","journal-title":"Gastrointest Endosc Clin N Am"},{"key":"B8","doi-asserted-by":"publisher","first-page":"1075","DOI":"10.1016\/j.gie.2018.10.001","article-title":"ASGE guideline on the role of endoscopy in the evaluation and management of choledocholithiasis","volume":"89","author":"Buxbaum","year":"2019","journal-title":"Gastrointest Endosc"},{"key":"B9","doi-asserted-by":"publisher","first-page":"657","DOI":"10.1055\/s-0042-10864","article-title":"Papillary cannulation and sphincterotomy techniques at ERCP: european society of gastrointestinal endoscopy (ESGE) clinical guideline","volume":"48","author":"Testoni","year":"2016","journal-title":"Endoscopy"},{"key":"B10","doi-asserted-by":"publisher","first-page":"772","DOI":"10.3760\/cma.j.issn.1007-5232.2018.11.001","article-title":"Chinese Society of digestive endoscopology biliopancreatic group, Chinese association of gastroenterologist and hepatologist national clinical research center for digestive diseases. Guidelines for ERCP(2018, China)","volume":"57","year":"2018","journal-title":"Chinese Journal of Digestive Endoscope"},{"key":"B11","doi-asserted-by":"publisher","first-page":"2272","DOI":"10.4240\/wjgs.v15.i10.2272","article-title":"Endoscopic retrograde cholangiopancreatography for diagnosing and treating pediatric biliary and pancreatic diseases","volume":"15","author":"Qin","year":"2023","journal-title":"World J Gastrointest Surg"},{"key":"B12","doi-asserted-by":"publisher","first-page":"49","DOI":"10.1159\/00010938","article-title":"Complications of ERCP: ethical obligations and legal consequences","volume":"26","author":"R\u00e1cz","year":"2008","journal-title":"Dig Dis"}],"container-title":["Frontiers in Pediatrics"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fped.2025.1722929\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T06:30:28Z","timestamp":1768372228000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fped.2025.1722929\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,14]]},"references-count":12,"alternative-id":["10.3389\/fped.2025.1722929"],"URL":"https:\/\/doi.org\/10.3389\/fped.2025.1722929","relation":{},"ISSN":["2296-2360"],"issn-type":[{"value":"2296-2360","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,14]]},"article-number":"1722929"}}