Comment on: Endoscopic Retrograde Cholangiopancreatography (ERCP) Findings in Pediatric Patients with Choledocholithiasis Justify a Surgery-First Approach: A Multi-Center Study

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We read with great interest the article by Alison et al., about “Endoscopic Retrograde Cholangiopancreatography (ERCP) Findings in Pediatric Patients with Choledocholithiasis Justify a Surgery-First Approach A Multi-Center Study.” We believe this is a highly valuable study. This multicenter retrospective research provides important insights into the treatment strategies for pediatric choledocholithiasis. By analyzing data from 127 children who underwent ERCP, the authors found that 69% of the cases may be more suitable for a surgery-first approach.

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Article · Jun 2025 · 1 min read

In brief

Commentary on a multicenter study examining ERCP outcomes in 127 pediatric patients with choledocholithiasis. The research supports a surgery-first approach for managing biliary stones in children, with findings suggesting 69% of cases may benefit from primary surgical intervention rather than endoscopic management.

Multicenter study of 127 pediatric ERCP cases suggests 69% of choledocholithiasis patients may benefit from surgery-first approach
ERCP findings in children with bile duct stones support reconsidering traditional endoscopy-first treatment paradigm
Retrospective data indicates surgical intervention may be preferable initial strategy for majority of pediatric choledocholithiasis cases

Written by the GCMD Library team from the article.

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