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Endoscopic Retrograde Cholangiopancreatography in Pediatric Population: A Decade-Long Experience from 2 Tertiary Centers

Volume 36 · Issue 5 Publish Date: January 13, 2025
Ersin Batıbay Osman Yüksekyayla Mahmut Polat İbrahim Bayhan Mehmet Sevinç Ahmet Dağ Sezgin Barutçu Osman Hakan Kocaman Mehmet Emin Boleken Cem Şimşek Fırat Erkmen Cumali Efe
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Turkish Journal of Gastroenterology

Volume 36 · Issue 5

Pages: 321-327

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Published Online: January 13, 2025

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This work is licensed under a Creative Commons Attribution 4.0 International License.

Copyright © 2025 Ersin Batıbay, Osman Yüksekyayla, Mahmut Polat, İbrahim Bayhan, Mehmet Sevinç, Ahmet Dağ, Sezgin Barutçu, Osman Hakan Kocaman, Mehmet Emin Boleken, Cem Şimşek, Fırat Erkmen, Cumali Efe

Ersin Batıbay
Department of Gastroenterology, Harran University, Şanlıurfa, Turkey
Osman Yüksekyayla
Department of Gastroenterology, Harran University, Şanlıurfa, Turkey
Mahmut Polat
Department of Gastroenterology, Şanlıurfa Mehmet Akif İnan Education and Research Hospital, Şanlıurfa, Turkey
İbrahim Bayhan
Department of Internal Medicine, Harran University Faculty of Medicine, Şanlıurfa, Türkiye
Mehmet Sevinç
Department of Anestesiology, Harran University Faculty of Medicine, Şanlıurfa, Türkiye
Ahmet Dağ
Department of Anestesiology, Harran University Faculty of Medicine, Şanlıurfa, Türkiye
Sezgin Barutçu
Department of Gastroenterology, Adıyaman Training and Research Hospital, Adıyaman, Turkey
Osman Hakan Kocaman
Department of Pediatric Surgery, Harran University Faculty of Medicine, Şanlıurfa, Türkiye
Mehmet Emin Boleken
Department of Pediatric Surgery, Harran University Faculty of Medicine, Şanlıurfa, Türkiye
Cem Şimşek
Division of Gastroenterology and Hepatology, Johns Hopkins University School of Medicine, Baltimore, MD, USA
Fırat Erkmen
Department of General Surgery, Balıklıgöl State Hospital, Şanlıurfa, Türkiye
Cumali Efe
Department of Gastroenterology, Harran University, Şanlıurfa, Turkey
Batıbay, E., Yüksekyayla, O., Polat, M., Bayhan, İbrahim, Sevinç, M., Dağ, A., … Efe, C. (2025). Endoscopic Retrograde Cholangiopancreatography in Pediatric Population: A Decade-Long Experience from 2 Tertiary Centers. Turkish Journal of Gastroenterology, 36(5), 321–327. https://doi.org/10.5152/tjg.2025.24462
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Abstract

Background/Aims: Endoscopic retrograde cholangiopancreatography (ERCP) is an essential diagnostic and therapeutic method for pancreato-biliary disorders in adults, but its use in pediatric populations remains limited. This study aims to evaluate the indications, technical success, and safety of ERCP in pediatric patients. Materials and Methods: A retrospective analysis of all ERCP procedures performed on patients under 18 years of age was conducted at 2 tertiary centers in Türkiye (Harran University and Gaziantep University Hospital) during the period between January 2013 and May 2024. The data used for the study were obtained from patients’ medical records. Results: A total of 153 ERCP procedures were performed on 83 pediatric patients (64%, female) with a mean age of 12.9 years (range 3-17) at the time of ERCP. Common bile duct stones were the most frequent indication (n = 39, 47%) for ERCP, followed by biliary hydatid cyst-related complications (n = 24, 29%). The overall cannulation success rate was 98.7% (82/83). Endoscopic sphincterotomy was performed in 79 (95%) patients. More than one ERCP procedure was performed in 41 (49%) patients. Stones were extracted in 32 patients (30 were biliary and 2 pancreatic). Stent placement was performed in 33 patients (25 biliary and 8 pancreatic). Post-ERCP pancreatitis developed in 4.8% (n = 4) of patients, and all classified as mild. Ten (12%) patients developed mild/moderate cholangitis following ERCP. One patient (1.2%) experienced minor bleeding. About half of the patients (48%) were discharged within 1 day postprocedure. No patient experienced procedure-related mortality. Conclusion: Our study results indicate that ERCP is both effective and safe in the pediatric population. Cite this article as: Batıbay E, Yüksekyayla O, Polat M, et al. Endoscopic retrograde cholangiopancreatography in pediatric population: A decade-long experience from 2 tertiary centers. Turk J Gastroenterol. Published online January 13, 2025. doi 10.5152/ tjg.2025.24462.

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Article Info
Published In
Journal Turkish Journal of Gastroenterology
Volume / Issue Volume 36 · Issue 5
Pages 321-327
DOI 10.5152/tjg.2025.24462
History
Published Online January 13, 2025
License
Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Copyright
Copyright (c) 2025 Ersin Batıbay, Osman Yüksekyayla, Mahmut Polat, İbrahim Bayhan, Mehmet Sevinç, Ahmet Dağ, Sezgin Barutçu, Osman Hakan Kocaman, Mehmet Emin Boleken, Cem Şimşek, Fırat Erkmen, Cumali Efe
Affiliations
Ersin Batıbay
Department of Gastroenterology, Harran University, Şanlıurfa, Turkey
Osman Yüksekyayla
Department of Gastroenterology, Harran University, Şanlıurfa, Turkey
Mahmut Polat
Department of Gastroenterology, Şanlıurfa Mehmet Akif İnan Education and Research Hospital, Şanlıurfa, Turkey
İbrahim Bayhan
Department of Internal Medicine, Harran University Faculty of Medicine, Şanlıurfa, Türkiye
Mehmet Sevinç
Department of Anestesiology, Harran University Faculty of Medicine, Şanlıurfa, Türkiye
Ahmet Dağ
Department of Anestesiology, Harran University Faculty of Medicine, Şanlıurfa, Türkiye
Sezgin Barutçu
Department of Gastroenterology, Adıyaman Training and Research Hospital, Adıyaman, Turkey
Osman Hakan Kocaman
Department of Pediatric Surgery, Harran University Faculty of Medicine, Şanlıurfa, Türkiye
Mehmet Emin Boleken
Department of Pediatric Surgery, Harran University Faculty of Medicine, Şanlıurfa, Türkiye
Cem Şimşek
Division of Gastroenterology and Hepatology, Johns Hopkins University School of Medicine, Baltimore, MD, USA
Fırat Erkmen
Department of General Surgery, Balıklıgöl State Hospital, Şanlıurfa, Türkiye
Cumali Efe
Department of Gastroenterology, Harran University, Şanlıurfa, Turkey
Cite this Article
Batıbay, E., Yüksekyayla, O., Polat, M., Bayhan, İbrahim, Sevinç, M., Dağ, A., … Efe, C. (2025). Endoscopic Retrograde Cholangiopancreatography in Pediatric Population: A Decade-Long Experience from 2 Tertiary Centers. Turkish Journal of Gastroenterology, 36(5), 321–327. https://doi.org/10.5152/tjg.2025.24462
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