2026 Volume 42 Issue 1 Pages 29-37
Endoscopic retrograde cholangiopancreatography (ERCP) in children is limited by factors such as the technique, a scope diameter that is larger than the pediatric intestine, and the need for general anesthesia. In recent years, advances in imaging technology have enabled acquisition of more detailed images of the hepatobiliary and pancreatic ducts, leading to decreased use of pediatric ERCP. However, in small children, we have experienced cases in which images obtained by CT and MRCP may lead to diagnostic uncertainty. For adult cases, development of ERCP devices has progressed and endoscopic treatment for walled-off necrosis following severe acute pancreatitis has become feasible. Application of devices used for ERCP in adult cases is possible in the pediatric field, and pediatric ERCP may be useful for diagnosis and treatment of various hepatopancreatic diseases and injuries. In this article, we discuss diagnosis and treatment of pediatric hepatobiliary and pancreatic diseases, as well as main pancreatic duct injuries, using ERCP.
