Efficacy of Endoscopic Retrograde Cholangiopancreatography and Frey Procedure in the Treatment of Pediatric Pancreatic Duct Stones: A Single-Center Retrospective Cohort Study
View abstract on PubMed
Summary
This summary is machine-generated.Endoscopic retrograde cholangiopancreatography (ERCP) and the Frey procedure effectively treat pediatric pancreatic duct stones (PDS). The Frey procedure shows better long-term outcomes for severe cases, while ERCP suits milder, first-time occurrences.
Area Of Science
- Pediatric Surgery
- Gastroenterology
- Interventional Endoscopy
Background
- Pediatric pancreatic duct stones (PDS) pose treatment challenges.
- Comparing endoscopic retrograde cholangiopancreatography (ERCP) and the Frey procedure is crucial for optimal pediatric PDS management.
Purpose Of The Study
- To compare the efficacy and complication rates of ERCP versus the Frey procedure for treating pediatric pancreatic duct stones.
- To identify patient subgroups that may benefit more from one procedure over the other.
Main Methods
- Retrospective analysis of 65 pediatric patients with PDS treated between February 2018 and May 2025.
- Evaluation of demographic data, perioperative parameters, recovery, and complications for both ERCP and Frey procedure groups.
Main Results
- The Frey procedure group showed significantly less main pancreatic duct dilation, lower stone recurrence, and fewer reinterventions compared to the ERCP group.
- Five-year intervention-free survival rates were 57.75% for ERCP and 88.86% for the Frey procedure (p=0.024).
Conclusions
- Both ERCP and the Frey procedure are effective treatments for pediatric PDS.
- ERCP is recommended for mild ductal dilation and initial stone presentations.
- The Frey procedure is advised for significant dilation, recurrent stones, or when ERCP outcomes are suboptimal.
Related Concept Videos
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Detailed History: Understanding the patient's symptoms is critical. It includes inquiring about abdominal pain, weight loss, and digestive issues, which are common in chronic pancreatitis.
Physical Examination: This might reveal abdominal tenderness, jaundice, and signs of malnutrition,...