Publication Name	World Journal of Gastrointestinal Endoscopy
Manuscript ID	125072
DOI	10.4253/wjge.125072
Country	China

Category	Gastroenterology & Hepatology
Manuscript Type	Systematic Reviews
Article Title	Pediatric endoscopic retrograde cholangiopancreatography: A systematic review of indications, technical success, adverse events, and prevention
Manuscript Source	Invited Manuscript
All Author List	Jun Shu and Jun Yang
Funding Agency and Grant Number
Corresponding Author	Jun Yang, Associate Professor, Department of Gastrointestinal Surgery, Wuhan Children’s Hospital (Wuhan Maternal and Child Healthcare Hospital), Tongji Medical College, Huazhong University of Science and Technology, No. 100 Hongkong Road, Jiang’an District, Wuhan 430016, Hubei Province, China. yangjun@zgwhfe.com
Key Words	Children; Endoscopic retrograde cholangiopancreatography; Post-endoscopic retrograde cholangiopancreatography pancreatitis; Adverse events; Biliary tract diseases; Pancreatic diseases; Choledocholithiasis; Systematic review
Core Tip	This systematic review synthesizes recent evidence on pediatric endoscopic retrograde cholangiopancreatography from a finalized 128-study dataset. Rather than pooling event rates across incompatible definitions, it emphasizes endpoint-specific denominators. Contemporary studies show high study-level technical success (median 94.7%), whereas post-endoscopic retrograde cholangiopancreatography pancreatitis (median 5.2%) remains the principal procedure-related adverse event. The review highlights persistent reporting gaps and the need for standardized pediatric definitions, prospective multicenter registries, and pediatric-specific prevention trials, including those of rectal nonsteroidal anti-inflammatory drugs and pancreatic-duct stents.
Citation	Shu J, Yang J. Pediatric endoscopic retrograde cholangiopancreatography: A systematic review of indications, technical success, adverse events, and prevention. World J Gastrointest Endosc 2026; In press DOI: https://doi.org/10.4253/wjge.125072
PDF	125072-in-press.pdf

Received	2026-07-01 10:59
Peer-Review Started	2026-07-01 11:00
First Decision by Editorial Office Director
Return for Revision	2026-07-07 07:46
Revised	2026-07-08 10:23
Publication Fee Transferred
Second Decision by Editor	2026-08-05 03:18
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-08-05 10:55
Articles in Press	2026-08-05 10:55
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	1948-5190 (online)
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Copyright	©Author(s) (or their employer(s)) 2026. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
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