The clinical efficacy and safety of ERCP in traumatic pancreatic injuries: a systematic review and meta-analysis
Abstract Objectives Traumatic pancreatic injuries (TPI) are rare, critical complications increasingly managed by minimally invasive Endoscopic Retrograde Cholangiopancreatography (ERCP). We systematically reviewed and meta-analyzed ERCP’s efficacy and safety for TPI regarding pancreatic duct integri...
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BMC
2025-06-01
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| Series: | World Journal of Emergency Surgery |
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| Online Access: | https://doi.org/10.1186/s13017-025-00631-5 |
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| author | Hulusi Can Karpuzcu Çağdaş Erdoğan |
| author_facet | Hulusi Can Karpuzcu Çağdaş Erdoğan |
| author_sort | Hulusi Can Karpuzcu |
| collection | DOAJ |
| description | Abstract Objectives Traumatic pancreatic injuries (TPI) are rare, critical complications increasingly managed by minimally invasive Endoscopic Retrograde Cholangiopancreatography (ERCP). We systematically reviewed and meta-analyzed ERCP’s efficacy and safety for TPI regarding pancreatic duct integrity and clinical outcomes in diverse populations. Methods PubMed, Scopus, Cochrane Library, and Web of Science were searched (2000–2024) for studies reporting on ERCP for TPI. Primary outcomes were pancreatic duct integrity and complications; secondary outcomes included mortality and hospital stay. Pediatric and adult populations were compared via subgroup analysis. Publication bias was assessed. Results Fifteen studies comprising 1,823 patients (54% male, 32% pediatric) were included in the meta-analysis. ERCP demonstrated a pooled clinical success rate of 89% (95% CI: 83–93%) and significantly improved pancreatic duct integrity (OR for pancreatic duct integrity: 9.17, 95% CI: 6.73–12.49). Complication rates ranged from 4 to 17%, with pancreatitis and bleeding being the most common adverse events. Mortality rates were low (3–5%), and ERCP significantly reduced hospital stay by an average of 3.1 days compared to surgical interventions. Pediatric patients had slightly lower success rates (OR: 6.73, 95% CI: 4.01–11.31) compared to adults (OR: 10.87, 95% CI: 7.40–15.98). Conclusions ERCP is an effective and safe modality for managing TPI in both pediatric and adult patients, yielding high success rates in maintaining ductal integrity and reducing complications, although interpretation requires caution due to potential publication bias. Further prospective studies are required to optimize standardized protocols. |
| format | Article |
| id | doaj-art-c01d81caa00f45238b1a2ec924630868 |
| institution | OA Journals |
| issn | 1749-7922 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | BMC |
| record_format | Article |
| series | World Journal of Emergency Surgery |
| spelling | doaj-art-c01d81caa00f45238b1a2ec9246308682025-08-20T02:10:30ZengBMCWorld Journal of Emergency Surgery1749-79222025-06-0120111310.1186/s13017-025-00631-5The clinical efficacy and safety of ERCP in traumatic pancreatic injuries: a systematic review and meta-analysisHulusi Can Karpuzcu0Çağdaş Erdoğan1Department of Gastroenterology, University of Health Sciences, Ankara Etlik City HospitalDepartment of Gastroenterology, University of Health Sciences, Ankara Etlik City HospitalAbstract Objectives Traumatic pancreatic injuries (TPI) are rare, critical complications increasingly managed by minimally invasive Endoscopic Retrograde Cholangiopancreatography (ERCP). We systematically reviewed and meta-analyzed ERCP’s efficacy and safety for TPI regarding pancreatic duct integrity and clinical outcomes in diverse populations. Methods PubMed, Scopus, Cochrane Library, and Web of Science were searched (2000–2024) for studies reporting on ERCP for TPI. Primary outcomes were pancreatic duct integrity and complications; secondary outcomes included mortality and hospital stay. Pediatric and adult populations were compared via subgroup analysis. Publication bias was assessed. Results Fifteen studies comprising 1,823 patients (54% male, 32% pediatric) were included in the meta-analysis. ERCP demonstrated a pooled clinical success rate of 89% (95% CI: 83–93%) and significantly improved pancreatic duct integrity (OR for pancreatic duct integrity: 9.17, 95% CI: 6.73–12.49). Complication rates ranged from 4 to 17%, with pancreatitis and bleeding being the most common adverse events. Mortality rates were low (3–5%), and ERCP significantly reduced hospital stay by an average of 3.1 days compared to surgical interventions. Pediatric patients had slightly lower success rates (OR: 6.73, 95% CI: 4.01–11.31) compared to adults (OR: 10.87, 95% CI: 7.40–15.98). Conclusions ERCP is an effective and safe modality for managing TPI in both pediatric and adult patients, yielding high success rates in maintaining ductal integrity and reducing complications, although interpretation requires caution due to potential publication bias. Further prospective studies are required to optimize standardized protocols.https://doi.org/10.1186/s13017-025-00631-5Traumatic pancreatic injuryEndoscopic retrograde cholangiopancreatographyPancreatic duct injuryMeta-analysisTrauma |
| spellingShingle | Hulusi Can Karpuzcu Çağdaş Erdoğan The clinical efficacy and safety of ERCP in traumatic pancreatic injuries: a systematic review and meta-analysis World Journal of Emergency Surgery Traumatic pancreatic injury Endoscopic retrograde cholangiopancreatography Pancreatic duct injury Meta-analysis Trauma |
| title | The clinical efficacy and safety of ERCP in traumatic pancreatic injuries: a systematic review and meta-analysis |
| title_full | The clinical efficacy and safety of ERCP in traumatic pancreatic injuries: a systematic review and meta-analysis |
| title_fullStr | The clinical efficacy and safety of ERCP in traumatic pancreatic injuries: a systematic review and meta-analysis |
| title_full_unstemmed | The clinical efficacy and safety of ERCP in traumatic pancreatic injuries: a systematic review and meta-analysis |
| title_short | The clinical efficacy and safety of ERCP in traumatic pancreatic injuries: a systematic review and meta-analysis |
| title_sort | clinical efficacy and safety of ercp in traumatic pancreatic injuries a systematic review and meta analysis |
| topic | Traumatic pancreatic injury Endoscopic retrograde cholangiopancreatography Pancreatic duct injury Meta-analysis Trauma |
| url | https://doi.org/10.1186/s13017-025-00631-5 |
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