Collaboration first: Rethinking the surgery-first approach for pediatric choledocholithiasis

Space: StayCurrentMD Author: Diana G. Lerner, Tom Lin, Petar Mamula, Douglas S. Fishman, Nadia Ibrahimi, David S. Vitale, Quin Y. Liu, David M. Troendle, Michael J. Wilsey Published:

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Diana G. Lerner, Tom Lin, Petar Mamula, Douglas S. Fishman, Nadia Ibrahimi, David S. Vitale, Quin Y. Liu, David M. Troendle, Michael J. Wilsey

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We read with interest the recent study by Lehane et al. on pediatric endoscopic retrograde cholangiopancreatography (ERCP) findings in choledocholithiasis and their proposal for a surgery-first approach. While the authors present data suggesting potential ERCP overuse, several limitations warrant caution.

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