HIGHLIGHTS
SUMMARY
ERCP was attempted in five patients: in one case, it permitted the preservation of pancreatic tissue, postponing surgery and in three patients, it was technically unfeasible. The integrated use of minimally invasive surgery in the pediatric area is necessary for the whole management perspective in complex malformations and small patients. The introduction in the clinical practice of a preoperative study with Virtual_Reality allows a better survey of the malformation and a tailored treatment. The frequency of malignant diseases is smaller than in adult patients, and pediatric gastroenterologists have fewer opportunities of performing ERCP/EUS . . .
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