Impact of Trainee Involvement on Pediatric ERCP Procedures: Results From the Pediatric ERCP Initiative

Rekha Gupta; Racha T. Khalaf; John Morrison; Ernest Amankwah; Wenly Ruan; Douglas S. Fishman; Bradley A. Barth; Quin Y. Liu; Matthew Giefer; Kyung Mo Kim; Mercedes Martinez; Luigi Dall'oglio; Filippo Torroni; Paola De Angelis; Simona Faraci; Sam Bitton; Kulwinder Dua; Steven Werlin; Roberto Gugig; Clifton Huang; Petar Mamula; J. Antonio Quiros; Yuhua Zheng; Travis Piester; Amit Grover; Victor L. Fox; Michael Wilsey; David M. Troendle

doi:10.1097/MPG.0000000000003782

Impact of Trainee Involvement on Pediatric ERCP Procedures: Results From the Pediatric ERCP Initiative

Rekha Gupta, Racha T. Khalaf, John Morrison, Ernest Amankwah, Wenly Ruan, Douglas S. Fishman, Bradley A. Barth, Quin Y. Liu, Matthew Giefer, Kyung Mo Kim, Mercedes Martinez, Luigi Dall'oglio, Filippo Torroni, Paola De Angelis, Simona Faraci, Sam Bitton, Kulwinder Dua, Steven Werlin, Roberto Gugig, Clifton HuangPetar Mamula, J. Antonio Quiros, Yuhua Zheng, Travis Piester, Amit Grover, Victor L. Fox, Michael Wilsey, David M. Troendle

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

Abstract

This study examines the role of trainee involvement with pediatric endoscopic retrograde cholangiopancreatography (ERCP) and whether it affects the procedure's success, post-procedural adverse outcomes, and duration. A secondary analysis of the Pediatric ERCP Database Initiative, an international database, was performed. Consecutive ERCPs on children <19 years of age from 18 centers were entered prospectively into the database. In total 1124 ERCPs were entered into the database, of which 320 (28%) were performed by trainees. The results showed that the presence of trainees did not impact technical success (P = 0.65) or adverse events rates (P = 0.43). Rates of post-ERCP pancreatitis, pain, and bleeding were similar between groups (P > 0.05). Fewer cases involving trainees were in the top quartile (>58 minutes) of procedural time (19% vs 26%; P = 0.02). Overall, our findings indicate trainee involvement in pediatric ERCP is safe.

Original language	English (US)
Pages (from-to)	126-130
Number of pages	5
Journal	Journal of pediatric gastroenterology and nutrition
Volume	77
Issue number	1
DOIs	https://doi.org/10.1097/MPG.0000000000003782
State	Published - Jul 1 2023

Keywords

endoscopic retrograde cholangiopancreatography
post-ERCP pancreatitis
procedural outcomes
procedural time
technical outcomes

ASJC Scopus subject areas

Pediatrics, Perinatology, and Child Health
Gastroenterology

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10.1097/MPG.0000000000003782

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Gupta, R., Khalaf, R. T., Morrison, J., Amankwah, E., Ruan, W., Fishman, D. S., Barth, B. A., Liu, Q. Y., Giefer, M., Kim, K. M., Martinez, M., Dall'oglio, L., Torroni, F., De Angelis, P., Faraci, S., Bitton, S., Dua, K., Werlin, S., Gugig, R., ... Troendle, D. M. (2023). Impact of Trainee Involvement on Pediatric ERCP Procedures: Results From the Pediatric ERCP Initiative. Journal of pediatric gastroenterology and nutrition, 77(1), 126-130. https://doi.org/10.1097/MPG.0000000000003782

Gupta, R, Khalaf, RT, Morrison, J, Amankwah, E, Ruan, W, Fishman, DS, Barth, BA, Liu, QY, Giefer, M, Kim, KM, Martinez, M, Dall'oglio, L, Torroni, F, De Angelis, P, Faraci, S, Bitton, S, Dua, K, Werlin, S, Gugig, R, Huang, C, Mamula, P, Quiros, JA, Zheng, Y, Piester, T, Grover, A, Fox, VL, Wilsey, M & Troendle, DM 2023, 'Impact of Trainee Involvement on Pediatric ERCP Procedures: Results From the Pediatric ERCP Initiative', Journal of pediatric gastroenterology and nutrition, vol. 77, no. 1, pp. 126-130. https://doi.org/10.1097/MPG.0000000000003782

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title = "Impact of Trainee Involvement on Pediatric ERCP Procedures: Results From the Pediatric ERCP Initiative",

abstract = "This study examines the role of trainee involvement with pediatric endoscopic retrograde cholangiopancreatography (ERCP) and whether it affects the procedure's success, post-procedural adverse outcomes, and duration. A secondary analysis of the Pediatric ERCP Database Initiative, an international database, was performed. Consecutive ERCPs on children <19 years of age from 18 centers were entered prospectively into the database. In total 1124 ERCPs were entered into the database, of which 320 (28%) were performed by trainees. The results showed that the presence of trainees did not impact technical success (P = 0.65) or adverse events rates (P = 0.43). Rates of post-ERCP pancreatitis, pain, and bleeding were similar between groups (P > 0.05). Fewer cases involving trainees were in the top quartile (>58 minutes) of procedural time (19% vs 26%; P = 0.02). Overall, our findings indicate trainee involvement in pediatric ERCP is safe.",

keywords = "endoscopic retrograde cholangiopancreatography, post-ERCP pancreatitis, procedural outcomes, procedural time, technical outcomes",

author = "Rekha Gupta and Khalaf, {Racha T.} and John Morrison and Ernest Amankwah and Wenly Ruan and Fishman, {Douglas S.} and Barth, {Bradley A.} and Liu, {Quin Y.} and Matthew Giefer and Kim, {Kyung Mo} and Mercedes Martinez and Luigi Dall'oglio and Filippo Torroni and {De Angelis}, Paola and Simona Faraci and Sam Bitton and Kulwinder Dua and Steven Werlin and Roberto Gugig and Clifton Huang and Petar Mamula and Quiros, {J. Antonio} and Yuhua Zheng and Travis Piester and Amit Grover and Fox, {Victor L.} and Michael Wilsey and Troendle, {David M.}",

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doi = "10.1097/MPG.0000000000003782",

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T1 - Impact of Trainee Involvement on Pediatric ERCP Procedures

T2 - Results From the Pediatric ERCP Initiative

AU - Gupta, Rekha

AU - Khalaf, Racha T.

AU - Morrison, John

AU - Amankwah, Ernest

AU - Ruan, Wenly

AU - Fishman, Douglas S.

AU - Barth, Bradley A.

AU - Liu, Quin Y.

AU - Giefer, Matthew

AU - Kim, Kyung Mo

AU - Martinez, Mercedes

AU - Dall'oglio, Luigi

AU - Torroni, Filippo

AU - De Angelis, Paola

AU - Faraci, Simona

AU - Bitton, Sam

AU - Dua, Kulwinder

AU - Werlin, Steven

AU - Gugig, Roberto

AU - Huang, Clifton

AU - Mamula, Petar

AU - Quiros, J. Antonio

AU - Zheng, Yuhua

AU - Piester, Travis

AU - Grover, Amit

AU - Fox, Victor L.

AU - Wilsey, Michael

AU - Troendle, David M.

PY - 2023/7/1

Y1 - 2023/7/1

N2 - This study examines the role of trainee involvement with pediatric endoscopic retrograde cholangiopancreatography (ERCP) and whether it affects the procedure's success, post-procedural adverse outcomes, and duration. A secondary analysis of the Pediatric ERCP Database Initiative, an international database, was performed. Consecutive ERCPs on children <19 years of age from 18 centers were entered prospectively into the database. In total 1124 ERCPs were entered into the database, of which 320 (28%) were performed by trainees. The results showed that the presence of trainees did not impact technical success (P = 0.65) or adverse events rates (P = 0.43). Rates of post-ERCP pancreatitis, pain, and bleeding were similar between groups (P > 0.05). Fewer cases involving trainees were in the top quartile (>58 minutes) of procedural time (19% vs 26%; P = 0.02). Overall, our findings indicate trainee involvement in pediatric ERCP is safe.

AB - This study examines the role of trainee involvement with pediatric endoscopic retrograde cholangiopancreatography (ERCP) and whether it affects the procedure's success, post-procedural adverse outcomes, and duration. A secondary analysis of the Pediatric ERCP Database Initiative, an international database, was performed. Consecutive ERCPs on children <19 years of age from 18 centers were entered prospectively into the database. In total 1124 ERCPs were entered into the database, of which 320 (28%) were performed by trainees. The results showed that the presence of trainees did not impact technical success (P = 0.65) or adverse events rates (P = 0.43). Rates of post-ERCP pancreatitis, pain, and bleeding were similar between groups (P > 0.05). Fewer cases involving trainees were in the top quartile (>58 minutes) of procedural time (19% vs 26%; P = 0.02). Overall, our findings indicate trainee involvement in pediatric ERCP is safe.

KW - endoscopic retrograde cholangiopancreatography

KW - post-ERCP pancreatitis

KW - procedural outcomes

KW - procedural time

KW - technical outcomes

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Impact of Trainee Involvement on Pediatric ERCP Procedures: Results From the Pediatric ERCP Initiative

Abstract

Keywords

ASJC Scopus subject areas

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