受训者参与对儿科 ERCP 操作的影响：儿科 ERCP 倡议的结果。
Impact of Trainee Involvement on Pediatric ERCP Procedures: Results From the Pediatric ERCP Initiative.
机构信息
From the Department of Pediatrics, Johns Hopkins All Children's Hospital, Saint Petersburg, FL.
the Department of Pediatric Gastroenterology, Hepatology and Nutrition, University of South Florida Morsani College of Medicine, Tampa, FL.
出版信息
J Pediatr Gastroenterol Nutr. 2023 Jul 1;77(1):126-130. doi: 10.1097/MPG.0000000000003782. Epub 2023 Mar 28.
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.
本研究探讨了受训者参与小儿内镜逆行胰胆管造影（ERCP）的作用，以及其是否会影响手术的成功率、术后不良事件的发生和手术持续时间。对小儿 ERCP 数据库计划（一个国际数据库）进行了二次分析。来自 18 个中心的 19 岁以下儿童的连续 ERCP 前瞻性地录入数据库。该数据库共录入 1124 例 ERCP，其中 320 例（28%）由受训者完成。结果表明，受训者的存在并未影响技术成功率（P=0.65）或不良事件发生率（P=0.43）。两组间胰腺炎、疼痛和出血的发生率相似（P＞0.05）。在手术时间的前四分之一（＞58 分钟）中，受训者参与的病例较少（19%比 26%；P=0.02）。总体而言，我们的研究结果表明，小儿 ERCP 中受训者的参与是安全的。
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