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Pediatric ERCP in a multidisciplinary community setting: experience with a fellowship-trained general surgeon
J A Green1, D E Scheeres, H A Conrad
1Department of Surgery, Grand Rapids General Surgery Residency, Michigan State University-College of Human Medicine, 221 Michigan NE, Suite 200A, Grand Rapids, Michigan 49503, USA.
Surgical Endoscopy
|May 22, 2007
Summary
Fellowship-trained general surgeons can successfully perform pediatric endoscopic retrograde cholangiopancreatography (ERCP) with outcomes comparable to national standards. This integration enhances care for children with pancreaticobiliary disorders.
Area of Science:
- Pediatric Gastroenterology
- Surgical Endoscopy
Background:
- Endoscopic retrograde cholangiopancreatography (ERCP) is utilized for pediatric pancreaticobiliary conditions.
- Currently, ERCP in children is predominantly performed by a limited number of specialists at specialized centers.
Purpose of the Study:
- To evaluate the safety and efficacy of pediatric ERCP performed by a fellowship-trained general surgeon.
- To compare outcomes with existing national pediatric and adult ERCP series.
Main Methods:
- A retrospective review of 26 ERCP procedures performed by a single general surgeon over 5 years in patients ≤16 years old.
- Comparison of success and complication rates with published data using Fisher's exact test.
- Analysis of indications, anesthesia, diagnoses, and therapeutic interventions.
Main Results:
- 26 ERCPs were performed on 19 pediatric patients (ages 7-16).
- Therapeutic interventions included sphincterotomy, stent placement, and stone removal.
- No ERCP-related pancreatitis, bleeding, or perforation occurred.
Conclusions:
- Pediatric ERCP by fellowship-trained general surgeons yields success and complication rates comparable to established benchmarks.
- General surgeons trained in ERCP can be valuable members of pediatric care teams for pancreaticobiliary disorders.
