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Published on: February 28, 2025
Trends in endoscopic retrograde cholangiopancreatography in children within the United States, 2000-2009
Chaitanya Pant1, Thomas J Sferra, Bradley A Barth
1*Department of Pediatrics, University of Oklahoma Health Sciences Center, Oklahoma City †Department of Pediatrics, Case Western Reserve University School of Medicine, Cleveland, OH ‡Department of Pediatrics, University of Texas Southwestern Medical Center, Dallas §Department of Medicine, Case Western Reserve University School of Medicine, Cleveland, OH ||Department of Medicine, Louisiana State University Health Sciences Center, New Orleans ¶Department of Medicine, Baylor College of Medicine, Houston, TX #Department of Medicine, University of Kansas Medical Center, Kansas City **Department of Biostatistics and Epidemiology, University of Oklahoma Health Sciences Center, Oklahoma City.
Abstract:
We investigated the volume of endoscopic retrograde cholangiopancreatographies (ERCPs) performed in hospitalized children in the United States using a nationwide healthcare administrative database for the years 2000 to 2009. A total of 22,153 cases of ERCP were identified: 6372 diagnostic and 17,314 therapeutic (1533 cases were recorded as undergoing both types during a single hospitalization). The number of ERCPs increased from 5337 to 6733 per year; diagnostic ERCPs decreased 43% and therapeutic increased 69% (significant decreasing trends for diagnostic and increasing for therapeutic ERCPs, P<0.001 for each analysis). Our results define a recent increase in the use of therapeutic ERCPs in hospitalized children.
