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Trainee Involvement and ERCP Complications: A Systematic Review and Meta-Analysis.
Priyadarshini Loganathan1, Babu Mohan2, Abakar Baraka3
1Internal Medicine, University Medical Associates, UT Health San Antonio, 302 West Rector, San Antonio, TX, 78216, USA. drdarshini88@gmail.com.
Digestive Diseases and Sciences
|May 7, 2024
Summary
This study found that trainee involvement in endoscopic retrograde cholangiopancreatography (ERCP) does not increase adverse events or compromise success rates. ERCP outcomes are comparable between trainees and experienced endoscopists, indicating safety in supervised training settings.
Area of Science:
- Gastroenterology
- Medical Education
- Surgical Training
Background:
- Therapeutic endoscopy fellows train in ERCP, a procedure with perceived risks when performed by trainees.
- Concerns exist regarding increased ERCP-related complications due to trainee involvement, particularly pancreatic duct cannulation.
- Existing evidence on the impact of trainee participation on ERCP outcomes is limited.
Conclusions:
- Trainee participation in ERCP is associated with comparable outcomes to experienced endoscopists.
- The success rates, procedure time, and adverse event profiles are similar regardless of trainee involvement.
- ERCP can be safely performed by trainees within a structured teaching environment without compromising patient safety or procedural efficacy.
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