LAUSR

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 (PEDI), 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=.65) or adverse events rates (p=.43). Rates of post-ERCP pancreatitis, pain, and bleeding were similar between groups (p >.05). Fewer cases involving trainees were in the top quartile (>58 min.) of procedural time (19% vs. 26%; p=.02). Overall, our findings indicate trainee involvement in pediatric ERCP is safe.