Adverse events included mild pancreatitis in 3 patients (5%, ASGE threshold 7%), and 1 episode of moderate bleeding selleck (ASGE threshold 2%). In addition there was 1 episode of sphincterotomy clot adherence leading to biliary obstruction requiring repeat ERCP within 1 week. Overall, 5 (8%) patients

experienced a complication. Interestingly, 3 (60%) of these 5 had sickle cell disease. This study demonstrates that pediatric gastroenterologists can perform ERCP for choledocholithiasis, a grade 2 ERCP, with acceptable cannulation and stone extraction rates and acceptable adverse event rates as defined by ASGE. The same is likely true for more complex procedures given appropriate experience, but additional research is needed. “
“There is no standardized method for teaching endoscopy in pediatric gastroenterology. Acquisition of skills may vary widely among institutions, depending on the instruction styles of attending endoscopists, amount of endoscopy exposure for fellows, and availability of additional training tools (i.e. simulators). To validate a part-task training box for the objective assessment of endoscopic proficiency in pediatric gastroenterology providers. The training box was developed based on our prior GSK1210151A concentration work in kinematic analysis of maneuvers and deconstruction of the colonoscopic examination. The training box contains 5 tasks: polypectomy,

retroflexion, torque, tip deflection, and navigation/loop reduction. Each task was scored using a system previously developed from repeated trials with a 5 minute time limit per task. Training levels included novices, pediatric gastroenterology fellows, and pediatric gastroenterology attendings from 2 academic institutions. No participant had prior experience with the training box beforehand. Data was collected on years of experience and total number of procedures Morin Hydrate performed. Several subjects of different experience levels participated

in multiple sessions with the training box to assess the learning curve on this particular mode of training. A total of 36 subjects were enrolled in the study: 10 novices, 12 fellows (2-1st years, 5-2nd years, and 5-3rd years), and 14 attendings. Novices (including 1st year fellows) had a mean total score of 52.5 ± 10.2. Senior fellows (2nd and 3rd year) had a mean score of 248.5 ± 32.0. Attendings had a mean score of 212.1 ± 20.2. Senior fellows scored significantly higher than novices (p<0.001). Senior fellows’ scores were not significantly different from attendings (p=0.97). Score results are shown in Table 1. Individual scores were highest on the polypectomy task. However, this study was not powered to detect differences in performance on individual tasks. Several participants repeated the box trainer more than once, most of whom demonstrated improvement in scores, suggesting that there is a learning curve for this training modality.