Ashwini Katole, Ajeet Saoji, Mohan Kumar
Spousal Violence among Reproductive Age Group Women - A Community-Based Cross-Sectional Study
Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine
therapeutic endoscopy gastroenterology fellows often participate endoscopic retrograde cholangiopancreatography ercp training period however generally feared trainee involvement may increase ercprelated complications mainly sideviewing nature endoscope higher risk pancreatic duct cannulation concrete evidence support notion systematic review metaanalysis aims investigate resultsof trainee participation adverse events related ercp pubmed embase google scholar scopus web science databases searched inception 31 may 2023 studies evaluating ercp outcomes defined success rates procedure time failed attempts adverse events without trainee participation random effect model used perform metaanalysis heterogeneity assessed using i2 statistics seven studies included final analysis including 17088 ercps pooled odds ratio por success rate incompletefailed attempts trainee trainee groups 0466 95 ci 013 166 i2 978 p 0239 32 95 ci 070 1455 i2 985 p 0134 respectively por postercp pancreatitis bleeding trainee vs trainee groups 097 95 ci 076 123 i2 0 p 078 13 95 ci 059 283 i2 49 p 054 por adverse events groups 1028 95 ci 0917 1152 i2 0 p 0636 surprisingly pooled std mean difference procedure time 0217 95 0093 005 i2 985 p 017 metaanalysis comprising 17088 ercps seven studies demonstrated comparable ercp outcomes related trainee participation regarding success rates procedure time adverse events trainees involvement ercp within proper teaching setting appears safe compromise overall procedures success