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Papadopoulou, A; Ribes-Koninckx, C; Baker, A; Noni, M; Koutri, E; Karagianni, MV; Protheroe, S; Guarino, A; Mas, E; Wilschanski, M; Roman, E; Escher, J; Furlano, RI; Posovszky, C; Hoffman, I; Veres, G; Bronsky, J; Hauer, AC; Tjesic-Drinkovic, D; Fotoulaki, M; Orel, R; Urbonas, V; Kansu, A; Georgieva, M; Benninga, M; Thapar, N.
Training in pediatric neurogastroenterology and motility across Europe: a survey of the ESPGHAN National Societies Network 2016-2019
ANN GASTROENTEROL. 2022;
Doi: 10.20524/aog.2022.0710
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- Co-authors Med Uni Graz
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Hauer Almuthe
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- Abstract:
- BACKGROUND: Pediatric gastrointestinal motility disorders present significant challenges for diagnosis and management, emphasizing the need for appropriate training in Pediatric Neurogastroenterology and Motility (PNGM). The aim of this survey, part of a comprehensive survey on training in pediatric gastroenterology, hepatology and nutrition, was to evaluate training related to PNGM across European training centers. METHOD: Standardized questionnaires were collected from training centers through the National Societies Network of the European Society for Paediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN), from June 2016 to December 2019. RESULTS: In total, 100 training centers from 19 countries participated in the survey. Dedicated PNGM clinics were available in 22 centers; pH-monitoring in 60; pH/impedance in 66; standard manometry in 37; and high-resolution manometry in 33. If all motility studies were performed partially or fully by the trainees, the median (range) annual numbers/per trainee were as follows: pH-monitoring 30 (1-500); pH/impedance 17 (1-131); standard manometries 10 (1-150); and high-resolution manometries 8 (1-75). The motility assessment was performed by pediatric gastroenterologists (43 centers); adult gastroenterologists (10 centers); pediatric surgeons (5 centers); and both pediatric gastroenterologists and pediatric surgeons (9 centers). Annual numbers ≤10 for pH-monitoring, pH/impedance, standard manometries and high-resolution manometries were reported by 7 (12%), 15 (23%), 11 (30%) and 14 (42%) centers, respectively. CONCLUSIONS: Significant differences exist in PNGM-related infrastructure, staff and procedural volumes at training centers across Europe. ESPGHAN and the National Societies should take initiatives to ensure the acquisition of competence in PNGM-related knowledge and skills, and develop strategies for assessment and accreditation.An infographic is available for this article at: http://www.annalsgastro.gr/files/journals/1/earlyview/2022/Infographic-AG6486.pdf.
- Find related publications in this database (Keywords)
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Gastrointestinal motility training
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children
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training in pediatric gastroenterology
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hepatology and nutrition