Training in pediatric neurogastroenterology and motility across Europe: a survey of the ESPGHAN National Societies Network 2016-2019

Fecha de publicación: 01/04/2022 Fecha Ahead of Print: 01/04/2022

Autores de IIS La Fe

Carmen Ribes Koninckx

Autor

Participantes ajenos a IIS La Fe

Papadopoulou A
Baker A
Noni M
Koutri E
Karagianni MV
Protheroe S
Guarino A
Mas E
Wilschanski M
Roman E
Escher J
Furlano, Raoul, I
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

Grupos

Enfermedad celíaca e Inmunopatología digestiva

Investigador Principal

Carmen Ribes Koninckx
Unidad Mixta De Investigación en Nutrición de Precisión para patologías digestivas (NUTRICURA PDig)

Investigador Principal

Carmen Ribes Koninckx

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: https://www.annalsgastro.gr/files/journals/1/earlyview/2022/Infographic-AG6486.pdf.

Datos de la publicación

ISSN/ISSNe:: 1108-7471, 1792-7463
Tipo:: Article
Páginas:: 325-332
DOI:: 10.20524/aog.2022.0710
Factor de Impacto:: 0,805 SCImago ℠
Cuartil:: Q2 SCImago ℠

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Métricas

Filiaciones

Ribes-Koninckx C:: Pediatric Gastroenterology Unit, La Fe University Hospital, Valencia, Spain (Carmen Ribes-Koninckx)
Guarino A:: Department of Translational Medical Science, Section of Pediatrics, University of Naples Federico II, Naples, Italy (Alfredo Guarino)
Mas E:: Unit of Gastroenterology, Hepatology, Nutrition, Diabetes, and Inborn Errors of Metabolism, Children Hospital, Toulouse University Hospital, Toulouse, France (Emmanuel Mas)
Wilschanski M:: Pediatric Gastroenterology Unit, Department of Pediatrics, Hadassah University Hospitals, Jerusalem, Israel (Michael Wilschanski)
Roman E:: Pediatric Gastroenterology Unit, University Hospital Puerta de Hierro-Majadahonda, Madrid, Spain (Enriqueta Roman)
Escher J:: Department of Pediatric Gastroenterology, Erasmus MC-Sophia Children's Hospital, Rotterdam, The Netherlands (Johanna Escher)
Posovszky C:: Department of Pediatrics and Adolescent Medicine, University Medical Center Ulm, Ulm, Germany (Carsten Posovszky)
Hoffman I:: Department of Pediatric Gastroenterology, Leuven University Hospital, Leuven, Belgium (Ilse Hoffman)
Veres G:: Pediatric Institute-Clinic, University of Debrecen, Debrecen, Hungary (Gabor Veres)
Bronsky J:: Department of Pediatrics, University Hospital Motol, Prague, Czech Republic (Jiri Bronsky)
Hauer AC:: Department of Pediatrics, Medical University of Graz, Graz, Austria (Almuthe Christine Hauer)
Tjesic-Drinkovic D:: University Hospital Center Zagreb - Division for Pediatric Gastroenterology, Hepatology and Nutrition & University of Zagreb School of Medicine, Zagreb, Croatia (Duska Tjesic-Drinkovic)
Fotoulaki M:: 4 Department of Pediatrics, Aristotle University of Thessaloniki, Thessaloniki, Greece (Maria Fotoulaki)
Orel R:: Department of Gastroenterology, Hepatology and Nutrition, Ljubljana University Children's Hospital, Ljubljana, Slovenia (Rok Orel)
Urbonas V:: Vilnius University Clinic of Children's Diseases, Vilnius, Lithuania (Vaidotas Urbonas)
Kansu A:: Division of Pediatric Gastroenterology, Department of Pediatrics, Ankara University School of Medicine, Ankara, Turkey (Aydan Kansu)
Georgieva M:: 2 Department of Pediatrics, Saint Marina University hospital, Varna, Bulgaria (Miglena Georgieva)
Benninga M:: Department of Pediatric Gastroenterology and Nutrition, Emma Children's Hospital, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands (Marc Benninga)