In-Hospital Pediatric ERCP is Associated with Shorter Hospitalization for Children with Choledocholithiasis

Objectives: Children with choledocholithiasis are frequently managed at tertiary children's hospitals that do not have available endoscopic retrograde cholangiopancreatography (ERCP) proceduralists. We hypothesized that patients treated at hospitals without ERCP proceduralists would have a longer hospital length of stay than those with ERCP proceduralists. Methods: Charts were reviewed for patients who underwent cholecystectomy and ERCP at three tertiary children's hospitals over ten years. Trauma and complicated pancreatitis patients were excluded. Comparisons between patients requiring and not requiring transfer for ERCP were made using Wilcoxon rank-sum tests for continuous variables and Fisher's exact tests for categorical variables. Results: One hundred and sixty four children underwent ERCP for suspected choledocholithiasis: 79 (48%) in the transfer group and 85 (52%) in the no transfer group. Median length of stay was longer for patients requiring transfer (7 versus 5 days, p 

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