Outcome of endoscopic retrograde cholangiopancreatography during live endoscopy demonstrations.

Surgical Endoscopy
Wiriyaporn RidtitidPinit Kullavanijaya

Abstract

A number of factors may result in lower than expected success rates for endoscopic retrograde cholangiopancreatography (ERCP) performed by overseas experts during live demonstrations (LDs). Stratifying the degree of ERCP difficulty may help in the assessment of procedure outcomes, but no prior reports have done so. This study aimed to compare the success rate and complications of ERCP between procedures performed in live demonstrations and for matched control subjects. From 2004 to 2011, a total of 82 patients who underwent ERCP during live demonstrations at the Endoscopy Unit of King Chulalongkorn Memorial Hospital were reviewed. The control for each patient was a patient admitted to the same ERCP unit with matched indications at the time closest to the demonstration course who had matching gender and techniques in therapeutic interventions during ERCP. The success rates and complications between the two groups were compared based on the grading scale for the degree of difficulty according to Cotton and colleagues. For standard ERCP cases (levels 1-2), the success rate, complication rate, and duration of the procedure (DOP) did not differ significantly. In contrast, the success rate for complex ERCPs (levels 3-4) performed dur...Continue Reading

References

Sep 26, 1996·The New England Journal of Medicine·M L FreemanA M Pheley
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Aug 21, 2003·Endoscopy·A KruseUNKNOWN European Society of Gastrointestinal Endoscopy Nurses and Associates
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Dec 23, 2008·The American Journal of Gastroenterology·Zhuan LiaoUNKNOWN China ERCP Live Demonstration and Education Study Group
Mar 17, 2009·Gastrointestinal Endoscopy·Peter B CottonJoseph Romagnuolo
Mar 8, 2011·Gastrointestinal Endoscopy·Peter B CottonBret Petersen

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Citations

Jan 24, 2016·The American Journal of the Medical Sciences·Cesar J GarciaMarc J Zuckerman
Jun 26, 2015·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Shuji ShimizuMasao Tanaka
Oct 15, 2014·The British Journal of Surgery·O BrunckhorstK Ahmed
Feb 25, 2014·European Urology·Walter ArtibaniKeith F Parsons
Sep 13, 2020·Journal of Clinical Medicine·Johannes AckermannIbrahim Alkatout
Jun 22, 2021·European Urology Focus·Umberto CarbonaraRiccardo Autorino

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