Commentary
See article on page 154ERCP training: for the few, not for all
| The first 150 words of the full text of this article appear below. |
Endoscopic retrograde cholangiopancreatography (ERCP)
is an advanced endoscopic procedure that requires considerable training and experience to perform effectively and safely.1 It is
the most dangerous procedure regularly performed by gastrointestinal endoscopists, with morbidity and mortality of 5-10% and 0.1-1%, respectively.2 In the United States, recommendations for
ERCP training have evolved from ridiculously low "guesstimates" of procedure numbers required for competence3 (e.g. 25, 50)
to the current consensus
based on a large prospective
study4that at least 180-200 diagnostic and therapeutic
procedures are needed. ERCP is an integral part of the management of
hepatobiliary and pancreatic (HBP) disorders, but it is only a part.
Trainee gastroenterologists wishing to become experts in dealing with
these disorders need to learn many clinical as well as procedural
skills; it is useful to think of this as HBP training. The would be HBP
specialist must work as part of a multidisciplinary team, and learn a
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Relevant Article
- Structured training and assessment in ERCP has become essential for the Calman era
- A C B WICKS, G S M ROBERTSON, and P S VEITCH
Gut 1999 45: 154-156.[Extract] [Full Text] [PDF]
This article has been cited by other articles:
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MURRAY, I A, PATHMAKANTHAN, S, HEELEY, R, DONNELLY, M T, HELLIER, M D, MORRIS, A I
(2001). The future of ERCP training in the UK Reply. Gut
49: 739-740
[Full Text] -
HELLIER, M D, MORRIS, A I
(2000). ERCP training---time for change. Gut
47: 459-460
[Full Text]
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