COMMENTARY
Endoscopic practice
Are we meeting the standards set for ERCP?
1 Hepatobiliary and Pancreatic Disorders Service, Wake Forest University Baptist Medical Center, Medical Center Boulevard, Winston-Salem, North Carolina, USA
2 Division of Gastroenterology and Gastrointestinal Endoscopy, Vita-Salute San Raffaele University, Scientific Institute San Raffaele, Milan, Italy
Correspondence to:
Correspondence to:
Dr J Baillie
Hepatobiliary and Pancreatic Disorders Service, Wake Forest University Baptist Medical Center, Medical Center Boulevard, Winston-Salem, NC 27157, USA; jbaillie@wfubmc.edu
ERCP practice today: implications for training
| The first 150 words of the full text of this article appear below. |
The study by Williams et al, 1 published in this issue of Gut(see page 796), reports the findings of a UK National Confidential Enquiry into Patient Outcomes and Deaths relating to endoscopic retrograde cholangiopancreatography (ERCP). Approximately 48 000 ERCPs are performed annually in the UK. For this study, five metropolitan areas of England were surveyed. The authors estimate that about 20% of all the ERCP procedures performed in adults (>18 years of age) over a 6-month period were captured. The results offer a cornucopia of food for thought. In all, 94% (76/81) of endoscopy units polled responded. Personal questionnaires were returned by 89% of staff endoscopists and by 81% of their trainees. Aspects of ERCP that were examined ranged from the experience and success of the physicians performing the procedures, to indications, informed consent, adequacy of monitoring and resuscitation, and outcomes, including complications and mortality.
Relevant Article
- The effect of faecal diversion on human ileum
- Leith Williams, Matthew Armstrong, Paul Finan, Peter Sagar, and Dermot Burke
Gut 2007 56: 796-801.[Abstract] [Full Text] [PDF]
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