Year 2023 / Volume 115 / Number 7
Editorial
Fewer endoscopists should perform more ERCPs

353-356

DOI: 10.17235/reed.2023.9507/2022

Jesús García-Cano,

Abstract
This year, 2023, marks the fiftieth anniversary of the introduction of therapeutic endoscopic retrograde cholangiopancreatography (ERCP), which completely changed the management of biliary and pancreatic diseases. As in other invasive procedures, two intrinsically related concepts soon appeared: drainage success and complications. It was observed that ERCP is the most dangerous procedure regularly performed by gastrointestinal endoscopists, with a morbidity and mortality of 5-10 % and 0.1-1 %, respectively. ERCP is by far one of the best examples of a complex endoscopic technique.
Share Button
New comment
Comments
No comments for this article
References
1.Classen M, Demling L. Endoskopische Sphinkterotomie der papilla vateri und Steinextraktion aus dem ductus choledochus. Dtsch Med Wochenschr 1974;99:496-7. DOI: 10.1055/s-0028-1107790.
2.Kawai K, Akasaka Y, Murakami K, et al. Endoscopic sphincterotomy of the ampulla of Vater. Gastrointest Endosc 1974;20:148-51. DOI: 10.1016/S0016-5107(74)73914-1.
3.Freeman ML, Nelson DB, Sherman S, et al. Complications of endoscopic biliary sphincterotomy. N Engl J Med. 1996; 335: 909-18. doi: 10.1056/NEJM199609263351301. PMID: 8782497.
4.Bisschops R. ERCP: see one, do one, teach a few? Not everybody needs to learn everything! Endoscopy 2022; 54: 268-269. doi: 10.1055/a-1642-0864.
5.Contessa J, Suarez L, Kyriakides T, et al. The influence of surgeon personality factors on risk tolerance: a pilot study. J Surg Educ 2013 Nov-Dec;70(6):806-12. doi: 10.1016/j.jsurg.2013.07.014.
6.Yoon AP, Kane RL, Wang L, et al. Variation in surgeon proficiency scores and association with digit replantation outcomes. JAMA Netw Open. 2021 Oct 1;4(10):e2128765. doi: 10.1001/jamanetworkopen 2021.28765.
7.Mishra A, Catchpole K, Dale T, et al. The influence of non-technical performance on technical outcome in laparoscopic cholecystectomy. Surg Endosc 2008; 22:68-73. doi: 10.1007/s00464-007-9346-1.
8.Watkins JL, Etzkorn KP, Wiley TE, et al. Assessment of technical competence during ERCP training. Gastrointest Endosc 1996; 44: 411-5. doi: 10.1016/s0016-5107(96)70090-1.
9.García-Cano J. 200 supervised procedures: the minimum threshold number for competency in performing endoscopic retrograde cholangiopancreatography. Surg Endosc 2007; 21:1254-5. doi: 10.1007/s00464-006-9013-y.
10.García-Cano J. ERCP training: every time more difficult. Gastrointest Endosc 2007; 66:867-8. doi: 10.1016/j.gie.2007.04.001.
11.Khan U, Khan R, Benchimol E, et al. Learning curves in ERCP during advanced endoscopy training: a Canadian multicenter prospective study. Endosc Int Open 2022; 10: E1174-E1180. doi: 10.1055/a-1795-9037. PMID: 36118648;
12.Siau K, Dunckley P, Feeney M, Johnson G; Joint Advisory Group on Gastrointestinal Endoscopy. ERCP assessment tool: evidence of validity and competency development during training. Endoscopy.2019; 51:1017-1026. doi: 10.1055/a-0991-0044.
13.Loperfido S, Angelini G, Benedetti G, et al. Major early complications from diagnostic and therapeutic ERCP: a prospective multicenter study. Gastrointest Endosc 1998;48: 1-10. doi: 10.1016/s0016-5107(98)70121-x..
14.Allison MC, Ramanaden DN, Fouweather MG, et al. Provision of ERCP services and training in the United Kingdom. Endoscopy 2000; 32: 693-9. doi: 10.1055/s-2000-7034.
15.Vila JJ, Arrubla Gamboa A, Jusué V, et al. The volume of ERCPs per endoscopist is associated with a higher technical success and a lower post-ERCP pancreatitis rates. A prospective analysis. Rev Esp Enferm Dig 2022 Aug 31. doi: 10.17235/reed.2022.9056/2022.
16.Rabenstein T, Schneider HT, Nicklas M, et al. Impact of skill and experience of the endoscopist on the outcome of endoscopic sphincterotomy techniques. Gastrointest Endosc 1999; 50: 628-36. doi: 10.1016/s0016-5107(99)80010-8.
17.García-Cano J. ERCP outcomes in medium-volume centers. Gastrointest Endosc 2007; 65:356-7. doi: 10.1016/j.gie.2006.08.042.
18.Baillie J. ERCP training: for the few, not for all. Gut. 1999; 45:9-10. doi: 10.1136/gut.45.1.9.
19.Huibregtse K. Complications of endoscopic sphincterotomy and their prevention. N Engl J Med 1996; 335: 961-3. doi: 10.1056/NEJM199609263351309.
Related articles
Citation tools
García-Cano J. Fewer endoscopists should perform more ERCPs. 9507/2022


Download to a citation manager

Download the citation for this article by clicking on one of the following citation managers:

Metrics
This article has received 1253 visits.
This article has been downloaded 434 times.

Statistics from Dimensions


Statistics from Plum Analytics

Publication history

Received: 01/02/2023

Accepted: 02/02/2023

Online First: 22/02/2023

Published: 06/07/2023

Article Online First time: 21 days

Article editing time: 155 days


Share
This article hasn't been rated yet.
Reader rating:
Valora este artículo:




Asociación Española de Ecografía Digestiva Sociedad Española de Endoscopia Digestiva Sociedad Española de Patología Digestiva
The Spanish Journal of Gastroenterology is the official organ of the Sociedad Española de Patología Digestiva, the Sociedad Española de Endoscopia Digestiva and the Asociación Española de Ecografía Digestiva
Cookie policy Privacy Policy Legal Notice © Copyright 2023 y Creative Commons. The Spanish Journal of Gastroenterology