Year 2013 / Volume 105 / Number 2
Editorial
ERCP in a low-volume hospital. Arguments “for” and “against” this type of practice

pp. 61-67

Leopoldo López Rosés, Sarbelio Rodríguez Muñoz, Enrique Vázquez-Sequeiros y J. Enrique Domínguez Muñoz

Abstract
The current issue of Revista Española de Enfermedades Digestivas includes an interesting article by JM Riesco et al. entitled “Efficacy and safety of ERCP in a low- volume hospital” (1). The Editorial Board of the journal wants to highlight this manuscript, not only for its high scientific level but also because of its clinical relevance and the controrversy it entails. The authors –who had no previous experience in performing endoscopic retrograde cholangiopancreatography (ERCP) and work in a low- volume institution (fewer than 100 ERCPs/year)– show in this elegant study their learning curve with this technique. The results from the aforementioned study suggest that, should one adhere to the training recommendations published (2,3), the efficacy and safety levels described in the literature for ERCP may be reached.
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Leopoldo López Rosés, Sarbelio Rodríguez Muñoz, Enrique Vázquez-Sequeiros y J. Enrique Domínguez Muñoz. ERCP in a low-volume hospital. Arguments “for” and “against” this type of practice. 61-67


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