Outcome of endoscopic retrograde cholangiopancreatography during live endoscopy demonstrations
Background 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...
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| Veröffentlicht in: | Surgical endoscopy 2012-07, Vol.26 (7), p.1931-1938 |
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| creator | Ridtitid, Wiriyaporn Rerknimitr, Rungsun Treeprasertsuk, Sombat Kongkam, Pradermchai Khor, Christopher J. L. Kullavanijaya, Pinit |
| description | Background
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.
Methods
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.
Results
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 during LD was significantly lower (73% vs. 90%;
P
= 0.006). The complication rates and DOP were not significantly different (
P
= 0.31 and 0.23, respectively). The overall success rate was significantly lower for LD procedures than for control procedures (81% vs. 91%;
P
= 0.02).
Conclusions
In this series, the standard ERCP performed during LD was associated with success and complication rates similar to those for the control subjects. Complex ERCP cases were, however, associated with lower success rates than those for the control subjects. A high proportion of complex ERCP cases during live demonstration can influence the overall success rate of ERCPs performed by overseas experts. |
| doi_str_mv | 10.1007/s00464-011-2130-2 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1020187872</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2684215311</sourcerecordid><originalsourceid>FETCH-LOGICAL-c468t-71fbe5d68138f3dd5fe6ab834f01dbc9065d86cc8fef1abd5abe9edb2e6589603</originalsourceid><addsrcrecordid>eNp1kFFL3jAUhsOYzE_dD_BmFIbgTbecpEmTSxF1A8Ebd2tJk5PPStvUpBX890v5vukY7OrAy3Pec3gIOQX6DSitvydKK1mVFKBkwGnJPpANVJyVjIH6SDZUr2Gtq0NylNITzbgG8YkcMsYFZUxtyMPdMtswYBF8gaMLyYaps0XEOYZtNA4L-xh6M267MJnRRjTzmk-Pr4VbYjdui757wbfVnOIQxjRHM3d5npADb_qEn_fzmPy6vrq__FHe3t38vLy4LW0l1VzW4FsUTirgynPnhEdpWsUrT8G1VlMpnJLWKo8eTOuEaVGjaxlKobSk_Jic73qnGJ4XTHMzdMlinz_HsKQGKKOgalWzjH79B30KSxzzd5kCrWoOQmcKdpSNIaWIvpliN5j4mqFmld_s5DdZfrPKb9bmL_vmpR3QvW38sZ2Bsz1gkjW9j9lol945CcC1WDm249K0Ksb494v_u_4bceKeeQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1019873159</pqid></control><display><type>article</type><title>Outcome of endoscopic retrograde cholangiopancreatography during live endoscopy demonstrations</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><creator>Ridtitid, Wiriyaporn ; Rerknimitr, Rungsun ; Treeprasertsuk, Sombat ; Kongkam, Pradermchai ; Khor, Christopher J. L. ; Kullavanijaya, Pinit</creator><creatorcontrib>Ridtitid, Wiriyaporn ; Rerknimitr, Rungsun ; Treeprasertsuk, Sombat ; Kongkam, Pradermchai ; Khor, Christopher J. L. ; Kullavanijaya, Pinit</creatorcontrib><description>Background
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.
Methods
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.
Results
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 during LD was significantly lower (73% vs. 90%;
P
= 0.006). The complication rates and DOP were not significantly different (
P
= 0.31 and 0.23, respectively). The overall success rate was significantly lower for LD procedures than for control procedures (81% vs. 91%;
P
= 0.02).
Conclusions
In this series, the standard ERCP performed during LD was associated with success and complication rates similar to those for the control subjects. Complex ERCP cases were, however, associated with lower success rates than those for the control subjects. A high proportion of complex ERCP cases during live demonstration can influence the overall success rate of ERCPs performed by overseas experts.</description><identifier>ISSN: 0930-2794</identifier><identifier>EISSN: 1432-2218</identifier><identifier>DOI: 10.1007/s00464-011-2130-2</identifier><identifier>PMID: 22350228</identifier><identifier>CODEN: SUREEX</identifier><language>eng</language><publisher>New York: Springer-Verlag</publisher><subject>Abdominal Surgery ; Aged ; Biliary Tract Diseases - surgery ; Biological and medical sciences ; Case-Control Studies ; Cholangiopancreatography, Endoscopic Retrograde - adverse effects ; Cholangiopancreatography, Endoscopic Retrograde - standards ; Cholangitis ; Clinical Competence - standards ; Digestive system ; Education, Medical - methods ; Endoscopy ; Female ; Gastroenterology ; Gastroenterology - education ; General aspects ; Gynecology ; Hepatology ; Humans ; Investigative techniques, diagnostic techniques (general aspects) ; Male ; Medical sciences ; Medicine ; Medicine & Public Health ; Middle Aged ; Pancreatic Diseases - surgery ; Patient safety ; Proctology ; Radiodiagnosis. Nmr imagery. Nmr spectrometry ; Success ; Surgery ; Teaching - methods ; Treatment Outcome ; Workshops</subject><ispartof>Surgical endoscopy, 2012-07, Vol.26 (7), p.1931-1938</ispartof><rights>Springer Science+Business Media, LLC 2012</rights><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c468t-71fbe5d68138f3dd5fe6ab834f01dbc9065d86cc8fef1abd5abe9edb2e6589603</citedby><cites>FETCH-LOGICAL-c468t-71fbe5d68138f3dd5fe6ab834f01dbc9065d86cc8fef1abd5abe9edb2e6589603</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00464-011-2130-2$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00464-011-2130-2$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,778,782,27911,27912,41475,42544,51306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=26113958$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22350228$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ridtitid, Wiriyaporn</creatorcontrib><creatorcontrib>Rerknimitr, Rungsun</creatorcontrib><creatorcontrib>Treeprasertsuk, Sombat</creatorcontrib><creatorcontrib>Kongkam, Pradermchai</creatorcontrib><creatorcontrib>Khor, Christopher J. L.</creatorcontrib><creatorcontrib>Kullavanijaya, Pinit</creatorcontrib><title>Outcome of endoscopic retrograde cholangiopancreatography during live endoscopy demonstrations</title><title>Surgical endoscopy</title><addtitle>Surg Endosc</addtitle><addtitle>Surg Endosc</addtitle><description>Background
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.
Methods
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.
Results
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 during LD was significantly lower (73% vs. 90%;
P
= 0.006). The complication rates and DOP were not significantly different (
P
= 0.31 and 0.23, respectively). The overall success rate was significantly lower for LD procedures than for control procedures (81% vs. 91%;
P
= 0.02).
Conclusions
In this series, the standard ERCP performed during LD was associated with success and complication rates similar to those for the control subjects. Complex ERCP cases were, however, associated with lower success rates than those for the control subjects. A high proportion of complex ERCP cases during live demonstration can influence the overall success rate of ERCPs performed by overseas experts.</description><subject>Abdominal Surgery</subject><subject>Aged</subject><subject>Biliary Tract Diseases - surgery</subject><subject>Biological and medical sciences</subject><subject>Case-Control Studies</subject><subject>Cholangiopancreatography, Endoscopic Retrograde - adverse effects</subject><subject>Cholangiopancreatography, Endoscopic Retrograde - standards</subject><subject>Cholangitis</subject><subject>Clinical Competence - standards</subject><subject>Digestive system</subject><subject>Education, Medical - methods</subject><subject>Endoscopy</subject><subject>Female</subject><subject>Gastroenterology</subject><subject>Gastroenterology - education</subject><subject>General aspects</subject><subject>Gynecology</subject><subject>Hepatology</subject><subject>Humans</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Pancreatic Diseases - surgery</subject><subject>Patient safety</subject><subject>Proctology</subject><subject>Radiodiagnosis. Nmr imagery. Nmr spectrometry</subject><subject>Success</subject><subject>Surgery</subject><subject>Teaching - methods</subject><subject>Treatment Outcome</subject><subject>Workshops</subject><issn>0930-2794</issn><issn>1432-2218</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kFFL3jAUhsOYzE_dD_BmFIbgTbecpEmTSxF1A8Ebd2tJk5PPStvUpBX890v5vukY7OrAy3Pec3gIOQX6DSitvydKK1mVFKBkwGnJPpANVJyVjIH6SDZUr2Gtq0NylNITzbgG8YkcMsYFZUxtyMPdMtswYBF8gaMLyYaps0XEOYZtNA4L-xh6M267MJnRRjTzmk-Pr4VbYjdui757wbfVnOIQxjRHM3d5npADb_qEn_fzmPy6vrq__FHe3t38vLy4LW0l1VzW4FsUTirgynPnhEdpWsUrT8G1VlMpnJLWKo8eTOuEaVGjaxlKobSk_Jic73qnGJ4XTHMzdMlinz_HsKQGKKOgalWzjH79B30KSxzzd5kCrWoOQmcKdpSNIaWIvpliN5j4mqFmld_s5DdZfrPKb9bmL_vmpR3QvW38sZ2Bsz1gkjW9j9lol945CcC1WDm249K0Ksb494v_u_4bceKeeQ</recordid><startdate>20120701</startdate><enddate>20120701</enddate><creator>Ridtitid, Wiriyaporn</creator><creator>Rerknimitr, Rungsun</creator><creator>Treeprasertsuk, Sombat</creator><creator>Kongkam, Pradermchai</creator><creator>Khor, Christopher J. L.</creator><creator>Kullavanijaya, Pinit</creator><general>Springer-Verlag</general><general>Springer</general><general>Springer Nature B.V</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20120701</creationdate><title>Outcome of endoscopic retrograde cholangiopancreatography during live endoscopy demonstrations</title><author>Ridtitid, Wiriyaporn ; Rerknimitr, Rungsun ; Treeprasertsuk, Sombat ; Kongkam, Pradermchai ; Khor, Christopher J. L. ; Kullavanijaya, Pinit</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c468t-71fbe5d68138f3dd5fe6ab834f01dbc9065d86cc8fef1abd5abe9edb2e6589603</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Abdominal Surgery</topic><topic>Aged</topic><topic>Biliary Tract Diseases - surgery</topic><topic>Biological and medical sciences</topic><topic>Case-Control Studies</topic><topic>Cholangiopancreatography, Endoscopic Retrograde - adverse effects</topic><topic>Cholangiopancreatography, Endoscopic Retrograde - standards</topic><topic>Cholangitis</topic><topic>Clinical Competence - standards</topic><topic>Digestive system</topic><topic>Education, Medical - methods</topic><topic>Endoscopy</topic><topic>Female</topic><topic>Gastroenterology</topic><topic>Gastroenterology - education</topic><topic>General aspects</topic><topic>Gynecology</topic><topic>Hepatology</topic><topic>Humans</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Pancreatic Diseases - surgery</topic><topic>Patient safety</topic><topic>Proctology</topic><topic>Radiodiagnosis. Nmr imagery. Nmr spectrometry</topic><topic>Success</topic><topic>Surgery</topic><topic>Teaching - methods</topic><topic>Treatment Outcome</topic><topic>Workshops</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ridtitid, Wiriyaporn</creatorcontrib><creatorcontrib>Rerknimitr, Rungsun</creatorcontrib><creatorcontrib>Treeprasertsuk, Sombat</creatorcontrib><creatorcontrib>Kongkam, Pradermchai</creatorcontrib><creatorcontrib>Khor, Christopher J. L.</creatorcontrib><creatorcontrib>Kullavanijaya, Pinit</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Surgical endoscopy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ridtitid, Wiriyaporn</au><au>Rerknimitr, Rungsun</au><au>Treeprasertsuk, Sombat</au><au>Kongkam, Pradermchai</au><au>Khor, Christopher J. L.</au><au>Kullavanijaya, Pinit</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Outcome of endoscopic retrograde cholangiopancreatography during live endoscopy demonstrations</atitle><jtitle>Surgical endoscopy</jtitle><stitle>Surg Endosc</stitle><addtitle>Surg Endosc</addtitle><date>2012-07-01</date><risdate>2012</risdate><volume>26</volume><issue>7</issue><spage>1931</spage><epage>1938</epage><pages>1931-1938</pages><issn>0930-2794</issn><eissn>1432-2218</eissn><coden>SUREEX</coden><abstract>Background
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.
Methods
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.
Results
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 during LD was significantly lower (73% vs. 90%;
P
= 0.006). The complication rates and DOP were not significantly different (
P
= 0.31 and 0.23, respectively). The overall success rate was significantly lower for LD procedures than for control procedures (81% vs. 91%;
P
= 0.02).
Conclusions
In this series, the standard ERCP performed during LD was associated with success and complication rates similar to those for the control subjects. Complex ERCP cases were, however, associated with lower success rates than those for the control subjects. A high proportion of complex ERCP cases during live demonstration can influence the overall success rate of ERCPs performed by overseas experts.</abstract><cop>New York</cop><pub>Springer-Verlag</pub><pmid>22350228</pmid><doi>10.1007/s00464-011-2130-2</doi><tpages>8</tpages></addata></record> |
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| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Abdominal Surgery Aged Biliary Tract Diseases - surgery Biological and medical sciences Case-Control Studies Cholangiopancreatography, Endoscopic Retrograde - adverse effects Cholangiopancreatography, Endoscopic Retrograde - standards Cholangitis Clinical Competence - standards Digestive system Education, Medical - methods Endoscopy Female Gastroenterology Gastroenterology - education General aspects Gynecology Hepatology Humans Investigative techniques, diagnostic techniques (general aspects) Male Medical sciences Medicine Medicine & Public Health Middle Aged Pancreatic Diseases - surgery Patient safety Proctology Radiodiagnosis. Nmr imagery. Nmr spectrometry Success Surgery Teaching - methods Treatment Outcome Workshops |
| title | Outcome of endoscopic retrograde cholangiopancreatography during live endoscopy demonstrations |
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