title: Evaluation of endoscopic retrograde cholangiopancreatography procedures performed in general hospitals in France.
abstract: OBJECTIVE
  Evaluate endoscopic retrograde cholangiopancreatography (ERCP) in general hospitals in France.
  
  
  METHODS
  Prospective study of ERCP procedures performed in 28 centers during an 18-month period. Success was assessed at day 1; morbidity and mortality were assessed at 30 days.
  
  
  RESULTS
  2708 ERCP procedures were performed in 28 centers. The rate of success was 92.1% and was higher among centers performing more than 200 procedures annually (OR 2.07 [1.522.86]). Therapeutic success was correlated with diameter of the common bile duct>6 mm (OR 9.1 [7.15-11.57]) and center activity level (OR 1.91 [1.38-2.6]). The rate of complications and deaths were 9.1% and 4%; procedure-specific mortality was 0.8%. Morbidity was lower in centers performing more than 200 procedures annually (OR 0.36 [0.22-0.6]) and when the operator considered the procedure easy to perform (OR 0.5 [0.35-0.74]). Mortality was correlated with ASA score (OR for patients with ASA scores 2, 3, 4 were 9 [1-66], 53.3 [7.3-392] and 164.7 [21.71249]) respectively, occurrence of a complication (OR=3.9 [1.96-7.78]), diameter of the common bile duct, and technical success (OR=0.49 [0.27-0.88]).
  
  
  CONCLUSIONS
  This study shows that success of ERCP and post-ERCP morbidity are related to center activity level while post-ERCP mortality is strongly linked with the patient's ASA score.
authors.affiliation: Hépato-gastroentérologie, CHI Poissy-Saint-Germain, Poissy. rlvitte@chi-poissy-st-germain.fr
authors.forename: René-Louis
authors.initials: RL
authors.lastname: Vitte
authors.forename: Jean-Jacques
authors.initials: JJ
authors.lastname: Morfoisse
mesh_terms: D000368:Aged; D002760:Cholangiopancreatography, Endoscopic Retrograde / Q000009:adverse effects / Q000401:mortality / Q000706:statistics & numerical data; D005260:Female; D005602:France; D006769:Hospitals, General; D006801:Humans; D008297:Male; D011446:Prospective Studies