title: Endoscopic retrograde cholangiopancreatography (ERCP) outcomes can improve after further training for an individual already experienced in ERCP.
abstract: This study was carried out to assess the impact of therapeutic endoscopy training on the endoscopic retrograde cholangiopancreatography (ERCP) practice of a physician who was practicing ERCP for many years in a community setting in the United States. A retrospective chart review of 390 ERCPs performed by the physician was accomplished; 176 and 214 ERCPs were performed before and after undergoing therapeutic endoscopy training respectively. Rates of common bile duct cannulation; postprocedure pancreatitis; use of common bile duct and pancreatic stents, as well as frequency of biliary and pancreatic sphincterotomies were assessed. The rate of common bile duct cannulation increased from 87% to 96% (P=0.008), while post-ERCP pancreatitis decreased from 8% to 3% (P=0.056), demonstrating that further guided experience in ERCP improved technical competency and decreased complications of ERCP for a physician already performing ERCPs independently in the USA.
authors.affiliation: Maricopa Medical Center, Phoenix, AZ, USA - anadir786@aol.com.
authors.forename: J
authors.initials: J
authors.lastname: Choi
authors.forename: N
authors.initials: N
authors.lastname: Malik
authors.forename: D
authors.initials: D
authors.lastname: Drachman
authors.forename: D
authors.initials: D
authors.lastname: Adler
authors.forename: A
authors.initials: A
authors.lastname: Nadir
mesh_terms: D000328:Adult; D002760:Cholangiopancreatography, Endoscopic Retrograde; D002983:Clinical Competence; D016145:Endoscopy, Digestive System / Q000193:education*; D005260:Female; D006801:Humans; D008297:Male; D063868:Patient Outcome Assessment; D012189:Retrospective Studies; D014481:United States