지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2020.1
- 수록면
- 257 - 264 (8page)
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초록· 키워드
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Background/Aims: Few studies have addressed the relationship between the occurrence of adverse events (AEs) in endoscopic retrograde cholangiopancreatography (ERCP) and hospital case volume or endoscopist’s experience with inconsistent results. The aim of our study was to investigate the impact of hospital case volume and endoscopist’s experience on the AEs associated with ERCP and to analyze patient- and procedure-related risk factors for post-ERCP AEs. Methods: From January 2015 to December 2015, we prospectively enrolled patients with naïve papilla who underwent ERCP at six centers. Patient- and procedure-related variables were recorded on data collection sheets at the time of and after ERCP. Results: A total of 1,191 patients (median age, 71 years) were consecutively enrolled. The overall success rate of biliary cannulation was 96.6%. Overall, 244 patients (20.5%) experienced post-ERCP AEs, including pancreatitis (9.0%), bleeding (11.8%), perforation (0.4%), cholangitis (1.2%), and others (0.9%). While post-ERCP pancreatitis (PEP) was more common when the procedure was performed by less experienced endoscopists, bleeding was more common in high-volume centers and by less experienced endoscopists. Multivariate analysis showed that a less experience in ERCP was significantly associated with PEP (odds ratio [OR], 1.630; 95% confidence interval [CI], 1.050 to 2.531; p=0.030) and post-ERCP bleeding (OR, 1.439; 95% CI, 1.003 to 2.062; p=0.048). Conclusions: Our study demonstrated that overall AEs following ERCP were associated with the experience of the endoscopist. To minimize post-ERCP AEs, rigorous training with a sufficient case volume is required, and treatment strategies should be modified according to the endoscopist’s expertise.
목차
등록된 정보가 없습니다.
참고문헌 (33)
참고문헌 신청
Classen M / 1974 / Endoscopic sphincterotomy of the papilla of Vater and extraction of stones from the choledochal duct(author’s transl) / Dtsch Med Wochenschr 99:496~497
Kawai K / 1974 / Endoscopic sphincterotomy of the ampulla of Vater / Gastrointest Endosc 20:148~151
Freeman ML / 2012 / Complications of endoscopic retrograde cholangiopancreatography : avoidance and management / Gastrointest Endosc Clin N Am 22:567~586
Siiki A / 2012 / ERCP procedures in a Finnish community hospital : a retrospective analysis of 1207 cases / Scand J Surg 101:45~50
Kapral C / 2012 / Quality assessment of endoscopic retrograde cholangiopancreatography : results of a running nationwide Austrian benchmarking project after 5 years of implementation / Eur J Gastroenterol Hepatol 24:1447~1454
Kawai K / 1974 / Endoscopic sphincterotomy of the ampulla of Vater / Gastrointest Endosc 20:148~151
Freeman ML / 2012 / Complications of endoscopic retrograde cholangiopancreatography : avoidance and management / Gastrointest Endosc Clin N Am 22:567~586
Siiki A / 2012 / ERCP procedures in a Finnish community hospital : a retrospective analysis of 1207 cases / Scand J Surg 101:45~50
Kapral C / 2012 / Quality assessment of endoscopic retrograde cholangiopancreatography : results of a running nationwide Austrian benchmarking project after 5 years of implementation / Eur J Gastroenterol Hepatol 24:1447~1454
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