Success rate and complications of ERCP performed during hands-on training courses: a multicenter study in China.

Abstract:

BACKGROUND:Hands-on endoscopy workshops are popular and valuable sources for the continuing medical education of endoscopists. Concerns, however, exist regarding clinical outcomes of procedures performed during hands-on training of ERCP. OBJECTIVE:We compared the success rates and complications between patients in the hands-on training courses and matched control patients. DESIGN:A retrospective, multicenter study. SETTING:Seven endoscopy centers in mainland China. PATIENTS:All patients who underwent ERCP during hands-on training courses at GI endoscopy conferences in China between January 2002 and December 2006 were included. MAIN OUTCOME MEASUREMENTS:Clinical and endoscopic characteristics, including age, sex, indication, therapeutic intervention, success rate, and complication, were collected. Differences in ERCP outcomes between domestic and foreign mentors were also compared. Conference, patient, and endoscopist-related variables were analyzed for potential risk factors associated with post-ERCP complications. RESULTS:Nine conferences with hands-on ERCP training, including 124 patients, were held at 7 endoscopy centers. There were no significant differences in the sex ratio, age, indication, and therapeutic intervention between patients for hands-on training (n = 124) and controls (n = 124). The success rates and overall complication rates were similar between the 2 groups (91.9% vs 92.7%, respectively, P = .811; 12.9% vs 9.7%, respectively, P = .422). Domestic mentors encountered more post-ERCP complications than foreign mentors (18.0% vs 0%, respectively, P = .001). Univariate analyses showed that a large-scale conference (P = .004), first-time mentorship (P = .015), and small case volume for the mentor (P = .015) were significantly associated with post-ERCP complications. Nominal significance in univariate testing was removed when analyzed in a comprehensive multivariate setting. LIMITATIONS:A nonrandomized retrospective trial with only 7 centers (9 conferences). CONCLUSIONS:The success rate and overall complication rate were similar between patients in the hands-on training and those who had routine ERCP procedures. A large-scale conference, first-time mentorship, and small case volume for the mentor may be associated with post-ERCP complications.

journal_name

Gastrointest Endosc

authors

Liao Z,Li ZS,Leung JW,Zou XP,He LP,Jia GF,Huang Q,Ji M,Huang LY,Chao WS

doi

10.1016/j.gie.2008.05.029

subject

Has Abstract

pub_date

2009-02-01 00:00:00

pages

230-7

issue

2

eissn

0016-5107

issn

1097-6779

pii

S0016-5107(08)01849-X

journal_volume

69

pub_type

杂志文章,多中心研究
  • Tissue damage of different submucosal injection solutions for EMR.

    abstract:BACKGROUND:When choosing submucosal injection solutions for EMR, tissue damage should be considered, as well as the lesion-lifting ability. The objective of the study was to find out the potential tissue damage of submucosal injection solutions. METHODS:The submucosal injection solutions examined were the following: n...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2005.07.052

    authors: Fujishiro M,Yahagi N,Kashimura K,Matsuura T,Nakamura M,Kakushima N,Kodashima S,Ono S,Kobayashi K,Hashimoto T,Yamamichi N,Tateishi A,Shimizu Y,Oka M,Ichinose M,Omata M

    更新日期:2005-12-01 00:00:00

  • Variability in cecal intubation rate by calculation method: a call for standardization of key performance indicators in endoscopy.

    abstract:BACKGROUND AND AIMS:The cecal intubation rate (CIR) is a widely accepted key performance indicator (KPI) in colonoscopy but lacks a universal calculation method. We aimed to assess whether differences in CIR calculation methods could have an impact on perceived trainee outcomes. METHODS:A systematic review of CIR calc...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章,meta分析

    doi:10.1016/j.gie.2018.12.026

    authors: Siau K,Hodson J,Ravindran S,Rutter MD,Iacucci M,Dunckley P

    更新日期:2019-05-01 00:00:00

  • Prevalence of open-access gastrointestinal endoscopy in the United States.

    abstract:OBJECTIVE:Open-access endoscopy allows physicians who are not gastroenterologists to directly schedule patients for endoscopic procedures without having them first seen in the gastrointestinal clinic. We sought to determine the prevalence of open-access endoscopy in the United States and to examine endoscopists' attitu...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(97)70204-9

    authors: Mahajan RJ,Marshall JB

    更新日期:1997-07-01 00:00:00

  • Comparison of uncovered stent with covered stent for treatment of malignant colorectal obstruction.

    abstract:BACKGROUND:Insertion of self-expandable metallic stents (SEMS) can provide rapid relief of malignant colorectal obstruction and can be used as a palliative treatment or as a bridge to surgery. A SEMS can be classified as an uncovered or covered stent. Both types of stents have their own merits and demerits. OBJECTIVE:...

    journal_title:Gastrointestinal endoscopy

    pub_type: 临床试验,杂志文章

    doi:10.1016/j.gie.2007.02.064

    authors: Lee KM,Shin SJ,Hwang JC,Cheong JY,Yoo BM,Lee KJ,Hahm KB,Kim JH,Cho SW

    更新日期:2007-11-01 00:00:00

  • Application of optical character recognition with natural language processing for large-scale quality metric data extraction in colonoscopy reports.

    abstract:BACKGROUND AND AIMS:Colonoscopy is commonly performed for colorectal cancer screening in the United States. Reports are often generated in a non-standardized format and are not always integrated into electronic health records. Thus, this information is not readily available for streamlining quality management, particip...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2020.08.038

    authors: Laique SN,Hayat U,Sarvepalli S,Vaughn B,Ibrahim M,McMichael J,Qaiser KN,Burke C,Bhatt A,Rhodes C,Rizk MK

    更新日期:2020-09-03 00:00:00

  • Endoscopic intervention for biliary leaks after laparoscopic cholecystectomy: a multicenter review.

    abstract:BACKGROUND:Endoscopic therapy of biliary tract leaks was uncommon before laparoscopic cholecystectomy. Studies have demonstrated the efficacy of endoscopic drainage by endoscopic sphincterotomy or stent placement. Various endoscopic therapeutic modalities and long-term follow-up of this problem were studied. METHODS:M...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章,多中心研究

    doi:10.1016/s0016-5107(98)70324-4

    authors: Ryan ME,Geenen JE,Lehman GA,Aliperti G,Freeman ML,Silverman WB,Mayeux GP,Frakes JT,Parker HW,Yakshe PN,Goff JS

    更新日期:1998-03-01 00:00:00

  • Transgastric ventral hernia repair: a controlled study in a live porcine model (with videos).

    abstract:BACKGROUND:Ventral hernia repair is currently performed via open surgery or laparoscopic approach. OBJECTIVE:To develop an alternative ventral hernia repair technique. SETTING:Acute and survival experiments on twelve 50-kg pigs. DESIGN AND INTERVENTIONS:An endoscope was introduced transgastrically into the peritonea...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2008.04.014

    authors: Kantsevoy SV,Dray X,Shin EJ,Buscaglia JM,Magno P,Assumpcao L,Marohn MR,Redan J,Giday SA,Schweitzer MA,Apollo Group.

    更新日期:2009-01-01 00:00:00

  • Design and instrumentation of new devices for performing appendectomy at colonoscopy (with video).

    abstract:BACKGROUND:There is increasing interest in natural orifice surgery (NOS). Because the lumen of the appendix is connected to the cecum, a minimally invasive method for removing the appendix by colonoscopy may be feasible. OBJECTIVES:Our purpose was to design, develop, and test new devices for inverting and removing the...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2008.02.024

    authors: Silberhumer GR,Birsan T,Noda W,Unger E,Mayr W,Lang S,Prager G,Gasche C

    更新日期:2008-07-01 00:00:00

  • Impact of reducing duodenobiliary reflux on biliary stent patency: an in vitro evaluation and a prospective randomized clinical trial that used a biliary stent with an antireflux valve.

    abstract:BACKGROUND:The mechanisms leading to occlusion of plastic biliary stents (PBS) are not known. OBJECTIVE:To evaluate the impact of reducing duodenobiliary reflux on stent patency rate. DESIGN:A newly designed antireflux PBS (AR-PBS) was tested in vitro by using ox bile. A prospective randomized trial in human beings w...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.gie.2006.09.011

    authors: Dua KS,Reddy ND,Rao VG,Banerjee R,Medda B,Lang I

    更新日期:2007-05-01 00:00:00

  • Proximal migration of biliary stents: attempted endoscopic retrieval in forty-one patients.

    abstract:BACKGROUND:Proximal migration of a biliary stent is an uncommon event, but its management can present a technical challenge to the therapeutic endoscopist. METHODS:We reviewed the methods that have been used for retrieval of proximally migrated biliary stents in a referral endoscopy center. RESULTS:Forty-four cases w...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(95)70003-x

    authors: Tarnasky PR,Cotton PB,Baillie J,Branch MS,Affronti J,Jowell P,Guarisco S,England RE,Leung JW

    更新日期:1995-12-01 00:00:00

  • Barium enema versus colonoscopy for patients with polyps found during flexible sigmoidoscopy.

    abstract::This prospective study compares the accuracy of barium enema examination performed by experienced radiologists to colonoscopy performed by experienced gastroenterologists blinded to the radiographic findings to detect proximal, synchronous lesions in patients with polyps detected during fiberoptic sigmoidoscopy. Three...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(91)70822-5

    authors: Norfleet RG,Ryan ME,Wyman JB,Rhodes RA,Nunez JF,Kirchner JP,Parent K

    更新日期:1991-09-01 00:00:00

  • Do it yourself: building an ERCP training system within 30 minutes (with videos).

    abstract:BACKGROUND:Ex vivo training of ERCP by using simulators is desirable before trainees perform endoscopy in patients. OBJECTIVE:We aimed to construct a simple and inexpensive but realistic simulator for ERCP training. DESIGN:Construction and establishment of an ERCP simulator. SETTING:Endoscopy suite. INTERVENTION:An...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2014.01.006

    authors: Schneider AR,Schepp W

    更新日期:2014-05-01 00:00:00

  • A prospective, randomized trial comparing mechanical methods of hemostasis plus epinephrine injection to epinephrine injection alone for bleeding peptic ulcer.

    abstract:BACKGROUND:The hemostatic efficacy of mechanical methods of hemostasis, together with epinephrine injection, was compared with that of epinephrine injection alone in bleeding peptic ulcer. METHODS:Ninety patients with a peptic ulcer with active bleeding or a non-bleeding visible vessel were randomly assigned to underg...

    journal_title:Gastrointestinal endoscopy

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0016-5107(04)01570-6

    authors: Park CH,Joo YE,Kim HS,Choi SK,Rew JS,Kim SJ

    更新日期:2004-08-01 00:00:00

  • Improvement of children's nutritional status after enteral feeding by PEG: an interim report.

    abstract:BACKGROUND:Enteral feeding by percutaneous endoscopic gastrostomy is indicated as long-term nutritional support for children with neurologic impairment and dysphagia. We report our experience with percutaneous endoscopic gastrostomy and evaluate the age range of children with cerebral palsy who benefit most with weight...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(99)70222-1

    authors: Brant CQ,Stanich P,Ferrari AP Jr

    更新日期:1999-08-01 00:00:00

  • Impact of patient audiovisual re-education via a smartphone on the quality of bowel preparation before colonoscopy: a single-blinded randomized study.

    abstract:BACKGROUND AND AIMS:Education on preparation is essential for successful colonoscopy. This study aimed to evaluate the impact of audiovisual (AV) re-education via a smartphone on bowel preparation quality before colonoscopy. METHODS:A prospective, endoscopist-blinded, randomized, controlled study was performed. Patien...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.gie.2017.09.007

    authors: Back SY,Kim HG,Ahn EM,Park S,Jeon SR,Im HH,Kim JO,Ko BM,Lee JS,Lee TH,Cho JH

    更新日期:2018-03-01 00:00:00

  • Endotherapy versus surgery for early neoplasia in Barrett's esophagus: a meta-analysis.

    abstract:BACKGROUND:Esophagectomy is the conventional treatment for Barrett's esophagus with high-grade dysplasia and intramucosal cancer. Endotherapy is an alternative treatment. OBJECTIVE:To compare the efficacy and safety of these 2 treatments. DESIGN:PubMed, Web of Science, EMBASE, Cochrane Library and momentous meeting a...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章,meta分析,评审

    doi:10.1016/j.gie.2013.08.005

    authors: Wu J,Pan YM,Wang TT,Gao DJ,Hu B

    更新日期:2014-02-01 00:00:00

  • Utility of contrast-enhanced harmonic EUS in the diagnosis of malignant gallbladder polyps (with videos).

    abstract:BACKGROUND:The differential diagnosis between benign and malignant polyps of the gallbladder (GB) is often challenging. OBJECTIVES:To evaluate whether contrast-enhanced harmonic EUS (CEH-EUS) might be an accurate method for discriminating malignant GB polyps from benign polyps. DESIGN:Observational study. SETTING:Te...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2013.03.1328

    authors: Choi JH,Seo DW,Choi JH,Park DH,Lee SS,Lee SK,Kim MH

    更新日期:2013-09-01 00:00:00

  • The effect of upper gastrointestinal endoscopy on arterial O2 tension in smokers and nonsmokers with and without premedication.

    abstract::Fiberoptic upper gastrointestinal endoscopy has become an accepted procedure with recognized and acceptable complication rates. Recently, significant hypoxemia during upper gastrointestinal endoscopy has been identified. This report evaluates changes in arterial blood gases and investigates the effects of drugs, smoki...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(84)72419-9

    authors: Pecora AA,Chiesa JC,Alloy AM,Santoro J,Lazarus B

    更新日期:1984-10-01 00:00:00

  • Efficacy and safety of the covered Wallstent in patients with distal malignant biliary obstruction.

    abstract:BACKGROUND:The aim of this study was to evaluate the efficacy and the safety of the covered Wallstent, a commercially available silicone-covered, self-expandable metallic stent (covered Wallstent), for the treatment of distal malignant biliary obstruction. METHODS:Sixty-nine consecutive patients with unresectable dist...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.gie.2005.06.030

    authors: Nakai Y,Isayama H,Komatsu Y,Tsujino T,Toda N,Sasahira N,Yamamoto N,Hirano K,Tada M,Yoshida H,Kawabe T,Omata M

    更新日期:2005-11-01 00:00:00

  • Relationship between age and site of colorectal cancer based on colonoscopy findings.

    abstract:BACKGROUND:Colorectal cancer occurs more frequently in older people. Because the population of aged persons is increasing, a better understanding of the characteristics of colorectal cancer with respect to age would be useful. The purpose of this study was to determine whether there is any relationship between the site...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1067/mge.2002.122335

    authors: Okamoto M,Shiratori Y,Yamaji Y,Kato J,Ikenoue T,Togo G,Yoshida H,Kawabe T,Omata M

    更新日期:2002-04-01 00:00:00

  • Endoscopic gallbladder drainage for management of acute cholecystitis.

    abstract:BACKGROUND:Nonoperative gallbladder drainage methods for acute cholecystitis include percutaneous transhepatic gallbladder drainage and percutaneous transhepatic gallbladder aspiration, endoscopic nasogallbladder drainage and gallbladder stenting via a transpapillary endoscopic approach, and EUS-guided nasogallbladder ...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章,评审

    doi:10.1016/j.gie.2010.01.026

    authors: Itoi T,Coelho-Prabhu N,Baron TH

    更新日期:2010-05-01 00:00:00

  • Diagnosis of colorectal tumorous lesions by magnifying endoscopy.

    abstract:BACKGROUND:The magnifying colonoscope allows 100-fold magnified viewing of the colonic surface. METHODS:We examined 2050 colorectal tumorous lesions by magnifying endoscopy, stereomicroscopy, and histopathology and classified these lesions according to pit pattern. Based on stereomicroscopy, lesions with a type 1 or 2...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(96)70222-5

    authors: Kudo S,Tamura S,Nakajima T,Yamano H,Kusaka H,Watanabe H

    更新日期:1996-07-01 00:00:00

  • Endoscopic string clip suturing method: a prospective pilot study (with video).

    abstract:BACKGROUND AND AIMS:We developed a suturing method with string and clips for a single-channel endoscope. The feasibility of the string clip suturing method is evaluated in this prospective pilot study. METHODS:This study involved 10 consecutive patients who underwent endoscopic submucosal dissection (ESD) for a duoden...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2017.11.007

    authors: Nishizawa T,Akimoto T,Uraoka T,Mitsunaga Y,Maehata T,Ochiai Y,Fujimoto A,Goto O,Kanai T,Yahagi N

    更新日期:2018-04-01 00:00:00

  • Omeprazole administration does not impair gastrointestinal mucosal perfusion, oxygenation, and hexosamine generation.

    abstract::Omeprazole is a potent antisecretory drug that acts by inhibiting the gastric proton pump. In the present study, we have observed the effects of this drug on gastrointestinal mucosal perfusion, oxygenation, and hexosamine generation in humans. Sixteen healthy volunteers were included. Gastrointestinal mucosal perfusio...

    journal_title:Gastrointestinal endoscopy

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0016-5107(05)80010-0

    authors: Iwao T,Toyonaga A,Shigemori H,Ikegami M,Tanikawa K

    更新日期:1995-05-01 00:00:00

  • Follow-up of patients with hyperplastic polyps of the large bowel.

    abstract:BACKGROUND:Adenomatous colonic polyps are accepted as premalignant lesions. There is controversy regarding the significance of the hyperplastic polyp. The aim of this study was to determine the incidence of further polyps in patients with only hyperplastic polyps on a first colonoscopy in comparison with patients witho...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(97)70058-0

    authors: Croizet O,Moreau J,Arany Y,Delvaux M,Rumeau JL,Escourrou J

    更新日期:1997-08-01 00:00:00

  • Advantage of endoscopic submucosal dissection compared with EMR for early gastric cancer.

    abstract:BACKGROUND:In EMR of early gastric cancer (EGC), en bloc resection reduces the risk of residual cancer. Endoscopic submucosal dissection (ESD) now allows en bloc resection of large EGCs. OBJECTIVE:To retrospectively determine whether ESD is more advantageous than EMR for EGCs. DESIGN:EMR (825 lesions, 711 patients) o...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2006.03.932

    authors: Oka S,Tanaka S,Kaneko I,Mouri R,Hirata M,Kawamura T,Yoshihara M,Chayama K

    更新日期:2006-12-01 00:00:00

  • EUS-guided trucut needle biopsies in patients with solid pancreatic masses: a prospective study.

    abstract:BACKGROUND:A trucut needle biopsy device that can be used to obtain specimens from the pancreas and other perigastric organs under EUS guidance has been developed and successfully tested in animals. Moreover, EUS-guided trucut needle biopsy has been used safely in humans and appears to provide more accurate results tha...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(03)02538-0

    authors: Larghi A,Verna EC,Stavropoulos SN,Rotterdam H,Lightdale CJ,Stevens PD

    更新日期:2004-02-01 00:00:00

  • Cost-effectiveness analysis of management strategies for obscure GI bleeding.

    abstract:BACKGROUND AND AIMS:Of patients who are seen with GI hemorrhage, approximately 5% will have a small-bowel source. Management of these patients entails considerable expense. We performed a decision analysis to explore the optimal management strategy for obscure GI hemorrhage. METHODS:We used a cost-effectiveness analys...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2008.01.035

    authors: Gerson L,Kamal A

    更新日期:2008-11-01 00:00:00

  • Implementation of a systematic culturing program to monitor the efficacy of endoscope reprocessing: outcomes and costs.

    abstract:BACKGROUND AND AIMS:In 2015, the U.S. Food and Drug Administration and Centers for Disease Control and Prevention (CDC) issued guidance for duodenoscope culturing and reprocessing in response to outbreaks of carbapenem-resistant Enterobacteriaceae (CRE) duodenoscope-related infections. Based on this guidance, we implem...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2017.05.001

    authors: Ma GK,Pegues DA,Kochman ML,Alby K,Fishman NO,Saunders M,Grous C,Dempsey DT,Ginsberg GG

    更新日期:2018-01-01 00:00:00

  • Automatic detection and classification of protruding lesions in wireless capsule endoscopy images based on a deep convolutional neural network.

    abstract:BACKGROUND AND AIMS:Protruding lesions of the small bowel vary in wireless capsule endoscopy (WCE) images, and their automatic detection may be difficult. We aimed to develop and test a deep learning-based system to automatically detect protruding lesions of various types in WCE images. METHODS:We trained a deep convo...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2020.01.054

    authors: Saito H,Aoki T,Aoyama K,Kato Y,Tsuboi A,Yamada A,Fujishiro M,Oka S,Ishihara S,Matsuda T,Nakahori M,Tanaka S,Koike K,Tada T

    更新日期:2020-07-01 00:00:00