当前位置： SCI文献检索 > JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY期刊下所有文献 > Learning curve of double-guidewire technique by trainees during hands-on endoscopic retrograde cholangiopancreatography training.

Learning curve of double-guidewire technique by trainees during hands-on endoscopic retrograde cholangiopancreatography training.

Abstract：

BACKGROUND AND AIMS:Double-guidewire technique (DWT) has been successfully performed by experts in difficult biliary cannulation as an advanced technique. This study aimed to define the learning curve and safety of DWT by trainees during hands-on endoscopic retrograde cholangiopancreatography (ERCP) training. METHODS:Patients were eligible for inclusion in the study if the biliary cannulation was difficult and the pancreatic duct was inadvertently cannulated. DWT was performed by two trainees randomly under trainers' guidance. The primary outcome was the success rate of DWT biliary cannulation of trainees. Cumulative sum analysis was used to generate visual learning curves. RESULTS:A total of 60 patients with difficult cannulation were enrolled. The main indications for ERCP were common bile duct stones (65%) and biliary stricture (31.7%). The learning curve analysis showed that to achieve a 70% rate of successful DWT, 12 procedures were needed for trainee A and 15 for trainee B. Higher targeted success rate of DWT could be achieved if the number of DWT procedures increased. Compared with the early stage of learning DWT (case 1 to 15 for each trainee), trainees had significantly higher DWT success rate in the late stage (36.7% [11/30] vs 80% [24/30], P = 0.001). The final success rate of cannulation was 98.3% (59/60). The overall rate of post-ERCP pancreatitis and adverse events was 6.7% (4/60) and 8.3% (5/60), respectively. CONCLUSIONS:Double-guidewire technique was safely performed by two novel trainees during hands-on ERCP training. Fifteen procedures may be enough for trainees to achieve the competency of performing DWT. (Clinicaltrials.gov number: NCT03707613).

journal_name

J Gastroenterol Hepatol

journal_title

Journal of gastroenterology and hepatology

authors

Wang X,Ren G,Xi Y,Luo H,Liang S,Wang B,Tao Q,Luo B,Qin Q,Farrell JJ,Guo X,Wu K,Pan Y

doi

10.1111/jgh.15120

subject

Has Abstract

pub_date

2020-05-30 00:00:00

eissn

0815-9319

issn

1440-1746

pub_type

杂志文章

相关文献

JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY文献大全
  • Treg subsets in inflammatory bowel disease and colorectal carcinoma: Characteristics, role, and therapeutic targets.

    abstract：:T regulatory cells (Tregs) play an important role in the regulation of autoimmunity, autoinflammation, allergic diseases, infection, and the tumor environment. Different subsets are characterized that use a number of regulatory mechanisms. Tregs can influence the progression of inflammatory bowel disease and the devel...

    journal_title：Journal of gastroenterology and hepatology

    pub_type： 杂志文章,评审

    doi：10.1111/jgh.13342

    authors： van Herk EH,Te Velde AA

    更新日期：2016-08-01 00:00:00

  • Comparison between modified wet suction and dry suction technique for endoscopic ultrasound-guided fine-needle biopsy in pancreatic solid lesions.

    abstract：BACKGROUND AND AIM:Although endoscopic ultrasound-guided fine-needle biopsy is widely applied, there is no clear consensus on the optimal biopsy technique. We described a modified wet suction technique (MWEST) with the aim to compare the efficacy and safety between MWEST and the dry suction technique (DST). METHODS:In...

    journal_title：Journal of gastroenterology and hepatology

    pub_type： 杂志文章

    doi：10.1111/jgh.15371

    authors： Tong T,Tian L,Deng M,Liu Y,Yang Y,Yin H,Long X,Pan S,Yang Z,Luo W,Nie K,Meng X,Xiao M,Wu X,Zhang C,Wang X

    更新日期：2020-12-08 00:00:00

  • Herpes simplex esophagitis from 1307 autopsy cases.

    abstract：BACKGROUND AND AIMS:The aim of the present study was to clarify relationship between macroscopic and microscopic features of herpes simplex esophagitis (HSE), and localization of herpes simplex virus type 1 (HSV-1)-infected cells in esophageal lesions from autopsy cases of histopathologically proven HSE. METHODS:The s...

    journal_title：Journal of gastroenterology and hepatology

    pub_type： 杂志文章

    doi：10.1046/j.1440-1746.2003.03166.x

    authors： Itoh T,Takahashi T,Kusaka K,Kawaura K,Nakagawa Y,Yamakawa J,Kanda T

    更新日期：2003-12-01 00:00:00

  • Usefulness of a novel and rapid assay system for fecal calprotectin in pediatric patients with inflammatory bowel diseases.

    abstract：BACKGROUND AND AIM:Fecal calprotectin (FC) has become a reliable biomarker for intestinal inflammation in inflammatory bowel diseases (IBDs). However, a simple and rapid assay to replace conventional ELISA is necessary for wider use in clinical practice. In this study, we investigated the usefulness of a novel method f...

    journal_title：Journal of gastroenterology and hepatology

    pub_type： 杂志文章

    doi：10.1111/jgh.12578

    authors： Inoue K,Aomatsu T,Yoden A,Okuhira T,Kaji E,Tamai H

    更新日期：2014-01-01 00:00:00

  • Role of interleukin-18 in the development of acute pulmonary injury induced by intestinal ischemia/reperfusion and its possible mechanism.

    abstract：BACKGROUND AND AIMS:Lung injury is an important target for the systemic inflammatory response associated with intestinal ischemia/reperfusion (I/R). In the present study, the role of interleukin (IL)-18 in the development of acute pulmonary injury induced by intestinal I/R and its possible mechanism in relation to the ...

    journal_title：Journal of gastroenterology and hepatology

    pub_type： 杂志文章

    doi：10.1111/j.1440-1746.2006.04612.x

    authors： Yang YJ,Chen SH,Ge XR

    更新日期：2007-02-01 00:00:00

  • A prospective randomized double blind trial comparing prednisolone and 4-aminosalicylic acid enemas in acute distal ulcerative colitis.

    abstract：:A prospective double blind and randomized study was conducted to compare 4-aminosalicylic acid (4-ASA) and prednisolone-21-phosphate enemas in inducing remission in patients with acute distal ulcerative colitis. Patients with ulcerative colitis distal to the splenic flexure as assessed by flexible colonoscopy, barium ...

    journal_title：Journal of gastroenterology and hepatology

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：10.1111/j.1440-1746.1992.tb00957.x

    authors： Sharma MP,Duphare HV,Dasarathy S

    更新日期：1992-03-01 00:00:00

  • Rabeprazole treatment attenuated Helicobacter pylori-associated gastric mucosal lesion formation in Mongolian gerbils.

    abstract：BACKGROUND AND AIM:Although rabeprazole (RPZ), a proton pump inhibitor, has been reported to have a bactericidal effect on Helicobacter pylori (H. pylori), no studies have been conducted regarding the effect of RPZ on gastric mucosal lesion formation caused by this bacterium. In the present study, we investigated the e...

    journal_title：Journal of gastroenterology and hepatology

    pub_type： 杂志文章

    doi：10.1046/j.1440-1746.2003.03038.x

    authors： Suzuki H,Miyazawa M,Nagahashi S,Sato M,Bessho M,Nagata H,Miura S,Ishii H

    更新日期：2003-07-01 00:00:00

  • Endoscopic acanthosis nigricans appearance: A novel specific marker for diagnosis of low-grade intraepithelial neoplasia.

    abstract：BACKGROUND AND AIM:At present, there is no recognized diagnostic criteria for gastric low-grade intraepithelial neoplasia (LGIN). The purpose of this study was to determine whether an "endoscopic acanthosis nigricans appearance (EANA)" could be a useful endoscopic marker for distinguishing LGIN lesions from peripheral ...

    journal_title：Journal of gastroenterology and hepatology

    pub_type： 杂志文章

    doi：10.1111/jgh.15000

    authors： Cheng J,Xu X,Zhuang Q,Luo S,Gong X,Wu X,Wan X,Zhou H

    更新日期：2020-08-01 00:00:00

  • Natural history of acute hepatitis C.

    abstract：:To study the short- and long-term outcomes of acute hepatitis C, three groups of patients were enrolled. Of 26 patients with acute hepatitis C, 18 (69%) maintained HCV viraemia and 8 had cleared virus naturally at 12 months after the onset. Normalization of ALT was seen in all 8 patients with acute resolving hepatitis...

    journal_title：Journal of gastroenterology and hepatology

    pub_type： 杂志文章,评审

    doi：10.1046/j.1440-1746.2000.02112.x

    authors： Tanaka E,Kiyosawa K

    更新日期：2000-05-01 00:00:00

  • Helicobacter pylori cagA, iceA and vacA status in Taiwanese patients with peptic ulcer and gastritis.

    abstract：BACKGROUND:Helicobacter pylori causes chronic gastritis, peptic ulcer, gastric cancer and mucosa-associated lymphoid tissue (MALT) lymphoma. Different genotypes of H. pylori are confirmed from diverse geographical areas. Its association with clinical diseases remains controversial. The aim of the present study was to i...

    journal_title：Journal of gastroenterology and hepatology

    pub_type： 杂志文章

    doi：10.1046/j.1440-1746.2003.03214.x

    authors： Perng CL,Lin HJ,Sun IC,Tseng GY,Facg

    更新日期：2003-11-01 00:00:00

  • Prevalence and risk factors for non-alcoholic fatty liver disease among adults in an urban Sri Lankan population.

    abstract：BACKGROUND AND AIMS:Non-alcoholic fatty liver disease (NAFLD) is an emerging problem in the Asia-Pacific region. However, its prevalence and risk factors in Asian (especially South Asian) communities is poorly studied. In this study, the aim was to determine the community prevalence and risk factors for NAFLD among adu...

    journal_title：Journal of gastroenterology and hepatology

    pub_type： 杂志文章

    doi：10.1111/j.1440-1746.2009.05831.x

    authors： Dassanayake AS,Kasturiratne A,Rajindrajith S,Kalubowila U,Chakrawarthi S,De Silva AP,Makaya M,Mizoue T,Kato N,Wickremasinghe AR,de Silva HJ

    更新日期：2009-07-01 00:00:00

  • Second peak in the distribution of age at onset of ulcerative colitis in relation to smoking cessation.

    abstract：BACKGROUND AND AIM:The prevalence of ulcerative colitis (UC) is increasing steadily in Japan. In Western countries, a bimodal distribution, with UC onset peaks in youth and middle age, is observed, and smoking cessation is reported as a risk factor for UC. However, there are few reports on a bimodal distribution of ons...

    journal_title：Journal of gastroenterology and hepatology

    pub_type： 杂志文章

    doi：10.1111/jgh.12616

    authors： Takahashi H,Matsui T,Hisabe T,Hirai F,Takatsu N,Tsurumi K,Kanemitsu T,Sato Y,Kinjyo K,Yano Y,Takaki Y,Nagahama T,Yao K,Washio M

    更新日期：2014-08-01 00:00:00

  • Second-generation argon plasma coagulation: two-center experience with 600 patients.

    abstract：BACKGROUND AND AIM:Second-generation argon plasma coagulation (APC; APC 2/VIO APC) with its modes 'forced', 'pulsed', and 'precise' is a further development of the ICC/APC 300 system (first-generation APC). Until now, only limited data has existed on the use of APC 2. METHODS:Fundamental data on the characteristics of...

    journal_title：Journal of gastroenterology and hepatology

    pub_type： 杂志文章,多中心研究

    doi：10.1111/j.1440-1746.2008.05437.x

    authors： Manner H,Enderle MD,Pech O,May A,Plum N,Riemann JF,Ell C,Eickhoff A

    更新日期：2008-06-01 00:00:00

  • Prevalence of nonalcoholic fatty liver disease in mainland of China: a meta-analysis of published studies.

    abstract：BACKGROUND AND AIM:Nonalcoholic fatty liver disease (NAFLD) is becoming an increasingly important health issue. However, there are no data on the change in prevalence of NAFLD within a population over time, especially in the mainland of China. The goal of this study was to estimate the pooled prevalence of NAFLD in the...

    journal_title：Journal of gastroenterology and hepatology

    pub_type： 杂志文章,meta分析

    doi：10.1111/jgh.12428

    authors： Li Z,Xue J,Chen P,Chen L,Yan S,Liu L

    更新日期：2014-01-01 00:00:00

  • Clinical impact of HFE mutations in Japanese patients with chronic hepatitis C.

    abstract：BACKGROUND AND AIM:HFE mutations, a common cause of hereditary hemochromatosis (HH), are reportedly associated with hepatic iron overload, severe liver fibrosis, and good response to interferon treatment in European patients with chronic hepatitis C (CHC). HH shows ethnicity-based differences and little is known about ...

    journal_title：Journal of gastroenterology and hepatology

    pub_type： 杂志文章

    doi：10.1111/j.1440-1746.2011.06976.x

    authors： Ishizu Y,Katano Y,Honda T,Hayashi K,Ishigami M,Itoh A,Hirooka Y,Nakano I,Goto H

    更新日期：2012-06-01 00:00:00

  • Frequency of complications during EUS-guided drainage of pancreatic fluid collections in 148 consecutive patients.

    abstract：BACKGROUND AND AIM:The aim of the present study was to evaluate the frequency of complications during endoscopic ultrasound (EUS)-guided drainage of pancreatic fluid collections (PFC), identify contributing factors, and report on management outcomes. METHODS:All patients who underwent EUS-guided PFC drainage over 7 ye...

    journal_title：Journal of gastroenterology and hepatology

    pub_type： 杂志文章

    doi：10.1111/j.1440-1746.2011.06771.x

    authors： Varadarajulu S,Christein JD,Wilcox CM

    更新日期：2011-10-01 00:00:00

  • Rebamipide alleviates radiation-induced colitis through improvement of goblet cell differentiation in mice.

    abstract：BACKGROUND AND AIM:Radiation-induced colitis is a common clinical problem associated with radiotherapy and accidental exposure to ionizing radiation. Goblet cells play a pivotal role in the intestinal barrier against pathogenic bacteria. Rebamipide, an anti-gastric ulcer drug, has the effects to promote goblet cell pro...

    journal_title：Journal of gastroenterology and hepatology

    pub_type： 杂志文章

    doi：10.1111/jgh.14021

    authors： Jang H,Park S,Lee J,Myung JK,Jang WS,Lee SJ,Myung H,Lee C,Kim H,Lee SS,Jin YW,Shim S

    更新日期：2018-04-01 00:00:00

  • Efficacy and safety of nortriptyline in functional dyspepsia in Asians: A randomized double-blind placebo-controlled trial.

    abstract：BACKGROUND AND AIM:Current treatments of functional dyspepsia (FD) are unsatisfied. Tricyclic antidepressants alter visceral hypersensitivity and brain-gut interaction. We assessed the efficacy and safety of nortriptyline in patients with FD. METHODS:Patients diagnosed with FD according to Rome III criteria who failed...

    journal_title：Journal of gastroenterology and hepatology

    pub_type： 杂志文章,随机对照试验

    doi：10.1111/jgh.13914

    authors： Kaosombatwattana U,Pongprasobchai S,Limsrivilai J,Maneerattanaporn M,Leelakusolvong S,Tanwandee T

    更新日期：2018-02-01 00:00:00

  • Sustained virologic response achieved after curative treatment of hepatitis C virus-related hepatocellular carcinoma as an independent prognostic factor.

    abstract：BACKGROUND AND AIM:Whether an antiviral interferon (IFN)-based therapy (IBT) after curative treatment of hepatocellular carcinoma (HCC) improves the prognosis in patients with hepatitis C virus (HCV)-related HCC remains to be elucidated. METHODS:A total of 178 patients within the Milan criteria underwent curative trea...

    journal_title：Journal of gastroenterology and hepatology

    pub_type： 杂志文章

    doi：10.1111/jgh.12925

    authors： Kanogawa N,Ogasawara S,Chiba T,Saito T,Motoyama T,Suzuki E,Ooka Y,Tawada A,Kanda T,Mikami S,Azemoto R,Kaiho T,Shinozaki M,Ohtsuka M,Miyazaki M,Yokosuka O

    更新日期：2015-07-01 00:00:00

  • Polymorphism of human leptin receptor gene is associated with type 2 diabetic patients complicated with non-alcoholic fatty liver disease in China.

    abstract：BACKGROUND AND AIM:To investigate the relationship between human leptin receptor (LEPR) gene G3057A polymorphism and type 2 diabetes mellitus (T2DM) patients complicated with or without non-alcoholic fatty liver disease (NAFLD). METHODS:Two hundred and sixteen cases of newly diagnosed T2DM patients (104 cases complica...

    journal_title：Journal of gastroenterology and hepatology

    pub_type： 杂志文章

    doi：10.1111/j.1440-1746.2008.05544.x

    authors： Lu H,Sun J,Sun L,Shu X,Xu Y,Xie D

    更新日期：2009-02-01 00:00:00

  • Efficacy and safety of sofosbuvir/velpatasvir in a real-world chronic hepatitis C genotype 3 cohort.

    abstract：BACKGROUND AND AIM:Real-world data on sofosbuvir/velpatasvir with and without ribavirin (SOF/VEL ± RBV), particularly among patients with genotype 3 (GT3) decompensated cirrhosis, prior treatment, coinfection, and hepatocellular carcinoma (HCC), are scarce. We aimed to assess the efficacy and safety of SOF/VEL ± RBV in...

    journal_title：Journal of gastroenterology and hepatology

    pub_type： 杂志文章

    doi：10.1111/jgh.15324

    authors： Wong YJ,Thurairajah PH,Kumar R,Tan J,Fock KM,Law NM,Li W,Kwek A,Tan YB,Koh J,Lee ZC,Kumar LS,Teo EK,Ang TL

    更新日期：2020-11-20 00:00:00

  • Omeprazole and ranitidine in duodenal ulcer healing and subsequent relapse: a randomized double-blind study with weekly endoscopic assessment.

    abstract：:To investigate the efficacy of standard and low dosage of omeprazole in the healing of duodenal ulcer, 270 patients with endoscopically active duodenal ulcer were randomized to receive omeprazole, 10 mg or 20 mg every morning, or ranitidine, 150 mg twice daily, using the double-dummy technique. Forty-six potential pro...

    journal_title：Journal of gastroenterology and hepatology

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：

    authors： Hui WM,Lam SK,Lau WY,Branicki FJ,Lok AS,Ng MM,Lai CL,Poon GP

    更新日期：1989-01-01 00:00:00

  • A rupture of lung metastasis of hepatocellular carcinoma causing haemothorax.

    abstract：:A 67 year old male with non-resectable hepatocellular carcinoma (HCC) in both lobes and liver cirrhosis was treated with transcatheter arterial embolization and regional chemotherapy. He was doing well for 18 months. He was readmitted for fever, chest pain and multiple pulmonary metastases. During interleukin-2 therap...

    journal_title：Journal of gastroenterology and hepatology

    pub_type： 杂志文章

    doi：10.1111/j.1440-1746.1993.tb01661.x

    authors： Akimaru K,Miyairi K,Tanaka H,Imai S,Iwase I,Uchiyama K,Shibuya T,Shoji T

    更新日期：1993-11-01 00:00:00

  • Elevation of serum and ascites cancer antigen 125 levels in patients with liver cirrhosis.

    abstract：BACKGROUND AND AIM:Serum cancer antigen (CA) 125 elevation has been reported in patients with liver disease, but it is poorly characterized. The present study aimed to evaluate the range of serum and ascitic CA 125 levels in patients with liver cirrhosis and to explore possible factors associated with CA 125 elevation....

    journal_title：Journal of gastroenterology and hepatology

    pub_type： 杂志文章

    doi：10.1046/j.1440-1746.2003.03180.x

    authors： Xiao WB,Liu YL

    更新日期：2003-11-01 00:00:00

  • Monitoring 6-thioguanine nucleotide concentrations in Japanese children and adolescents with inflammatory bowel disease.

    abstract：BACKGROUND AND AIM:6-Mercaptopurine (6-MP) and azathioprine (AZA) are widely used as maintenance therapy in children with inflammatory bowel disease (IBD). However, proper 6-thioguanine nucleotide (6-TGN) concentrations in Japanese children with IBD have not been reported. METHODS:This retrospective review examines 32...

    journal_title：Journal of gastroenterology and hepatology

    pub_type： 杂志文章

    doi：10.1111/j.1440-1746.2010.06364.x

    authors： Ohtsuka Y,Arai K,Aoyagi Y,Fujii T,Yamakawa Y,Ohtani K,Ikuse T,Baba Y,Inage E,Kudo T,Suzuki R,Nagata S,Shimizu T

    更新日期：2010-10-01 00:00:00

  • Gall-bladder sludge: lessons from ceftriaxone.

    abstract：:Ceftriaxone-associated sludge has been a fascinating story. The occurrence is novel and unique. It has produced a model of gall-bladder sludge in humans. This phenomenon has taught us a great deal about biliary lipid and organic anion excretion by the liver, and the physical chemistry of calcium and calcium sensitive ...

    journal_title：Journal of gastroenterology and hepatology

    pub_type： 杂志文章,评审

    doi：10.1111/j.1440-1746.1992.tb01496.x

    authors： Kim YS,Kestell MF,Lee SP

    更新日期：1992-11-01 00:00:00

  • Body mass index and gastrointestinal cancer mortality in Korean adults: A prospective cohort study.

    abstract：BACKGROUND:The association between body mass index (BMI) and mortality from gastrointestinal (GI) cancer remains unclear, especially in Asian populations. METHODS:A total of 510 148 Korean adults who participated in routine health examinations during the period 2002-2003 were followed up until 2013. RESULTS:During a ...

    journal_title：Journal of gastroenterology and hepatology

    pub_type： 杂志文章

    doi：10.1111/jgh.14115

    authors： Jeong SH,Kim P,Yi SW,Kim YJ,Baeg MK,Yi JJ

    更新日期：2018-02-06 00:00:00

  • Transcriptional regulation of stellate cell activation.

    abstract：:The identification of activated hepatic stellate cells and related cell types as key fibrogenic effectors during liver injury has led to intense evaluation of transcriptional events underlying their behavior. While initial studies focused on characterizing interactions between transcription factors and regulatory regi...

    journal_title：Journal of gastroenterology and hepatology

    pub_type： 杂志文章,评审

    doi：10.1111/j.1440-1746.2006.04585.x

    authors： Friedman SL

    更新日期：2006-10-01 00:00:00

  • Advanced glycation end products augment experimental hepatic fibrosis.

    abstract：BACKGROUND AND AIMS:Advanced glycation end products (AGEs) are nonenzymatic modifications of proteins by reducing sugars. These compounds accumulate in a number of chronic disease states, contributing to tissue injury via several mechanisms, including activation of the receptor for advanced glycation end products (RAGE...

    journal_title：Journal of gastroenterology and hepatology

    pub_type： 杂志文章

    doi：10.1111/jgh.12042

    authors： Goodwin M,Herath C,Jia Z,Leung C,Coughlan MT,Forbes J,Angus P

    更新日期：2013-02-01 00:00:00

  • Repeating measurements by transient elastography in non-alcoholic fatty liver disease patients with high liver stiffness.

    abstract：BACKGROUND AND AIM:The Baveno VI Consensus recommends repeating examination in patients with high liver stiffness measurement (LSM) by transient elastography to reduce false-positive diagnosis of advanced liver disease. We tested whether repeating transient elastography can increase the overall diagnostic accuracy. ME...

    journal_title：Journal of gastroenterology and hepatology

    pub_type： 杂志文章

    doi：10.1111/jgh.14311

    authors： Chow JC,Wong GL,Chan AW,Shu SS,Chan CK,Leung JK,Choi PC,Chim AM,Chan HL,Wong VW

    更新日期：2019-01-01 00:00:00