A prospective study on quality in endoscopic retrograde cholangiopancreatography (ERCP): trend in Italy from the REQUEST study
| Autor: | Giampiero Manes, A. Maurano, Cesare Hassan, Maria Flavia Savarese, Loredana Correale, Andrea Anderloni, Francesco Maria Di Matteo, Guido Costamagna, Iginio Dell’Amico, Giovanni de Pretis, Matteo Blois, Milutin Bulajic, Paolo Cantù, Luca De Luca, Mohammad Ayoubi, Pietro Occhipinti, Raffaella Ferraro, Andrea Tringali, G. Donato, Piergiorgio Mosca, Marco Spadaccini, Armando Gabbrielli, Mauro Barberis, Alessandro Fugazza, Alessandro Repici, Roberto Faggiani |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Original article Endoscopic retrograde cholangiopancreatography medicine.diagnostic_test business.industry General surgery Sedation Settore MED/12 - GASTROENTEROLOGIA Perforation (oil well) MEDLINE RC799-869 Diseases of the digestive system. Gastroenterology medicine.disease ERCP Medicine Pancreatitis Pharmacology (medical) Observational study medicine.symptom business Prospective cohort study Adverse effect |
| Zdroj: | Endoscopy International Open Endoscopy International Open, Vol 09, Iss 10, Pp E1563-E1571 (2021) |
| ISSN: | 2364-3722 |
| Popis: | Background and study aims Endoscopic retrograde cholangiopancreatography (ERCP) is a complex procedure with a relatively high rate of adverse events. Data on training of operators and fulfillment of quality indicators in Italy are scarce. The goal of this study was to assess the overall quality of ERCP in Italy compared to international standards. Patients and methods This was a prospective, observational study from different Italian centers performing ERCP. Operators answered a questionnaire, then recorded data on ERCPs over a 1-to 3-month period. Results Nineteen Italian centers participated in the study. The most common concern of operators about training was the lack of structured programs. Seven/19 centers routinely used conscious sedation for ERCP. Forty-one experienced operators and 21 trainees performed 766 ERCPs: a successful deep biliary cannulation in native-papilla patients was achieved in 95.1 % of cases; the post-ERCP pancreatitis (PEP) rate was 5.4 % in native-papilla patients; cholangitis rate was 1.0 %; bleeding and perforation occurred in 2.7 % and 0.4 % of the patients, respectively. Conclusions This study revealed that, overall, ERCP is performed in the participating Italian centers meeting good quality standards, but structured training and sedation practice are still subpar. The bleeding and perforation rate slightly exceeded the American Society of Gastrointestinal Endoscopy indicator targets but they are comparable to the reported rates from other international surveys. |
| Databáze: | OpenAIRE |
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