ntroduction: Although many researches have been done on the success and complications of the endo scopic retrograde cholangiopancreatography (ERCP) procedure, the effects of the endoscopist’s experienceare still a controversial issue. Materials and Methods: Between January 2016 and January 2020, 320 ERCP procedures with natural papillaperformed sequentially by a single endoscopist were divided into 4 groups only in chronological order. Medi cal records from the hospital automation system and ERCP forms were reviewed retrospectively. The effectsof experience on the ERCP procedure were investigated by comparing the success rate and complicationsbetween the groups. Results: In the procedures carried out on 320 native papilla, success rate was 88.43%; the success rates ofselective biliary cannulation in four groups were, respectively, 83.75, 93.75, 88.75, and 87.50%. It was de termined that success rate did not increase by increasing experience (p=0.696). Cannulation period and at tempts are reduced by group 1 to 4 (p<0.01), but the decrease in ERCP specific complications which are as sociated with cannulation time and the number of attempts was not statistically significant. On the contrary,hemorrhage complication in the syphinchteretomy line was increased from group 1 to group 4. (p=0.014). Conclusion: 240 cases refer to the critical value in terms of complications. Therefore, in difficult proceduresand for patient selection, this value (240 cases) should be considered. Since being an expert is a highly indi vidual situation at ERCP, the standard number of case or definitions of experience are likely to be discussedfor a longer time. ">
[PDF] How long does it take to be an ERCP expert? | [PDF] How long does it take to be an ERCP expert?
ntroduction: Although many researches have been done on the success and complications of the endo scopic retrograde cholangiopancreatography (ERCP) procedure, the effects of the endoscopist’s experienceare still a controversial issue. Materials and Methods: Between January 2016 and January 2020, 320 ERCP procedures with natural papillaperformed sequentially by a single endoscopist were divided into 4 groups only in chronological order. Medi cal records from the hospital automation system and ERCP forms were reviewed retrospectively. The effectsof experience on the ERCP procedure were investigated by comparing the success rate and complicationsbetween the groups. Results: In the procedures carried out on 320 native papilla, success rate was 88.43%; the success rates ofselective biliary cannulation in four groups were, respectively, 83.75, 93.75, 88.75, and 87.50%. It was de termined that success rate did not increase by increasing experience (p=0.696). Cannulation period and at tempts are reduced by group 1 to 4 (p<0.01), but the decrease in ERCP specific complications which are as sociated with cannulation time and the number of attempts was not statistically significant. On the contrary,hemorrhage complication in the syphinchteretomy line was increased from group 1 to group 4. (p=0.014). Conclusion: 240 cases refer to the critical value in terms of complications. Therefore, in difficult proceduresand for patient selection, this value (240 cases) should be considered. Since being an expert is a highly indi vidual situation at ERCP, the standard number of case or definitions of experience are likely to be discussedfor a longer time. ">
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