Endoscopic retrograde cholangiopancreatography in a general surgery training program. Discussion

Endoscopic retrograde cholangiopancreatography (ERCP) is one of the most complex procedures performed by endoscopists. ERCP has been performed primarily by gastroenterologists. There have been no reports in the literature regarding ERCP training within the framework of a general surgery residency pr...

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Bibliographic Details
Published inThe American surgeon Vol. 64; no. 7; pp. 622 - 626
Main Authors MEGUID, A, SCHEERES, D. E, MELLINGER, J. D, SCHRODER, D. M, DIEBEL, L. N
Format Conference Proceeding Journal Article
LanguageEnglish
Published Atlanta, GA Southeastern Surgical Congress 01.07.1998
SAGE PUBLICATIONS, INC
Subjects
Biological and medical sciences
Digestive system
Digestive system. Abdomen
Endoscopy
Investigative techniques, diagnostic techniques (general aspects)
Medical imaging
Medical research
Medical sciences
Human
Cholangiopancreatography
Radiodiagnosis
Resident(student)
General surgery
Professional practice
Retrograde
Endoscopy
Occupational training
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Summary:Endoscopic retrograde cholangiopancreatography (ERCP) is one of the most complex procedures performed by endoscopists. ERCP has been performed primarily by gastroenterologists. There have been no reports in the literature regarding ERCP training within the framework of a general surgery residency program. The purpose of this study was to review ERCPs performed by surgical attendings and resident staff during a 6-year period and compare the success and complication rates with those found in published gastroenterological series. There were a total of 193 ERCPs performed on 171 patients for a success rate of 82.4 per cent and a complication rate of 6.7 per cent. A resident was the primary endoscopist in 51 procedures, with 42 (82.4%) successes and 2 complications (3.9%). There were no significant differences noted between our series and national complication rates, and between attending and resident procedures (P < 0.05, Chi-square analysis). This study has shown that surgical endoscopists can perform ERCP with success rates over 80 per cent, the currently regarded standard of expertise. The complication rates for these ERCPs were lower than accepted complication rates cited in current gastroenterological series. The results of this study support the hypothesis that ERCPs can be performed safely in a surgical residency.
ISSN:0003-1348
1555-9823