The impact of gastroenterology fellowship involvement on the ERCP outcomes

Rasim Eren Cankurtaran; İbrahim Ethem Güven; Yavuz Çağır; Osman Ersoy

Article Details

The impact of gastroenterology fellowship involvement on the ERCP outcomes

Authors:

Rasim Eren Cankurtaran | İbrahim Ethem Güven | Yavuz Çağır | Osman Ersoy

Publisher:

MediHealth Academy Yayıncılık

Main Topics:

Gastroenteroloji ve Hepatoloji

Journal:

Journal of Health Sciences and Medicine Vol.6 Issue 4, pp.833-838

Document Type:

Article

Publication Date:

7/2023

Document Language:

English

Document ID (Org No.):

2001293524

pISSN:

2636-8579

Keywords:

Abstract:

 Aims: This study aimed whether the companionship of the gastroenterology fellowships to operators performing high-volume ERCP, would adversely affect the safety and success of the procedure. Methods: This retrospective observational study included 964 patients with naïve papilla who underwent ERCP between February 2019 and May 2022. Procedures with fellowship involvement were compared with procedures performed only by the expert operator in terms of cannulation success, procedure time, cannulation time, unintended PD cannulation, difficult cannulation, cannulation techniques, and post-procedure adverse events. Results: The two groups were similar in terms of procedure difficulty, successful cannulation in the first session, overall successful canulation, unintended PD cannulation, difficult cannulation rates, and cannulation techniques. The median procedure time was significantly higher in the fellowship involvement group compared to the other group p0.008. There was no difference between the two groups in terms of adverse events after the procedure p0.05. Procedure difficulty were found an independent risk factor of adverse events in the multivariate analysis Odds ratio: 2.3; 95 Cl 1.4-3.6; p0.001. Conclusion: Our study showed that the involvement of gastroenterology fellowships in the ERCP procedure prolonged the procedure and cannulation time but did not decrease the technical success and did not increase adverse events.

 Aims: This study aimed whether the companionship of the gastroenterology fellowships to operators performing high-volume ERCP, would adversely affect the safety and success of the procedure. Methods: This retrospective observational study included 964 patients with naïve papilla who underwent ERCP between February 2019 and May 2022. Procedures with fellowship involvement were compared with procedures performed only by the expert operator in terms of cannulation success, procedure time, cannulation time, unintended PD cannulation, difficult cannulation, cannulation techniques, and post-procedure adverse events. Results: The two groups were similar in terms of procedure difficulty, successful cannulation in the first session, overall successful canulation, unintended PD cannulation, difficult cannulation rates, and cannulation techniques. The median procedure time was significantly higher in the fellowship involvement group compared to the other group p0.008. There was no difference between the two groups in terms of adverse events after the procedure p0.05. Procedure difficulty were found an independent risk factor of adverse events in the multivariate analysis Odds ratio: 2.3; 95 Cl 1.4-3.6; p0.001. Conclusion: Our study showed that the involvement of gastroenterology fellowships in the ERCP procedure prolonged the procedure and cannulation time but did not decrease the technical success and did not increase adverse events.

 Aims: This study aimed whether the companionship of the gastroenterology fellowships to operators performing high-volume ERCP, would adversely affect the safety and success of the procedure. Methods: This retrospective observational study included 964 patients with naïve papilla who underwent ERCP between February 2019 and May 2022. Procedures with fellowship involvement were compared with procedures performed only by the expert operator in terms of cannulation success, procedure time, cannulation time, unintended PD cannulation, difficult cannulation, cannulation techniques, and post-procedure adverse events. Results: The two groups were similar in terms of procedure difficulty, successful cannulation in the first session, overall successful canulation, unintended PD cannulation, difficult cannulation rates, and cannulation techniques. The median procedure time was significantly higher in the fellowship involvement group compared to the other group p0.008. There was no difference between the two groups in terms of adverse events after the procedure p0.05. Procedure difficulty were found an independent risk factor of adverse events in the multivariate analysis Odds ratio: 2.3; 95 Cl 1.4-3.6; p0.001. Conclusion: Our study showed that the involvement of gastroenterology fellowships in the ERCP procedure prolonged the procedure and cannulation time but did not decrease the technical success and did not increase adverse events.

 Aims: This study aimed whether the companionship of the gastroenterology fellowships to operators performing high-volume ERCP, would adversely affect the safety and success of the procedure. Methods: This retrospective observational study included 964 patients with naïve papilla who underwent ERCP between February 2019 and May 2022. Procedures with fellowship involvement were compared with procedures performed only by the expert operator in terms of cannulation success, procedure time, cannulation time, unintended PD cannulation, difficult cannulation, cannulation techniques, and post-procedure adverse events. Results: The two groups were similar in terms of procedure difficulty, successful cannulation in the first session, overall successful canulation, unintended PD cannulation, difficult cannulation rates, and cannulation techniques. The median procedure time was significantly higher in the fellowship involvement group compared to the other group p0.008. There was no difference between the two groups in terms of adverse events after the procedure p0.05. Procedure difficulty were found an independent risk factor of adverse events in the multivariate analysis Odds ratio: 2.3; 95 Cl 1.4-3.6; p0.001. Conclusion: Our study showed that the involvement of gastroenterology fellowships in the ERCP procedure prolonged the procedure and cannulation time but did not decrease the technical success and did not increase adverse events.

Article Details

The impact of gastroenterology fellowship involvement on the ERCP outcomes

Authors:

Rasim Eren Cankurtaran | İbrahim Ethem Güven | Yavuz Çağır | Osman Ersoy

Publisher:

MediHealth Academy Yayıncılık

Main Topics:

Gastroenteroloji ve Hepatoloji

Journal:

Journal of Health Sciences and Medicine Vol.6 Issue 4, pp.833-838

Document Type:

Article

Publication Date:

7/2023

Document Language:

English

Document ID (Org No.):

2001293524

pISSN:

2636-8579

ERCP training

gastroenterology fellowship

post-ERCP complications

endoscopic retrograde cholangiopancreatography

Issues

Article Details

The impact of gastroenterology fellowship involvement on the ERCP outcomes

Authors: Rasim Eren Cankurtaran | İbrahim Ethem Güven | Yavuz Çağır | Osman Ersoy

Publisher: MediHealth Academy Yayıncılık

Main Topics: Gastroenteroloji ve Hepatoloji

Journal: Journal of Health Sciences and Medicine Vol.6 Issue 4, pp.833-838

Document Type: Article

Publication Date: 7/2023

Document Language: English

Document ID (Org No.): 2001293524

pISSN: 2636-8579

ERCP training

gastroenterology fellowship

post-ERCP complications

endoscopic retrograde cholangiopancreatography

Issues

Authors:

Rasim Eren Cankurtaran | İbrahim Ethem Güven | Yavuz Çağır | Osman Ersoy

Publisher:

MediHealth Academy Yayıncılık

Main Topics:

Gastroenteroloji ve Hepatoloji

Journal:

Journal of Health Sciences and Medicine Vol.6 Issue 4, pp.833-838

Document Type:

Article

Publication Date:

7/2023

Document Language:

English

Document ID (Org No.):

2001293524

pISSN:

2636-8579