A National Survey on the Environment and Basic Techniques of Endoscopic Retrograde Cholangiopancreatography in Korea

Abstract

Background/Aims: The work environment in which endoscopic retrograde cholangiopancreatography (ERCP) is conducted has influence on its efficacy and safety. We aimed to assess the current status of ERCP work environments and to investigate the trends associated with the basic techniques of ERCP in Korea. Methods:The work environment and information on the basic techniques of ERCP were acquired by the Korean Pancreatobiliary Association (KPBA) through a national survey in 2019. The survey was performed at the KPBA conference in 2019. The contents of survey comprised of the current environment of ERCP, preparation before ERCP, and the preferred basic techniques used in ERCP.Results: Completed questionnaires were returned from 84 KPBA members. The mean ERCP volume per year was approximately 500. About 60% (50/84) reported that they worked with a dedicated ERCP team with experienced nurses. Two-thirds (57/84, 68%) answered that they had a fluoroscopy room used solely for ERCP procedures. All respondents intravenously hydrated the patient to prevent post-ERCP pancreatitis (84/84, 100%). The preferred procedural sedations were balanced propofol sedation (50%) and midazolam-only sedation (47%). Wire-guided cannulation was most commonly used for selective cannulation (81%). Endoscopic retrograde biliary drainage was preferred over endoscopic nasobiliary drainage (60% vs 22%). The initial method of ampullary intervention was endoscopic sphincterotomy in 60%. Conclusions:Data from the survey involving a large number of Korean ERCP doctors revealed considerable variabilities with regard to the work environment and basic techniques of ERCP in Korea. The study provides information regarding the current trends of ERCP that can be used to establish ERCP standards in Korea.

Current state of biliary cannulation techniques during endoscopic retrograde cholangiopancreatography (ERCP): International survey study

“…In this survey of practicing endoscopists, a WGC technique was by far the preferred strategy for biliary cannulation amongst respondents (95%) and more than that reported by three prior national surveys (76-84%) suggesting continued adoption of this technique over time [18,19,7 This article is protected by copyright. All rights reserved.…”

Combinatorial Effect of Prophylactic Interventions for Post-ERCP Pancreatitis among Patients with Risk Factors: A Network Meta-Analysis

“…PEP has not been completely overcome, despite advances in PEP prevention. [36][37][38] For endoscopists who perform ERCP, the real world concern may be whether to select the best effort-to-effectiveness strategy for PEP prevention or to reduce PEP with a maximal prevention strategy by applying all available key methods. We planned this study to determine whether well-proven prophylactic methods including rectal NSAIDs, PS insertion, and aggressive hydration, act in complementary fashion, or as alternatives to each other.…”

Medical disputes related to advanced endoscopic procedures with endoscopic retrograde cholangiopancreatography or endoscopic ultrasonography for the management of pancreas and biliary tract diseases

“…6,7 In addition, nurses and techni-cians who have a full understanding of operating processes and instruments also have an important role in effective endoscopic assistance. 8,9 Patient safety and clinical quality have been emphasized, especially in the endoscopic field. 10 In South Korea, the Korea Medical Dispute Mediation and Arbitration Agency (K-Medi) was established in April 2012 to obtain a fair medical environment by resolving medical disputes or claims on medical professional liability (MPL) and providing a qualified and unbiased appraisal of medical accidents and has been operated to achieve equitable relief for both plaintiff and dependent through medical mediation.…”