The volume of ERCP per endoscopist is associated with a higher technical success and a lower post-ERCP pancreatitis rate. A prospective analysis

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dc.contributor.authorVila, Juan J.
dc.contributor.authorArrubla, Amaia
dc.contributor.authorJusué, Vanesa
dc.contributor.authorEstremera, Fermín
dc.contributor.authorGonzález de la Higuerra, Belén
dc.contributor.authorCarrascosa, Juan
dc.contributor.authorRodríguez Mendiluce, Irene
dc.contributor.authorHervás, Nerea
dc.contributor.authorPrieto, Carlos
dc.contributor.authorGómez, Marta
dc.contributor.authorFernández-Urién Sainz, Ignacio
dc.contributor.authorIbáñez Beroiz, Berta
dc.contributor.authorIbáñez Beroiz, Berta
dc.contributor.departmentCiencias de la Saludes_ES
dc.contributor.departmentOsasun Zientziakeu
dc.date.accessioned2023-11-08T11:18:46Z
dc.date.available2023-11-08T11:18:46Z
dc.date.issued2022
dc.date.updated2023-11-08T11:02:51Z
dc.description.abstractIntroduction: conflicting results have been reported regarding the influence of the annual volume of endoscopic retrograde cholangiopancreatography (ERCP) on outcome. Objective: to evaluate the influence of case volume on ERCP outcomes. Patients and methods: an analysis of a prospective database was performed, comparing the outcomes of ERCP in three consecutive periods defined by the number of endoscopists performing ERCP: five endoscopists in period I (P1), four in period II (P2) and three in period III (P3). Only patients with biliary ERCP in accessible and naïve papilla were included. Primary variables were cannulation rates and adverse effects (AE). The American Society of Gastrointestinal Endoscopy (ASGE) complexity grades III and IV were considered as highly complex procedures. Results: a total of 2,561 patients were included: 727 (P1), 972 (P2) and 862 (P3). There were no differences in age and sex between groups (p > 0.05). The cannulation rate was significantly higher in P2 and P3: 92.4 % vs 93.3 % vs 93 % (p = 0.037). The AE rate was 13.8 %, 12.6 % and 10.3 % (p > 0.05), respectively. The rate of post-ERCP pancreatitis was significantly lower in P3: 8.5 %, 7.3 % and 5 % (p = 0.01). The rate of complex procedures was 12 %, 14.8 % and 27 % (p < 0.0001), respectively. Two endoscopists participated in all periods and only one had significantly improved outcomes. Cannulation and post-ERCP pancreatitis rates remained significantly better in P3 after adjusting for sex, complexity and endoscopist. Conclusion: a higher annual volume of ERCP per endoscopist was associated with a higher rate of cannulation and a lower rate of post-ERCP pancreatitis, despite the greater complexity of the procedures. These beneficial effects seem to differ between endoscopists.en
dc.format.mimetypeapplication/pdfen
dc.identifier.citationVila, J. J., Arrubla Gamboa, A., Jusué, V., Estremera-Arévalo, F., González De La Higuerra, B., Carrascosa Gil, J., Rodríguez Mendiluce, I., Hervás, N., Prieto, C., Gómez Alonso, M., Fernández-Urién, I., & Ibáñez Beroiz, B. (2022). The volume of ERCPs per endoscopist is associated with a higher technical success and a lower post-ERCP pancreatitis rates. A prospective analysis. Revista Española de Enfermedades Digestivas. https://doi.org/10.17235/reed.2022.9056/2022en
dc.identifier.doi10.17235/reed.2022.9056/2022
dc.identifier.issn1130-0108
dc.identifier.urihttps://academica-e.unavarra.es/handle/2454/46727
dc.language.isoengen
dc.publisherArán Edicionesen
dc.relation.ispartofRevista Española de Enfermedades Digestivas 115(7), 368-373en
dc.relation.publisherversionhttps://doi.org/10.17235/reed.2022.9056/2022
dc.rights© Copyright 2023 y Creative Commons (CC-BY-NC-ND). Sociedad Española de Patología Digestiva (SEPD) y © Arán Ediciones S.L.en
dc.rights.accessRightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectActivitiesen
dc.subjectAdverse effectsen
dc.subjectAssessmenten
dc.subjectBiliary tracten
dc.subjectCholangiopancreatographyen
dc.subjectEndoscopic retrogradeen
dc.subjectOutcomesen
dc.subjectTrainingen
dc.subjectWorkloaden
dc.titleThe volume of ERCP per endoscopist is associated with a higher technical success and a lower post-ERCP pancreatitis rate. A prospective analysisen
dc.typeinfo:eu-repo/semantics/article
dc.type.versioninfo:eu-repo/semantics/publishedVersion
dspace.entity.typePublication
relation.isAuthorOfPublication6cc547dc-8ec5-4b66-b920-358328d1f12c
relation.isAuthorOfPublication.latestForDiscovery6cc547dc-8ec5-4b66-b920-358328d1f12c

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