ERCP - PRESENT PRACTICE IN A SINGLE REGION - SUGGESTED STANDARDS FOR MONITORING PERFORMANCE

Authors
Citation
Ar. Tanner, ERCP - PRESENT PRACTICE IN A SINGLE REGION - SUGGESTED STANDARDS FOR MONITORING PERFORMANCE, European journal of gastroenterology & hepatology, 8(2), 1996, pp. 145-148
Citations number
6
Categorie Soggetti
Gastroenterology & Hepatology
ISSN journal
0954691X
Volume
8
Issue
2
Year of publication
1996
Pages
145 - 148
Database
ISI
SICI code
0954-691X(1996)8:2<145:E-PPIA>2.0.ZU;2-7
Abstract
A survey of consecutive endoscopic retrograde cholangiopancreatography (ERCP) procedures has been undertaken for all the Units performing th is procedure in the (old) Northern region of the UK. The process, imag ing success, procedural success and complications have been analysed f or 255 ERCP procedures. Overall, the results seem to be reassuring, wi th an imaging success rate of 88% (n=297 ducts required), additional p rocedural success rate of 88% (n=178) and with a serious complication rate of 6%. However, there are wide differences both in terms of pract ice (contrast agent used, antibiotic prophylaxis), imaging success (76 -95%) and outcomes (procedure success 75-100%, serious complications 0 -16%). This wide difference in practice seems difficult to justify. In dividual Units should monitor their performance. Standards of practice are suggested for discussion and debate.