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Related Concept Videos

Endoscopic Procedures V: ERCP01:26

Endoscopic Procedures V: ERCP

196
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
196
Endoscopic Studies II: Thoracocentesis01:26

Endoscopic Studies II: Thoracocentesis

252
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
252
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
77
Endoscopic Procedures I: Esophagogastroduodenoscopy01:29

Endoscopic Procedures I: Esophagogastroduodenoscopy

106
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
106
Endoscopic Procedures II: Colonoscopy01:25

Endoscopic Procedures II: Colonoscopy

89
The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
89
Imaging Studies I: CT and MRI01:14

Imaging Studies I: CT and MRI

235
Introduction: MRI and CT scans are crucial advancements in medical imaging techniques, playing a vital role in diagnosing conditions related to the gastrointestinal (GI) system. Each scan serves distinct purposes, targets specific areas, and requires unique nursing duties.
Description of the Procedures
Computed Tomography (CT) scan:
Computed Tomography (CT) scans use X-ray technology to generate detailed images of bones, organs, and tissues. During the scan, the patient lies on a moving table...
235

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Trainee Involvement and ERCP Complications: A Systematic Review and Meta-Analysis.

Priyadarshini Loganathan1, Babu Mohan2, Abakar Baraka3

  • 1Internal Medicine, University Medical Associates, UT Health San Antonio, 302 West Rector, San Antonio, TX, 78216, USA. drdarshini88@gmail.com.

Digestive Diseases and Sciences
|May 7, 2024
PubMed
Summary
This summary is machine-generated.

This study found that trainee involvement in endoscopic retrograde cholangiopancreatography (ERCP) does not increase adverse events or compromise success rates. ERCP outcomes are comparable between trainees and experienced endoscopists, indicating safety in supervised training settings.

Keywords:
ERCPEducationEndoscopic retrograde cholangiopancreatographyFellowsProcedure safetyTrainee

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Area of Science:

  • Gastroenterology
  • Medical Education
  • Surgical Training

Background:

  • Therapeutic endoscopy fellows train in ERCP, a procedure with perceived risks when performed by trainees.
  • Concerns exist regarding increased ERCP-related complications due to trainee involvement, particularly pancreatic duct cannulation.
  • Existing evidence on the impact of trainee participation on ERCP outcomes is limited.

Conclusions:

  • Trainee participation in ERCP is associated with comparable outcomes to experienced endoscopists.
  • The success rates, procedure time, and adverse event profiles are similar regardless of trainee involvement.
  • ERCP can be safely performed by trainees within a structured teaching environment without compromising patient safety or procedural efficacy.