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Endoscopic Retrograde Cholangiopancreatography in an Australian Rural Centre: Outcomes and Benchmark-Comparable

Xiang Yuen Po¹, Matthew Shears¹

¹General Surgery, Northeast Health Wangaratta (NHW), Wangaratta, Victoria, Australia.

ANZ Journal of Surgery

|July 15, 2026

Summary

Related Concept Videos

Endoscopic Procedures V: ERCP

Endoscopic Procedures V: ERCP

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...

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Endoscopic retrograde cholangiopancreatography (ERCP) in rural Australia achieved 92% technical success with a 5.6% complication rate, comparable to international benchmarks. These findings support ERCP provision in regional settings.

Area of Science:

Gastroenterology
Endoscopy
Biliary and Pancreatic Diseases

Background:

Endoscopic retrograde cholangiopancreatography (ERCP) is crucial for biliary and pancreatic diseases but has known risks.
Outcomes data for ERCP in rural Australian settings are limited.
This study evaluates ERCP outcomes in a rural Australian center.

Purpose of the Study:

To assess the technical success and complication rates of ERCP in a rural Victorian hospital.
To compare these outcomes with established international quality benchmarks.
To determine the feasibility of providing ERCP in regional healthcare settings.

Main Methods:

A retrospective clinical audit of adult patients undergoing ERCP.
Data collected from May 2024 to April 2026 at a rural Victorian hospital.

Keywords:

endoscopic retrograde cholangiopancreatography general surgery quality indicators rural surgery treatment outcome

Related Experiment Videos

Primary outcomes: technical success and procedure-related complications; Secondary outcomes: repeat ERCP, transfer, readmission, mortality.

Main Results:

197 ERCPs were performed, with 92% technical success.
Complication rate was 5.6% (post-ERCP pancreatitis 3.6%, bleeding 1.5%, perforation 0.5%), with no mortality.
8% of ERCPs failed, necessitating transfer to tertiary centers; 30-day readmission was 0.5%.

Conclusions:

ERCP outcomes in this rural center align with international benchmarks for success and safety.
These results support the delivery of ERCP services in regional areas.
Establishing appropriate escalation pathways is vital for safe and effective rural ERCP care.