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Endoscopic retrograde cholangiopancreatography in a general surgery training program
A Meguid1, D E Scheeres, J D Mellinger
1Department of Surgery, William Beaumont Hospital, Royal Oak, Michigan, USA.
The American Surgeon
|July 9, 1998
Summary
Surgical residents can safely perform Endoscopic Retrograde Cholangiopancreatography (ERCP) with high success rates and low complication rates. This study demonstrates ERCP proficiency within general surgery residency programs.
Area of Science:
- Gastroenterology
- Surgical Education
Background:
- Endoscopic retrograde cholangiopancreatography (ERCP) is a complex endoscopic procedure.
- ERCP is typically performed by gastroenterologists, with limited data on surgical residency training.
- No prior literature exists on ERCP training within general surgery residency programs.
Purpose of the Study:
- To evaluate ERCP outcomes performed by surgical attendings and residents.
- To compare surgical ERCP success and complication rates with published gastroenterological series.
- To assess the feasibility and safety of ERCP training in general surgery residency.
Main Methods:
- Retrospective review of ERCPs performed by surgical staff over a 6-year period.
- Analysis of 193 ERCP procedures in 171 patients.
- Comparison of outcomes between attending and resident endoscopists and with national data.
Main Results:
- Overall success rate of 82.4% and complication rate of 6.7%.
- Resident-performed ERCPs (51 procedures) showed an 82.4% success rate and 3.9% complication rate.
- No significant differences in complication rates between surgical and gastroenterological series or between attending and resident procedures.
Conclusions:
- Surgical endoscopists can achieve ERCP success rates exceeding the 80% standard.
- ERCP complication rates in this surgical series were lower than reported in gastroenterological series.
- ERCP can be safely and effectively performed within a general surgery residency framework.