A Thesis submitted to The University of Arizona College of Medicine - Phoenix in partial fulfillment of the requirements for the Degree of Doctor of Medicine. / Endoscopic retrograde cholangiopancreatography
(ERCP) is a technically difficult procedure that
requires extensive training to achieve competency.
The study was undertaken to assess retrospectively
whether advanced ERCP training made a difference
in the competency of a physician who was
performing ERCPs for eleven years before taking an
extra year of advanced training in ERCP. The
physician did not get any ERCP experience during
the two-year formal fellowship between 1995-97,
and learned ERCPs from colleagues post formal GIfellowship
for four years after which he was given
privileges to independently perform ERCPs.
Data were collected on 172 and 213 patients who
underwent ERCP before and after the training year
respectively. Chi-square test was utilized to analyze
the data. Baseline characteristics including height,
weight, race and indications for ERCP were similar
in the two groups. The results of the study showed
that rates of biliary cannulation increased from the
Pre-ERCP fellowship rate of 83% to 93% (Chi-
Square = 9.06, p = 0.0026) and a reduction in postprocedure
pancreatitis from 8.1% to 2.7% (Chi-
Square = 4.56, p = 0.0327). Data in this study
indicate that extra training in ERCP improves
outcomes of ERCP in a single operator’s
experience.
| Identifer | oai:union.ndltd.org:arizona.edu/oai:arizona.openrepository.com:10150/315966 |
| Date | 04 1900 |
| Creators | Choi, Joshua |
| Contributors | The University of Arizona College of Medicine - Phoenix, Nadir, Abdul MD |
| Publisher | The University of Arizona. |
| Source Sets | University of Arizona |
| Language | en_US |
| Detected Language | English |
| Type | Thesis |
| Rights | Copyright © is held by the author. Digital access to this material is made possible by the College of Medicine - Phoenix, University of Arizona. Further transmission, reproduction or presentation (such as public display or performance) of protected items is prohibited except with permission of the author. |
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