ERCP

Joseph Leung, Brian S. Lim

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

ERCP plays an important role in the management of patients with pancreaticobiliary diseases. It is technically challenging and carries substantial risks. Therefore, proper training is important to ensure a good clinical outcome. In order for the trainees to meet the minimum expectation, which may be difficult in some centers due to limited availability of patients, many programs offer ERCP training only to a select few, often times in the form of an additional year of advanced fellowship. For successful ERCP training to occur, certain prerequisites are expected of the trainers and the trainees. During training, the trainee must learn both the cognitive aspect and technical skills of ERCP. The technical skills that trainees must learn include, but are not restricted to, scope handling, selective cannulation, papillotomy, stone extraction, stenting, stricture dilation, brush cytology, and lithotripsy. To create more opportunities for hands-on practice, different simulators are used to supplement clinical ERCP training. To date, there is a lack of objective criteria to truly assess competency in ERCP, but the total number of procedures is used as a surrogate.

Original languageEnglish (US)
Title of host publicationSuccessful Training in Gastrointestinal Endoscopy
PublisherWiley-Blackwell
Pages85-96
Number of pages12
ISBN (Print)9781405196635
DOIs
StatePublished - Apr 26 2011

Keywords

  • Assessment of ERCP performance
  • Cognitive aspects of ERCP training
  • Competency
  • ERCP equipment
  • ERCP simulators
  • ERCP volume during training
  • Learning
  • Prerequisite for ERCP training
  • Role of ERCP assistant
  • Technical aspects of ERCP training
  • Training
  • Training in endoscopic retrograde cholangiopancreatography (ERCP)

ASJC Scopus subject areas

  • Medicine(all)

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  • Cite this

    Leung, J., & Lim, B. S. (2011). ERCP. In Successful Training in Gastrointestinal Endoscopy (pp. 85-96). Wiley-Blackwell. https://doi.org/10.1002/9781444397772.ch7