How safe and successful are live demonstrations of therapeutic ERCP a large multicenter study

Zhuan Liao, Zhao Shen Li, Joseph Leung, Xiao Zhang, Shu Tian Zhang, Ming Ji, Zhi Ning Fan, Fa Chao Zhi, You Ming Li, Xiao Xing Chen, Lin Lu, Xu Ren, Guo Fa Jia, Liu Ye Huang, Nong Hua Lv, Wei Feng Xie, Zhi Zheng Ge, William S C Chao

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26 Citations (Scopus)

Abstract

OBJECTIVES: Live demonstrations of endoscopic retrograde cholangiopancreatography (ERCP) have a high educational value and contribute significantly to endoscopy development and training. However, the success and safety of live demonstration have been questioned. The aim of this study was to evaluate the success rate and complications of therapeutic ERCP among patients who participated in live demonstrations. METHODS: Patients who underwent therapeutic ERCP during live demonstrations at gastrointestinal endoscopy conferences in China between January 2002 and December 2007 were included. The matched control for each patient was a patient admitted to the same ERCP unit with similar indication, who received ERCP by an endoscopist with similar experience as those who performed the live demonstration. Patients age, gender, indication, success rate, and complications of ERCP were collected and compared. ERCP outcomes between local and visiting faculty were also compared. RESULTS: In total, 36 conferences with live ERCP demonstrations involving 406 patients were held in 14 endoscopy centers. There were no significant differences in patients gender, age, and indications between live demonstrations and controls. The overall complication rate of ERCP in live demonstrations was not significantly different compared with controls (10.3 vs. 8.6, P0.473). However, the success rate was significantly lower in live demonstrations than in controls (94.1 vs. 97.5, P0.021). The success and complication rates of ERCP performed by local faculty, domestic visiting, and foreign visiting faculties were similar. CONCLUSIONS: Although the success rate of therapeutic ERCP performed during live demonstrations was lower than that of routine procedures, the overall complication rate did not significantly increase. ERCP performed by visiting endoscopists was as safe as that done by local faculty in live demonstrations.

Original languageEnglish (US)
Pages (from-to)47-52
Number of pages6
JournalAmerican Journal of Gastroenterology
Volume104
Issue number1
DOIs
StatePublished - Jan 2009

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Endoscopic Retrograde Cholangiopancreatography
Multicenter Studies
Therapeutics
Endoscopy
Gastrointestinal Endoscopy
China

ASJC Scopus subject areas

  • Gastroenterology
  • Medicine(all)

Cite this

How safe and successful are live demonstrations of therapeutic ERCP a large multicenter study. / Liao, Zhuan; Li, Zhao Shen; Leung, Joseph; Zhang, Xiao; Zhang, Shu Tian; Ji, Ming; Fan, Zhi Ning; Zhi, Fa Chao; Li, You Ming; Chen, Xiao Xing; Lu, Lin; Ren, Xu; Jia, Guo Fa; Huang, Liu Ye; Lv, Nong Hua; Xie, Wei Feng; Ge, Zhi Zheng; Chao, William S C.

In: American Journal of Gastroenterology, Vol. 104, No. 1, 01.2009, p. 47-52.

Research output: Contribution to journalArticle

Liao, Z, Li, ZS, Leung, J, Zhang, X, Zhang, ST, Ji, M, Fan, ZN, Zhi, FC, Li, YM, Chen, XX, Lu, L, Ren, X, Jia, GF, Huang, LY, Lv, NH, Xie, WF, Ge, ZZ & Chao, WSC 2009, 'How safe and successful are live demonstrations of therapeutic ERCP a large multicenter study', American Journal of Gastroenterology, vol. 104, no. 1, pp. 47-52. https://doi.org/10.1038/ajg.2008.39
Liao, Zhuan ; Li, Zhao Shen ; Leung, Joseph ; Zhang, Xiao ; Zhang, Shu Tian ; Ji, Ming ; Fan, Zhi Ning ; Zhi, Fa Chao ; Li, You Ming ; Chen, Xiao Xing ; Lu, Lin ; Ren, Xu ; Jia, Guo Fa ; Huang, Liu Ye ; Lv, Nong Hua ; Xie, Wei Feng ; Ge, Zhi Zheng ; Chao, William S C. / How safe and successful are live demonstrations of therapeutic ERCP a large multicenter study. In: American Journal of Gastroenterology. 2009 ; Vol. 104, No. 1. pp. 47-52.
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abstract = "OBJECTIVES: Live demonstrations of endoscopic retrograde cholangiopancreatography (ERCP) have a high educational value and contribute significantly to endoscopy development and training. However, the success and safety of live demonstration have been questioned. The aim of this study was to evaluate the success rate and complications of therapeutic ERCP among patients who participated in live demonstrations. METHODS: Patients who underwent therapeutic ERCP during live demonstrations at gastrointestinal endoscopy conferences in China between January 2002 and December 2007 were included. The matched control for each patient was a patient admitted to the same ERCP unit with similar indication, who received ERCP by an endoscopist with similar experience as those who performed the live demonstration. Patients age, gender, indication, success rate, and complications of ERCP were collected and compared. ERCP outcomes between local and visiting faculty were also compared. RESULTS: In total, 36 conferences with live ERCP demonstrations involving 406 patients were held in 14 endoscopy centers. There were no significant differences in patients gender, age, and indications between live demonstrations and controls. The overall complication rate of ERCP in live demonstrations was not significantly different compared with controls (10.3 vs. 8.6, P0.473). However, the success rate was significantly lower in live demonstrations than in controls (94.1 vs. 97.5, P0.021). The success and complication rates of ERCP performed by local faculty, domestic visiting, and foreign visiting faculties were similar. CONCLUSIONS: Although the success rate of therapeutic ERCP performed during live demonstrations was lower than that of routine procedures, the overall complication rate did not significantly increase. ERCP performed by visiting endoscopists was as safe as that done by local faculty in live demonstrations.",
author = "Zhuan Liao and Li, {Zhao Shen} and Joseph Leung and Xiao Zhang and Zhang, {Shu Tian} and Ming Ji and Fan, {Zhi Ning} and Zhi, {Fa Chao} and Li, {You Ming} and Chen, {Xiao Xing} and Lin Lu and Xu Ren and Jia, {Guo Fa} and Huang, {Liu Ye} and Lv, {Nong Hua} and Xie, {Wei Feng} and Ge, {Zhi Zheng} and Chao, {William S C}",
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T1 - How safe and successful are live demonstrations of therapeutic ERCP a large multicenter study

AU - Liao, Zhuan

AU - Li, Zhao Shen

AU - Leung, Joseph

AU - Zhang, Xiao

AU - Zhang, Shu Tian

AU - Ji, Ming

AU - Fan, Zhi Ning

AU - Zhi, Fa Chao

AU - Li, You Ming

AU - Chen, Xiao Xing

AU - Lu, Lin

AU - Ren, Xu

AU - Jia, Guo Fa

AU - Huang, Liu Ye

AU - Lv, Nong Hua

AU - Xie, Wei Feng

AU - Ge, Zhi Zheng

AU - Chao, William S C

PY - 2009/1

Y1 - 2009/1

N2 - OBJECTIVES: Live demonstrations of endoscopic retrograde cholangiopancreatography (ERCP) have a high educational value and contribute significantly to endoscopy development and training. However, the success and safety of live demonstration have been questioned. The aim of this study was to evaluate the success rate and complications of therapeutic ERCP among patients who participated in live demonstrations. METHODS: Patients who underwent therapeutic ERCP during live demonstrations at gastrointestinal endoscopy conferences in China between January 2002 and December 2007 were included. The matched control for each patient was a patient admitted to the same ERCP unit with similar indication, who received ERCP by an endoscopist with similar experience as those who performed the live demonstration. Patients age, gender, indication, success rate, and complications of ERCP were collected and compared. ERCP outcomes between local and visiting faculty were also compared. RESULTS: In total, 36 conferences with live ERCP demonstrations involving 406 patients were held in 14 endoscopy centers. There were no significant differences in patients gender, age, and indications between live demonstrations and controls. The overall complication rate of ERCP in live demonstrations was not significantly different compared with controls (10.3 vs. 8.6, P0.473). However, the success rate was significantly lower in live demonstrations than in controls (94.1 vs. 97.5, P0.021). The success and complication rates of ERCP performed by local faculty, domestic visiting, and foreign visiting faculties were similar. CONCLUSIONS: Although the success rate of therapeutic ERCP performed during live demonstrations was lower than that of routine procedures, the overall complication rate did not significantly increase. ERCP performed by visiting endoscopists was as safe as that done by local faculty in live demonstrations.

AB - OBJECTIVES: Live demonstrations of endoscopic retrograde cholangiopancreatography (ERCP) have a high educational value and contribute significantly to endoscopy development and training. However, the success and safety of live demonstration have been questioned. The aim of this study was to evaluate the success rate and complications of therapeutic ERCP among patients who participated in live demonstrations. METHODS: Patients who underwent therapeutic ERCP during live demonstrations at gastrointestinal endoscopy conferences in China between January 2002 and December 2007 were included. The matched control for each patient was a patient admitted to the same ERCP unit with similar indication, who received ERCP by an endoscopist with similar experience as those who performed the live demonstration. Patients age, gender, indication, success rate, and complications of ERCP were collected and compared. ERCP outcomes between local and visiting faculty were also compared. RESULTS: In total, 36 conferences with live ERCP demonstrations involving 406 patients were held in 14 endoscopy centers. There were no significant differences in patients gender, age, and indications between live demonstrations and controls. The overall complication rate of ERCP in live demonstrations was not significantly different compared with controls (10.3 vs. 8.6, P0.473). However, the success rate was significantly lower in live demonstrations than in controls (94.1 vs. 97.5, P0.021). The success and complication rates of ERCP performed by local faculty, domestic visiting, and foreign visiting faculties were similar. CONCLUSIONS: Although the success rate of therapeutic ERCP performed during live demonstrations was lower than that of routine procedures, the overall complication rate did not significantly increase. ERCP performed by visiting endoscopists was as safe as that done by local faculty in live demonstrations.

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