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A National Survey on the Environment and Basic Techniques of Endoscopic Retrograde Cholangiopancreatography in Korea

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Author(s)
Jae Min LeeSung Hoon MoonSang Wook ParkWoo Hyun PaikChang Nyol PaikByoung Kwan SonTae Jun SongDong Won AhnEaum Seok LeeYun Nah LeeYoon Suk LeeTae Joo JeonHyung Ku ChonDong Wook LeeChang Hwan ParkKwang Bum Cho
Keimyung Author(s)
Cho, Kwang Bum
Department
Dept. of Internal Medicine (내과학)
Journal Title
Gut Liver
Issued Date
2021
Volume
15
Issue
6
Keyword
Endoscopic retrograde cholangiopancreatographyCurrent statusSurvey
Abstract
Background/Aims:
The work environment in which endoscopic retrograde cholangiopancreatography (ERCP) is conducted has influence on its efficacy and safety. We aimed to assess the current status of ERCP work environments and to investigate the trends associated with the basic techniques of ERCP in Korea.

Methods:
The work environment and information on the basic techniques of ERCP were acquired by the Korean Pancreatobiliary Association (KPBA) through a national survey in 2019. The survey was performed at the KPBA conference in 2019. The contents of survey comprised of the current environment of ERCP, preparation before ERCP, and the preferred basic techniques used in ERCP.

Results:
Completed questionnaires were returned from 84 KPBA members. The mean ERCP volume per year was approximately 500. About 60% (50/84) reported that they worked with a dedicated ERCP team with experienced nurses. Two-thirds (57/84, 68%) answered that they had a fluoroscopy room used solely for ERCP procedures. All respondents intravenously hydrated the patient to prevent post-ERCP pancreatitis (84/84, 100%). The preferred procedural sedations were balanced propofol sedation (50%) and midazolam-only sedation (47%). Wire-guided cannulation was most commonly used for selective cannulation (81%). Endoscopic retrograde biliary drainage was preferred over endoscopic nasobiliary drainage (60% vs 22%). The initial method of ampullary intervention was endoscopic sphincterotomy in 60%.

Conclusions:
Data from the survey involving a large number of Korean ERCP doctors revealed considerable variabilities with regard to the work environment and basic techniques of ERCP in Korea. The study provides information regarding the current trends of ERCP that can be used to establish ERCP standards in Korea.
Keimyung Author(s)(Kor)
조광범
Publisher
School of Medicine (의과대학)
Citation
Jae Min Lee et al. (2021). A National Survey on the Environment and Basic Techniques of Endoscopic Retrograde Cholangiopancreatography in Korea. Gut Liver, 15(6), 904–911. doi: 10.5009/gnl20329
Type
Article
ISSN
2005-1212
Source
https://www.gutnliver.org/journal/view.html?doi=10.5009/gnl20329
DOI
10.5009/gnl20329
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/43842
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Internal Medicine (내과학)
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