scholarly journals Diagnosis and Management of Iatrogenic Endoscopic Retrograde Cholangiopancreatography Perforations Based on the European Society of Gastrointestinal Endoscopy Position Statement

2021 ◽  
Vol 96 (4) ◽  
pp. 318-327
Author(s):  
Young Jung Kim ◽  
Chang Hwan Park

Endoscopic retrograde cholangiopancreatography (ERCP)-related iatrogenic perforations are identified when gas or luminal contents exit the gastrointestinal tract during ERCP. Although perforations are rare, mortality is high; prompt diagnosis and appropriate management are essential. A multidisciplinary approach is required. The vast majority of such patients can be safely managed medically and endoscopically but must be carefully selected. Endoscopic closure can be considered, depending on the type of perforation. In patients who are deteriorating or whose iatrogenic perforations are not securely closed endoscopically, surgery is mandatory.

Endoscopy ◽  
2014 ◽  
Vol 46 (08) ◽  
pp. 693-711 ◽  
Author(s):  
Gregorios Paspatis ◽  
Jean-Marc Dumonceau ◽  
Marc Barthet ◽  
Søren Meisner ◽  
Alessandro Repici ◽  
...  

2020 ◽  
pp. 205064062098136
Author(s):  
Raf Bisschops ◽  
Matthew D Rutter ◽  
Miguel Areia ◽  
Cristiano Spada ◽  
Dirk Domagk ◽  
...  

The European Society of Gastrointestinal Endoscopy (ESGE) has developed performance measures and established a framework for quality assessment for gastrointestinal endoscopy in Europe. Most national societies actively undertake initiatives to implement and explicitly endorse these quality indicators. Given this, the ESGE proposes that, at a national level, strong leadership should exist to disseminate and implement quality parameters. Thus, understanding the potential barriers that may vary locally is of paramount importance. The ESGE suggests that each national society should prioritise quality and standards of care in gastrointestinal endoscopy in their activities and should survey/understand which measures are a local priority to their members and make measuring quality intrinsic to daily endoscopy practice.


2013 ◽  
Vol 04 (04) ◽  
pp. 114-116 ◽  
Author(s):  
Mallikarjun Patil ◽  
Keyur A. Sheth ◽  
C. K. Adarsh ◽  
B. Girisha

AbstractThe endoscopic retrograde cholangiopancreatography (ERCP) is known for its varied diagnostic and therapeutic utility for a variety of disorders. However it has greater likelihood of procedure related complications among the endoscopic procedures of gastrointestinal tract. The extraluminal hemorrhagic complications following ERCP are potentially life threatening though relatively rare. We present a 50 year patient with choledocholithiasis and cholelithiasis developing rare complication of subcapsular hepatic hematoma, following ERCP due to guide wire injury.


Endoscopy ◽  
2020 ◽  
Vol 52 (08) ◽  
pp. C9-C9
Author(s):  
Reena Sidhu ◽  
Stefania Chetcuti Zammit ◽  
Peter Baltes ◽  
Cristina Carretero ◽  
Edward J. Despott ◽  
...  

Endoscopy ◽  
2020 ◽  
Vol 52 (10) ◽  
pp. 899-923 ◽  
Author(s):  
Evelien Dekker ◽  
Britt B. S. L. Houwen ◽  
Ignasi Puig ◽  
Marco Bustamante-Balén ◽  
Emmanuel Coron ◽  
...  

Main RecommendationsThis manuscript represents an official Position Statement of the European Society of Gastrointestinal Endoscopy (ESGE) aiming to guide general gastroenterologists to develop and maintain skills in optical diagnosis during endoscopy. In general, this requires additional training beyond the core curriculum currently provided in each country. In this context, ESGE have developed a European core curriculum for optical diagnosis practice across Europe for high quality optical diagnosis training. 1 ESGE suggests that every endoscopist should have achieved general competence in upper and/or lower gastrointestinal (UGI/LGI) endoscopy before commencing training in optical diagnosis of the UGI/LGI tract, meaning personal experience of at least 300 UGI and/or 300 LGI endoscopies and meeting the ESGE quality measures for UGI/LGI endoscopy. ESGE suggests that every endoscopist should be able and competent to perform UGI/LGI endoscopy with high definition white light combined with virtual and/or dye-based chromoendoscopy before commencing training in optical diagnosis. 2 ESGE suggests competency in optical diagnosis can be learned by attending a validated optical diagnosis training course based on a validated classification, and self-learning with a minimum number of lesions. If no validated training course is available, optical diagnosis can only be learned by attending a non-validated onsite training course and self-learning with a minimum number of lesions. 3 ESGE suggests endoscopists are competent in optical diagnosis after meeting the pre-adoption and learning criteria, and meeting competence thresholds by assessing a minimum number of lesions prospectively during real-time endoscopy. ESGE suggests ongoing in vivo practice by endoscopists to maintain competence in optical diagnosis. If a competent endoscopist does not perform in vivo optical diagnosis on a regular basis, ESGE suggests repeating the learning and competence phases to maintain competence.Key areas of interest were optical diagnosis training in Barrett’s esophagus, esophageal squamous cell carcinoma, early gastric cancer, diminutive colorectal lesions, early colorectal cancer, and neoplasia in inflammatory bowel disease. Condition-specific recommendations are provided in the main document.


Sign in / Sign up

Export Citation Format

Share Document