Clinical outcomes and learning curve for ERCP during advanced endoscopy training: a comparison of supine versus prone positioning

被引：7

作者：

Issa, Danny ^{[1
,7
]}

Sharaiha, Reem Z. ^{[3
]}

Abdelfattah, Thaer ^{[2
]}

Htway, Zin ^{[4
]}

Tabibian, James H. ^{[5
]}

Thiruvengadam, Sushrut ^{[1
]}

Dawod, Qais M. ^{[3
]}

Wangrattanapranee, Peerapol ^{[6
]}

Dawod, Enad ^{[3
]}

Mukewar, Saurabh ^{[3
]}

Mahadev, Srihari ^{[3
]}

Carr-Locke, David L. ^{[3
]}

Sampath, Kartik ^{[3
]}

机构：

[1] UCLA, David Geffen Sch Med, Div Digest Dis, Los Angeles, CA USA

[2] Virginia Commonwealth Univ, Div Gastroenterol & Hepatol, Richmond, VA USA

[3] Weill Cornell Med, Div Gastroenterol & Hepatol, New York, NY USA

[4] Walden Univ, Calif State Univ Channel Isl, Dept Epidemiol, Camarillo, CA USA

[5] UCLA, David Geffen Sch Med, Olive View Med Ctr, Div Gastroenterol, Los Angeles, CA USA

[6] Univ Southern Calif, Dept Internal Med, Los Angeles, CA USA

[7] UCLA, David Geffen Sch Med, Div Digest Dis, Med, 7345 Med Ctr Dr,Ste 42, West Hills, CA 91307 USA

来源：

GASTROINTESTINAL ENDOSCOPY | 2023年 / 98卷 / 04期

关键词：

RETROGRADE CHOLANGIOPANCREATOGRAPHY;

D O I：

10.1016/j.gie.2023.06.023

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Background and Aims: No studies have evaluated trainees' outcomes when learning ERCP with patients in the supine and prone positions simultaneously. We aimed to assess whether patient position impacts procedural out-comes and learning curve. Methods: We prospectively evaluated patients undergoing ERCP by a supervised advanced endoscopy trainee (AET) at a tertiary care center. Adult patients with native papillae were included. The AET was universally given 5 attempts per cannulation. Outcomes were evaluated quarterly. Results: Successful cannulation was achieved in 44 supine (69%) and 17 prone (68%) patients (P = .95). Although mean time to reach the papilla was shorter in the supine patient position, time to biliary cannulation (7.8 vs 9.4 minutes, P = .53) and number of attempts were similar. A stepwise increase was seen in cannulation rates throughout the academic year (P < .01) and increased more in supine patients (P = .01). Procedure and total room times were shorter in supine patients. Conclusions: Shorter procedure and room turnover times and a comparable cannulation rate were found for supine versus prone ERCP.

引用

页码：629 / +

页数：6

共 10 条

[1] Complications of ERCP [J].

Anderson, Michelle A. ;

Fisher, Laurel ;

Jain, Rajeev ;

Evans, John A. ;

Appalaneni, Vasundhara ;

Ben-Menachem, Tamir ;

Cash, Brooks D. ;

Decker, G. Anton ;

Early, Dayna S. ;

Fanelli, Robert D. ;

Fisher, Deborah A. ;

Fukami, Norio ;

Hwang, Joo Ha ;

Ikenberry, Steven O. ;

Jue, Terry L. ;

Khan, Khalid M. ;

Krinsky, Mary Lee ;

Malpas, Phyllis M. ;

Maple, John T. ;

Sharaf, Ravi N. ;

Shergill, Amandeep K. ;

Dominitz, Jason A. .

GASTROINTESTINAL ENDOSCOPY, 2012, 75 (03) :467-473

[2] A lexicon for endoscopic adverse events: report of an ASGE workshop [J].

Cotton, Peter B. ;

Eisen, Glenn M. ;

Aabakken, Lars ;

Baron, Todd H. ;

Hutter, Matt M. ;

Jacobson, Brian C. ;

Mergener, Klaus ;

Nemcek, Albert, Jr. ;

Petersen, Bret T. ;

Petrini, John L. ;

Pike, Irving M. ;

Rabeneck, Linda ;

Romagnuolo, Joseph ;

Vargo, John J. .

GASTROINTESTINAL ENDOSCOPY, 2010, 71 (03) :446-454

[3] Comparison of safety and efficacy of ERCP performed with the patient in supine and prone positions [J].

Ferreira, Lincoln E. V. V. C. ;

Baron, Todd H. .

GASTROINTESTINAL ENDOSCOPY, 2008, 67 (07) :1037-1043

[4] Comparison of outcomes for supine vs. prone position ERCP: a systematic review and meta-analysis [J].

Mashiana, Harmeet Singh ;

Jayaraj, Mahendran ;

Mohan, Babu Pappu ;

Ohning, Gordon ;

Adler, Douglas G. .

ENDOSCOPY INTERNATIONAL OPEN, 2018, 6 (11) :E1296-E1301

[5] ERCP: does patient position count? [J].

Maydeo, Amit ;

Patil, Gaurav Kumar .

ENDOSCOPY INTERNATIONAL OPEN, 2018, 6 (11) :E1302-E1303

[6] Impact of supine versus prone position on endoscopic retrograde cholangiopancreatography performance: a retrospective study [J].

Osagiede, Osayande ;

Bolanos, Gabriel A. ;

Cochuyt, Jordan ;

Cruz, Luisa M. ;

Kroner, Paul T. ;

Lukens, Frank J. ;

Corral, Juan E. .

ANNALS OF GASTROENTEROLOGY, 2021, 34 (04) :582-587

[7] Is the supine position as safe and effective as the prone position for endoscopic retrograde cholangiopancreatography? - A prospective randomized study [J].

Terruzzi, V ;

Radaelli, F ;

Meucci, G ;

Minoli, G .

ENDOSCOPY, 2005, 37 (12) :1211-1214

[8] Papillary cannulation and sphincterotomy techniques at ERCP: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline [J].

Testoni, Pier Alberto ;

Mariani, Alberto ;

Aabakken, Lars ;

Arvanitakis, Marianna ;

Bories, Erwan ;

Costamagna, Guido ;

Deviere, Jacques ;

Dinis-Ribeiro, Mario ;

Dumonceau, Jean-Marc ;

Giovannini, Marc ;

Gyokeres, Tibor ;

Hafner, Michael ;

Halttunen, Jorma ;

Hassan, Cesare ;

Lopes, Luis ;

Papanikolaou, Ioannis S. ;

Tham, Tony C. ;

Tringali, Andrea ;

van Hooft, Jeanin ;

Williams, Earl J. .

ENDOSCOPY, 2016, 48 (07) :657-683

[9] No difference between supine and prone position for ERCP in conscious sedated patients: a prospective randomized study [J].

Tringali, A. ;

Mutignani, M. ;

Milano, A. ;

Perri, V. ;

Costarnagna, G. .

ENDOSCOPY, 2008, 40 (02) :93-97

[10] Variation in learning curves and competence for ERCP among advanced endoscopy trainees by using cumulative sum analysis [J].

Wani, Sachin ;

Hall, Matthew ;

Wang, Andrew Y. ;

DiMaio, Christopher J. ;

Muthusamy, V. Raman ;

Keswani, Rajesh N. ;

Brauer, Brian C. ;

Easler, Jeffrey J. ;

Yen, Roy D. ;

El Hajj, Ihab ;

Fukami, Norio ;

Ghassemi, Kourosh F. ;

Gonzalez, Susana ;

Hosford, Lindsay ;

Hollander, Thomas G. ;

Wilson, Robert ;

Kushnir, Vladimir M. ;

Ahmad, Jawad ;

Murad, Faris ;

Prabhu, Anoop ;

Watson, Rabindra R. ;

Strand, Daniel S. ;

Amateau, Stuart K. ;

Attwell, Augustin ;

Shah, Raj J. ;

Early, Dayna ;

Edmundowicz, Steven A. ;

Mullady, Daniel .

GASTROINTESTINAL ENDOSCOPY, 2016, 83 (04) :711-+

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