Endoscopic biliopancreatic investigations and therapy

被引：11

作者：

Costamagna, Guido ^{[1
]}

Familiari, Pietro ^{[1
]}

Marchese, Michele ^{[1
]}

Tringali, Andrea ^{[1
]}

机构：

[1] Univ Cattolica Sacro Cuore, A Gemelli Univ Hosp, Digest Endoscopy Unit, I-00168 Rome, RM, Italy

来源：

BEST PRACTICE & RESEARCH CLINICAL GASTROENTEROLOGY | 2008年 / 22卷 / 05期

关键词：

Complications; Education; ERCP; Health care; Indications; Outcome assessment (health care); Patient selection; Quality assurance;

D O I：

10.1016/j.bpg.2008.05.004

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

The management of most biliopancreatic diseases benefits from endoscopic treatment. Forty years after the first endoscopic cannulation of the ampulla of Vater, the overall effectiveness and safety of endoscopic retrograde cholangiopancreatography (ERCP) can be evaluated using the quality assurance programs that have recently been developed for gastrointestinal endoscopy, including ERCP. Such evaluation does not mean simply reporting therapeutic success and complication rates; rather, it involves a complex analysis of the entire gastrointestinal unit, of the medical practises, and of patient satisfaction. The overall quality of ERCP has been analysed and many quality deficits identified, even in referral centres. Training for such a specialised procedure is difficult and expensive. Competence in ERCP requires as many as 200 ERCP procedures. Quality assurance programs can help to improve the overall quality of endoscopic practise, including training of young endoscopists.

引用

页码：865 / 881

页数：17

共 80 条

[1]

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