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Endoscopia
On-line version ISSN 2444-6483Print version ISSN 0188-9893
Abstract
FERNANDEZ-ENRIQUEZ, Enrique Raúl et al. Apego a las guías de calidad en estudios de Colangiopancreatografía retrógrada endoscópica (CPRE) recomendados por la Asociación Americana de Endoscopia Gastrointestinal en un Hospital de Enseñanza, de Alto Volumen (Tercer Nivel). Endoscopia [online]. 2019, vol.31, suppl.2, pp.253-259. Epub Feb 14, 2022. ISSN 2444-6483. https://doi.org/10.24875/end.m19000105.
Introduction:
Endoscopic retrograde cholangiopancreatography (ERCP) is one of the most technically demanding and high-risk procedures performed by gastrointestinal endoscopists. Gastroenterology associations have developed guidelines or position statements on various aspects of quality and safety indicators in ERCP.
Objective:
To know the frequency of adherence to quality indicators in studies of ERCP recommended by the American Gastrointestinal Endoscopy Association in the Gastrointestinal Endoscopy Service, Division of General Surgery of the “Manuel Gea González General Hospital”.
Material and methods:
CPRE files and reports were reviewed, from January 01, 2018 to December 31, 2018. It is an observational, descriptive, retrospective and cross-sectional study. Descriptive statistics and calculation of proportions were performed. All measurement parameters were taken from the ASGE guidelines. The data were represented by the percentage that was achieved for each indicator and the 95% confidence interval (CI) when necessary.
Results:
606 ERCPs were included. There were 395 women (65.5%) and 208 (34.5%) were men. The age range was from 2 to 91 years, average age of 48 years. The quality of the ERCP with the performance objectives established by ASGE for almost all the indicators were carried out. The adverse events reported in our series correlate with what is described in the world literature.
Conclusion:
The present study can be a useful way to guarantee the performance of ERCPs of a better quality in our hospital, as well as being able to perform them in an appropriate manner in any circumstance and pathology. We also have certified endoscopists who comply with the number of appropriate procedures, so teaching is feasible and necessary.
Keywords : ERCP; Quiality; Training; Endoscopic retrograde cholangiopancreatography.