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KMID : 0985520190240010021
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Korean Journal of Pancreas and Biliary Tract
2019 Volume.24 No. 1 p.21 ~ p.30
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Practice of Endoscopic Retrograde Cholangiopancreatography in Korea: Results from a National Survey
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Ahn Dong-Won
Han Joung-Ho
Kim Hong-Ja
Kim Hyung-Keun
Son Byoung-Kwan
Yi Sun-Young
Park Ju-Sang
Lee Eaum-Seok
Kim Hyun-Soo
Cho Kwang-Bum
Kim Ho-Gak
Park Seon-Mee
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Abstract
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Background/Aims: The aim of this study is to describe the outcome of the national survey and to determine the endoscopic retrograde cholangiopancreatography (ERCP) quality in Korea by comparing with the quality indicators.
Methods: We used the database of Health Insurance Review & Assessment Service and then performed anonymous national survey.
Results: Completed questionnaires were returned by 129 of 157 ERCP endoscopists. In Korea, annual ERCP rates have been consistently increased over years. Individual ERCP volume was high (>200 per year) in about half of ERCP endoscopists. Most ERCP endoscopists performed all of level I procedures. However, manometry, cholangiopancreatoscopy, and pancreatic procedures were performed mostly in institutions with high hospital volume. The rate of overall success was more than 90% in most ERCP endoscopists. However, the rate of precut sphincterotomy was high in more than a fourth of ERCP endoscopists. Twelve ERCP endoscopists experienced post-ERCP mortality within recent 1 year. ERCP training and radiation protection during ERCP did not meet the standard of quality indicators especially in institutions with low or moderate hospital volume.
Conclusions: Technical issues during ERCP procedures in Korea fulfill the standard of quality indicators. However, a great effort is needed to improve issues about ERCP training and radiation protection.
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KEYWORD
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Cholangiopancreatography, Endoscopic retrograde, Surveys and questionnaires, Quality indicators, Republic of Korea
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