ASGE Masterclass: Endoscopic Retrograde Cholangiopancreatography (ERCP) On-Demand | January 2022-4

4_Faulx Pre ERCP Procedure Planning

Pdf Summary

The document discusses the importance of careful planning and preparation for endoscopic retrograde cholangiopancreatography (ERCP) procedures. It emphasizes the need for experience and adequate training, as well as ongoing training resources for practitioners. The document also highlights the importance of patient selection and preparation, including assessing comorbidities, medications, and anatomical considerations. It recommends obtaining informed consent through a comprehensive process and tailoring the consent to individual patients. The document also addresses the risk factors for post-ERCP pancreatitis and the need for careful patient selection to reduce complications. It mentions the importance of discussing the risks of contamination and infection with patients, especially in light of recent outbreaks related to endoscope contamination. The document recommends considering patient factors and preferences when obtaining consent, involving family members or caregivers, and discussing alternatives to the procedure. It suggests including this information in the informed consent form. The document also touches upon pre-procedure imaging, electrosurgical current and its complications, and challenges related to sedation, positioning, and managing coagulopathy and anti-platelet agents. Staffing challenges and available resources for training staff are also mentioned. Overall, the document emphasizes the importance of careful planning and preparation in ensuring a safe and successful ERCP procedure.

Keywords

endoscopic retrograde cholangiopancreatography

careful planning

patient selection

informed consent

post-ERCP pancreatitis

contamination

patient preferences

alternatives to procedure

sedation

staffing challenges