ASGE Masterclass: Endoscopic Retrograde Cholangiopancreatography (ERCP) On-Demand | January 2022-Pre-ERCP Procedural Planning: get it right the first time

Video Transcription

Video Summary

In this video, the speaker discusses the importance of pre-procedural planning and preparation for endoscopic retrograde cholangiopancreatography (ERCP). They emphasize the need to assure a safe ERCP environment, assess the appropriateness of indications for ERCP, recognize patient-related features that influence outcomes, and ensure the availability of appropriate pre-procedure imaging. The speaker also highlights the significance of experience and skill in performing ERCP, as well as the importance of ongoing training to maintain expertise. They discuss the challenges in patient selection, including the need to balance the number of practitioners performing ERCPs with the desire to have specialized expertise in certain areas. The speaker stresses the need for adequate training and the use of simulators to enhance skill acquisition. They also mention some guidelines and quality indicators for ERCP, such as the recommended number of supervised independent ERCPs and target cannulation rates. The video concludes with discussions on the consent process, patient challenges, staffing issues, and the importance of reviewing imaging before the procedure.

Keywords

pre-procedural planning

ERCP

patient-related features

training

guidelines

imaging