ASGE Recognized Industry Associate (ARIA) Training Program for Medtronic | March 2025-Guiding the Scope- Standards and Practices in ERCP

Guiding the Scope- Standards and Practices in ERCP_GRACE KIM

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The document outlines a presentation by Dr. Grace E. Kim from the University of Chicago on standards and practices in Endoscopic Retrograde Cholangiopancreatography (ERCP). It offers a comprehensive review of guidelines and quality indicators from authoritative bodies such as the American Society for Gastrointestinal Endoscopy (ASGE) and the European Society of Gastrointestinal Endoscopy (ESGE). The presentation aims to ensure evidence-based practice and patient safety in ERCP procedures.<br /><br />Key procedural aspects covered include difficulty in cannulation, techniques to be employed following a failed cannulation, and strategies to reduce pancreatitis risk. Adverse events associated with ERCP, such as pancreatitis, bleeding, infections, perforation, and cardiopulmonary events, are discussed with guidelines provided by ASGE and ESGE.<br /><br />The document details conditions treated through ERCP, such as choledocholithiasis, cholangitis, biliary strictures, and chronic pancreatitis. Guidelines on diagnosing and managing these conditions are provided, emphasizing the importance of determining the presence and timing of ERCP, cholecystectomy, and other interventions like biliary drainage.<br /><br />Furthermore, the handling of biliary strictures and malignancies is discussed, drawing distinctions between benign and malignant cases. The document includes recommendations on the use of stents, their types, and indications, particularly in the context of managing biliary strictures.<br /><br />Resources for further learning and exploration of ERCP are also mentioned, including books, advanced masterclasses, and reliable sources such as Pubmed. Colleagues are recognized as potential resources for problem-solving and discussion.<br /><br />This presentation serves as a comprehensive framework to guide healthcare professionals in integrating best practices and patient safety measures in performing ERCP procedures.

Keywords

ERCP

Dr. Grace E. Kim

University of Chicago

ASGE

ESGE

patient safety

biliary strictures

pancreatitis

choledocholithiasis

endoscopic procedures