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_JUDY TRIEU

Pdf Summary

The document titled "Guiding the Scope: Standards and Practices in ERCP" by Judy A Trieu, MD, MPH, outlines key standards, guidelines, and practices associated with Endoscopic Retrograde Cholangiopancreatography (ERCP). Key objectives include ensuring evidence-based practice and patient safety by reviewing guidelines from the American Society for Gastrointestinal Endoscopy (ASGE) and other professional bodies.<br /><br />The document provides detailed procedural aspects of ERCP, referencing resources including ACG/ASGE quality indicators and ESGE guidelines for biliary cannulation, sphincterotomy, and methods to handle difficult cannulation and reduce pancreatitis risk. It covers adverse events associated with ERCP such as pancreatitis, bleeding, infections, perforation, and cardiopulmonary events, guided by ASGE and ESGE guidelines.<br /><br />Specific conditions like choledocholithiasis and cholangitis are detailed with guidelines on determining the likelihood of stones, timing of ERCP, and cholecystectomy, as well as the diagnosis and management route through ERCP or percutaneous drainage.<br /><br />For biliary strictures, the document reviews guidelines for evaluating and managing these conditions, distinguishing between benign, malignant, and indeterminant cases. It covers various biliary conditions and the types of stents recommended depending on the indication. Chronic pancreatitis is also addressed, with guidelines from ASGE and ESGE on treating an obstructed pancreatic duct, strictures, and stones using methods such as extracorporeal shockwave lithotripsy or pancreatoscopy.<br /><br />Additional resources highlighted include textbooks such as "ERCP, 4th edition" and advanced training media like the ASGE Masterclass. The document aims to guide practitioners towards utilizing a range of well-supported guidelines and resources to improve the quality of ERCP procedures and patient outcomes.

Keywords

ERCP

ASGE guidelines

ESGE guidelines

biliary cannulation

pancreatitis risk

choledocholithiasis

biliary strictures

chronic pancreatitis

endoscopic procedures

patient safety