ASGE Recognized Industry Associate (ARIA) Training Program for Medtronic

Overview_Introduction

Pdf Summary

The document provides an overview of the history and modern practices related to Endoscopic Retrograde Cholangiopancreatography (ERCP), presented by Dr. Prabhleen Chahal, the Chief of the Division of Gastroenterology and Nutrition at the University of Texas Health in San Antonio. The historical section outlines the development of the procedure, beginning with the introduction of ECPG in 1968, which had a cannulation rate of 25%. Pioneering figures like Drs. Meinhard Classen from Germany and Keiichi Kawai from Japan are noted for their contributions, such as the advancement of biliary sphincterotomy in 1973. By 1974, the procedure evolved from ECPG to what is known today as ERCP.<br /><br />In its modern context, ERCP involves considerations related to the patient, procedure, product, and provider. Patient factors include therapeutic necessity, age, gender, and potential risks, such as radiation safety and complications during pregnancy. The procedure itself requires effective sedation, appropriate room setup, and advanced cannulation techniques, emphasizing the management of adverse events (AE).<br /><br />The document outlines the necessary products for ERCP, such as access devices, stents, and tools for dilation, biopsy, closure, and hemostasis. Visualization and disposable tools are also mentioned as essential components. Finally, it underscores the importance of provider experience, training, and judgment, stressing that good judgment stems from experience, often gained through previous errors.<br /><br />The document concludes with a motivational note encouraging a productive and enjoyable learning session.

Keywords

Endoscopic Retrograde Cholangiopancreatography

ERCP history

modern ERCP practices

Dr. Prabhleen Chahal

biliary sphincterotomy

cannulation techniques

ERCP products

provider experience

patient considerations

adverse event management