Improving Quality and Safety in the Endoscopy Unit (Virtual) | August 2023-ASGE Interventions to improve ERCP and EUS

ASGE Interventions to improve ERCP and EUS

Pdf Summary

The document explores interventions to enhance the quality of ERCP and EUS procedures, focusing on priority indicators. For ERCP, interventions include sphincterotomes, prone position, deep sedation, and wire-guided cannulation. Stone extraction can be improved with extraction balloons, and sphincteroplasty or cholangioscopy can be used for incomplete stone removal. Stent placement can benefit from hydrophilic guidelines. Post-ERCP pancreatitis risk can be reduced with NSAIDs and pancreatic stenting. For EUS, audit and feedback can improve staging frequency. Techniques like negative pressure suction and core biopsy needles improve diagnostic rates. Antibiotics and discontinuation of antithrombotic therapy help reduce adverse events after EUS-FNA. Overall, these interventions aim to enhance quality and patient outcomes.

Keywords

interventions

ERCP

EUS

priority indicators

sphincterotomes

stone extraction

stent placement

post-ERCP pancreatitis

EUS audit

diagnostic rates