Effect of physician training on fluoroscopy time during ERCP.

Full Abstract

Our purpose was to compare fluoroscopy time during endoscopic retrograde cholangiopancreatography (ERCP) between endoscopists with different levels of experience. We performed a cross-sectional analysis of 269 consecutive ERCPs at an academic hospital during 1 year. Median fluoroscopy time was significantly longer in more complex cases, such as in therapeutic (406.5 s [IQR, 235.5-685]) compared to diagnostic (202 s [IQR, 141-481]; P = 0.002) procedures. The experience (number of prior ERCPs) of gastroenterology fellows involved in procedures was an independent predictor of shorter fluoroscopy time when controlling for patient and procedure characteristics (P < 0.0001). Median fluoroscopy time was 2.73 min shorter after at least 50 procedures had been performed (P = 0.039). Time for ERCPs involving fellows was not significantly longer than cases by attending physicians alone (P = 0.23). Increased experience is associated with lower radiation exposure during ERCP training. Radiation reduction methods should be prospectively investigated and integrated into training programs.

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Author information

Author/s: Uradomo, Lance T (LT); Lustberg, Mark E (ME); Darwin, Peter E (PE);

Affiliation: Division of Gastroenterology and Hepatology, University of Maryland Medical Center, Baltimore, Maryland 21201, USA. luradomo(-atsign-)medicine.umaryland.edu

Journal and publication information

Publication Type: Comparative Study; Journal Article

Journal: Digestive diseases and sciences (Dig Dis Sci), published in United States. (Language: eng)

Reference: 2006-May; vol 51 (issue 5) : pp 909-14

Dates: Created 2006/07/06; Completed 2006/09/01; Revised 2006/11/15;

PMID: 16718536, status: MEDLINE (last retrieval date: 12/26/2008)

Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.

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MeSH headings (categories)

This article was linked to the MESH Headings shown below.

Cholangiopancreatography, Endoscopic Retrograde
Clinical Competence
Cross-Sectional Studies
Fellowships and Scholarships
Female
Fluoroscopy

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