Korean J Pancreas Biliary Tract.  2019 Jan;24(1):21-30. 10.15279/kpba.2019.24.1.21.

Practice of Endoscopic Retrograde Cholangiopancreatography in Korea: Results from a National Survey

Affiliations
  • 1Department Internal Medicine, Seoul National University Boramae Medical Center, Seoul, Korea.
  • 2Department of Internal Medicine, Chungbuk National University Hospital, Chungbuk National University College of Medicine, Cheongju, Korea. smpark@chungbuk.ac.kr
  • 3Department of Internal Medicine, Dankook University College of Medicine, Cheonan, Korea.
  • 4Department of Internal Medicine, Uijeongbu St. Mary's Hospital, The Catholic University College of Medicine, Uijeongbu, Korea.
  • 5Department of Internal Medicine, Eulji University College of Medicine, Seoul, Korea.
  • 6Department of Internal Medicine, Ewha Womans University College of Medicine, Seoul, Korea.
  • 7Division of Gastroenterology, Department of Internal Medicine, Bundang Jesaeng General Hospital, Seongnam, Korea.
  • 8Department of Internal Medicine, Chnungnam National University College of Medicine, Daejeon, Korea.
  • 9Department of Internal Medicine, Daegu Fatima Hospital, Daegu, Korea.
  • 10Department of Internal Medicine, Dongsan Medical Center, Keimyung University School of Medicine, Daegu, Korea.
  • 11Department of Internal Medicine, Daegu Catholic University School of Medicine, Daegu, Korea.

Abstract

BACKGROUND/AIMS
The aim of this study is to describe the outcome of the national survey and to determine the endoscopic retrograde cholangiopancreatography (ERCP) quality in Korea by comparing with the quality indicators.
METHODS
We used the database of Health Insurance Review & Assessment Service and then performed anonymous national survey.
RESULTS
Completed questionnaires were returned by 129 of 157 ERCP endoscopists. In Korea, annual ERCP rates have been consistently increased over years. Individual ERCP volume was high (>200 per year) in about half of ERCP endoscopists. Most ERCP endoscopists performed all of level I procedures. However, manometry, cholangiopancreatoscopy, and pancreatic procedures were performed mostly in institutions with high hospital volume. The rate of overall success was more than 90% in most ERCP endoscopists. However, the rate of precut sphincterotomy was high in more than a fourth of ERCP endoscopists. Twelve ERCP endoscopists experienced post-ERCP mortality within recent 1 year. ERCP training and radiation protection during ERCP did not meet the standard of quality indicators especially in institutions with low or moderate hospital volume.
CONCLUSIONS
Technical issues during ERCP procedures in Korea fulfill the standard of quality indicators. However, a great effort is needed to improve issues about ERCP training and radiation protection.

Keyword

Cholangiopancreatography; Endoscopic retrograde; Surveys and questionnaires; Quality indicators; Republic of Korea

MeSH Terms

Anonyms and Pseudonyms
Cholangiopancreatography, Endoscopic Retrograde*
Insurance, Health
Korea*
Manometry
Mortality
Radiation Protection
Republic of Korea
Surveys and Questionnaires
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