Practice of Endoscopic Retrograde Cholangiopancreatography in Korea: Results from a National Survey
한국의 내시경적 역행성 담췌관 조영술에 대한 전국적인 실태 조사
- 주제(키워드) Cholangiopancreatography , Endoscopic retrograde , Surveys and questionnaires , Quality indicators , Republic of Korea , 췌담도 조영술 , 내시경적 역행성 , 설문 조사 및설문지 , 질지표 , 대한민국
- 주제(기타) 의약학
- 설명문(URI) https://www.kci.go.kr/kciportal/ci/sereArticleSearch/ciSereArtiView.kci?sereArticleSearchBean.artiId=ART002528195
- 등재 KCI등재후보
- 발행기관 대한췌담도학회
- 발행년도 2019
- 총서유형 Journal
- URI http://www.dcollection.net/handler/ewha/000000169630
- 본문언어 한국어
- Published As https://doi.org/10.15279/kpba.2019.24.1.21
초록/요약
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.
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