Technical failures and complications of diagnostic (Dx) and therapeutic (Tx) ERCP: Impact on resource utilization

M. L. Freeman, D. B. Nelson, H. W. Snady, J. A. DiSario, C. S. Overby, M. E. Ryan, R. V. Erickson, J. P. Moore, M. J. Shaw, M (Brian) Fennerty, G. S. Bochna, J. G. Lee, A. M. Pheley

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

In an ongoing prospective study involving ERCP in a wide spectrum of practice settings, we are examining technical success and complication rates, and their relative impact on utilization of resources. METHODS: Consecutive ERCP's attempted at 11 centers (6 private, 5 university) were enrolled. Procedure data were recorded at time of ERCP, and outcomes assessed at 30 days. Complications were defined by consensus criteria (Cotton et al), but included all procedure-related events. ERCP-related hospital days (=hosp-days) were defined as nights in hospital for observation, treatment of complications (=complic's), or for additional unplanned endoscopic, radiological, and surgical interventions due to failures or complic's of ERCP (=addt'l proc). RESULTS: Data are shown for the 486 cases (of 804 ERCP) which were performed on "virgin" papillae (no prior sphincterotomy or stent) and were done for "traditional" indications (Dx or biliary Tx only, without pancreatic sphincter or ductal Tx). "VIRGIN PAPILLA" ERCP (n=486) Diagnostic intended only (n=142) Technical Success Complete 86% Partial 8% Fail 6% Success 86% 8% 6% Complic's 6% 0% 22% Addt'l proc" 2% 18%* 22%* Hosp-days 0.8 ± 0.2 0.5 ± 0.2 3.6* ± 1.9 Biliary therapy intended (n=344) Technical Complete Partial Fail Success 87% 5% 8% Complic's 14% 17% 12% (n=344) Addt'l proc 4% 44%* 62%* Hosp-days 1.5 ± 0.1 2.7 ± 1.0 6.2* ± 1.8 *P

Original languageEnglish (US)
JournalGastrointestinal Endoscopy
Volume45
Issue number4
StatePublished - 1997
Externally publishedYes

Fingerprint

Endoscopic Retrograde Cholangiopancreatography
Therapeutics
Stents
Observation
Prospective Studies

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Freeman, M. L., Nelson, D. B., Snady, H. W., DiSario, J. A., Overby, C. S., Ryan, M. E., ... Pheley, A. M. (1997). Technical failures and complications of diagnostic (Dx) and therapeutic (Tx) ERCP: Impact on resource utilization. Gastrointestinal Endoscopy, 45(4).

Technical failures and complications of diagnostic (Dx) and therapeutic (Tx) ERCP : Impact on resource utilization. / Freeman, M. L.; Nelson, D. B.; Snady, H. W.; DiSario, J. A.; Overby, C. S.; Ryan, M. E.; Erickson, R. V.; Moore, J. P.; Shaw, M. J.; Fennerty, M (Brian); Bochna, G. S.; Lee, J. G.; Pheley, A. M.

In: Gastrointestinal Endoscopy, Vol. 45, No. 4, 1997.

Research output: Contribution to journalArticle

Freeman, ML, Nelson, DB, Snady, HW, DiSario, JA, Overby, CS, Ryan, ME, Erickson, RV, Moore, JP, Shaw, MJ, Fennerty, MB, Bochna, GS, Lee, JG & Pheley, AM 1997, 'Technical failures and complications of diagnostic (Dx) and therapeutic (Tx) ERCP: Impact on resource utilization', Gastrointestinal Endoscopy, vol. 45, no. 4.
Freeman, M. L. ; Nelson, D. B. ; Snady, H. W. ; DiSario, J. A. ; Overby, C. S. ; Ryan, M. E. ; Erickson, R. V. ; Moore, J. P. ; Shaw, M. J. ; Fennerty, M (Brian) ; Bochna, G. S. ; Lee, J. G. ; Pheley, A. M. / Technical failures and complications of diagnostic (Dx) and therapeutic (Tx) ERCP : Impact on resource utilization. In: Gastrointestinal Endoscopy. 1997 ; Vol. 45, No. 4.
@article{d8144713e21644caa9b1ade02cfcd818,
title = "Technical failures and complications of diagnostic (Dx) and therapeutic (Tx) ERCP: Impact on resource utilization",
abstract = "In an ongoing prospective study involving ERCP in a wide spectrum of practice settings, we are examining technical success and complication rates, and their relative impact on utilization of resources. METHODS: Consecutive ERCP's attempted at 11 centers (6 private, 5 university) were enrolled. Procedure data were recorded at time of ERCP, and outcomes assessed at 30 days. Complications were defined by consensus criteria (Cotton et al), but included all procedure-related events. ERCP-related hospital days (=hosp-days) were defined as nights in hospital for observation, treatment of complications (=complic's), or for additional unplanned endoscopic, radiological, and surgical interventions due to failures or complic's of ERCP (=addt'l proc). RESULTS: Data are shown for the 486 cases (of 804 ERCP) which were performed on {"}virgin{"} papillae (no prior sphincterotomy or stent) and were done for {"}traditional{"} indications (Dx or biliary Tx only, without pancreatic sphincter or ductal Tx). {"}VIRGIN PAPILLA{"} ERCP (n=486) Diagnostic intended only (n=142) Technical Success Complete 86{\%} Partial 8{\%} Fail 6{\%} Success 86{\%} 8{\%} 6{\%} Complic's 6{\%} 0{\%} 22{\%} Addt'l proc{"} 2{\%} 18{\%}* 22{\%}* Hosp-days 0.8 ± 0.2 0.5 ± 0.2 3.6* ± 1.9 Biliary therapy intended (n=344) Technical Complete Partial Fail Success 87{\%} 5{\%} 8{\%} Complic's 14{\%} 17{\%} 12{\%} (n=344) Addt'l proc 4{\%} 44{\%}* 62{\%}* Hosp-days 1.5 ± 0.1 2.7 ± 1.0 6.2* ± 1.8 *P",
author = "Freeman, {M. L.} and Nelson, {D. B.} and Snady, {H. W.} and DiSario, {J. A.} and Overby, {C. S.} and Ryan, {M. E.} and Erickson, {R. V.} and Moore, {J. P.} and Shaw, {M. J.} and Fennerty, {M (Brian)} and Bochna, {G. S.} and Lee, {J. G.} and Pheley, {A. M.}",
year = "1997",
language = "English (US)",
volume = "45",
journal = "Gastrointestinal Endoscopy",
issn = "0016-5107",
publisher = "Mosby Inc.",
number = "4",

}

TY - JOUR

T1 - Technical failures and complications of diagnostic (Dx) and therapeutic (Tx) ERCP

T2 - Impact on resource utilization

AU - Freeman, M. L.

AU - Nelson, D. B.

AU - Snady, H. W.

AU - DiSario, J. A.

AU - Overby, C. S.

AU - Ryan, M. E.

AU - Erickson, R. V.

AU - Moore, J. P.

AU - Shaw, M. J.

AU - Fennerty, M (Brian)

AU - Bochna, G. S.

AU - Lee, J. G.

AU - Pheley, A. M.

PY - 1997

Y1 - 1997

N2 - In an ongoing prospective study involving ERCP in a wide spectrum of practice settings, we are examining technical success and complication rates, and their relative impact on utilization of resources. METHODS: Consecutive ERCP's attempted at 11 centers (6 private, 5 university) were enrolled. Procedure data were recorded at time of ERCP, and outcomes assessed at 30 days. Complications were defined by consensus criteria (Cotton et al), but included all procedure-related events. ERCP-related hospital days (=hosp-days) were defined as nights in hospital for observation, treatment of complications (=complic's), or for additional unplanned endoscopic, radiological, and surgical interventions due to failures or complic's of ERCP (=addt'l proc). RESULTS: Data are shown for the 486 cases (of 804 ERCP) which were performed on "virgin" papillae (no prior sphincterotomy or stent) and were done for "traditional" indications (Dx or biliary Tx only, without pancreatic sphincter or ductal Tx). "VIRGIN PAPILLA" ERCP (n=486) Diagnostic intended only (n=142) Technical Success Complete 86% Partial 8% Fail 6% Success 86% 8% 6% Complic's 6% 0% 22% Addt'l proc" 2% 18%* 22%* Hosp-days 0.8 ± 0.2 0.5 ± 0.2 3.6* ± 1.9 Biliary therapy intended (n=344) Technical Complete Partial Fail Success 87% 5% 8% Complic's 14% 17% 12% (n=344) Addt'l proc 4% 44%* 62%* Hosp-days 1.5 ± 0.1 2.7 ± 1.0 6.2* ± 1.8 *P

AB - In an ongoing prospective study involving ERCP in a wide spectrum of practice settings, we are examining technical success and complication rates, and their relative impact on utilization of resources. METHODS: Consecutive ERCP's attempted at 11 centers (6 private, 5 university) were enrolled. Procedure data were recorded at time of ERCP, and outcomes assessed at 30 days. Complications were defined by consensus criteria (Cotton et al), but included all procedure-related events. ERCP-related hospital days (=hosp-days) were defined as nights in hospital for observation, treatment of complications (=complic's), or for additional unplanned endoscopic, radiological, and surgical interventions due to failures or complic's of ERCP (=addt'l proc). RESULTS: Data are shown for the 486 cases (of 804 ERCP) which were performed on "virgin" papillae (no prior sphincterotomy or stent) and were done for "traditional" indications (Dx or biliary Tx only, without pancreatic sphincter or ductal Tx). "VIRGIN PAPILLA" ERCP (n=486) Diagnostic intended only (n=142) Technical Success Complete 86% Partial 8% Fail 6% Success 86% 8% 6% Complic's 6% 0% 22% Addt'l proc" 2% 18%* 22%* Hosp-days 0.8 ± 0.2 0.5 ± 0.2 3.6* ± 1.9 Biliary therapy intended (n=344) Technical Complete Partial Fail Success 87% 5% 8% Complic's 14% 17% 12% (n=344) Addt'l proc 4% 44%* 62%* Hosp-days 1.5 ± 0.1 2.7 ± 1.0 6.2* ± 1.8 *P

UR - http://www.scopus.com/inward/record.url?scp=2642670629&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=2642670629&partnerID=8YFLogxK

M3 - Article

AN - SCOPUS:2642670629

VL - 45

JO - Gastrointestinal Endoscopy

JF - Gastrointestinal Endoscopy

SN - 0016-5107

IS - 4

ER -