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 consecuti...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.展开更多
文摘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.
