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Article

Deep Common Bile Duct Cannulation Time at Endoscopic Retrograde Cholangiopancreatography: A Forgotten Parameter for Assessment of Endoscopic Competence?

by
Mohammad Wehbi
,
Emad Qayed
,
Tanvi Dhere
,
Chetan Gondha
,
Muhamad Kamil Obideen
and
Qiang Cai
*
Division of Digestive Diseases, Emory University, School of Medicine, Atlanta, GA, USA
*
Author to whom correspondence should be addressed.
Gastroenterol. Insights 2010, 2(1), e7; https://doi.org/10.4081/gi.2010.e7
Submission received: 28 January 2010 / Revised: 7 April 2010 / Accepted: 5 May 2010 / Published: 29 June 2010

Abstract

The rate of successful deep common bile duct cannulation (DCBD) at endoscopic retrograde cholangiopancreatography (ERCP) is usually used as a surrogate marker of competence at ERCP. There are few data regarding the time spent on cannulation at ERCP. This prospective study aimed to evaluate the time spent on DCBD cannulation at ERCP and to provide a rationale for establishing the DCBD cannulation time as another parameter in assessment of ERCP competence. This is a prospective study performed in a single tertiary university-based referral center. DCBD cannulation time as well as the fluorescence time and the cost of cannulation tools during DCBD cannulation were measured. The mean DCBD cannulation was 12.5±13.6 minutes. Eighty-percent of the cannulation was achieved within 10 min, 10% achieved in 10-30 min, and the remaining in longer than 30 min. The longer cannulation time was associated with increased the cost of cannulation ($79/cannulation versus $387/ cannulation, P<0.001), as well as increasing the radiation exposure times (3.1 min/cannulation vs. 25 min/cannulation, P<0.001). In addition to the success rate of DCBD cannulation, the DCBD cannulation time should be considered as another parameter in the assessment of endoscopic competence in ERCP.
Keywords: endoscopic retrograde cholangiopan-creatography; cannulation time; fluoroscopy time; endoscopic retrograde cholangiopancreatography competence endoscopic retrograde cholangiopan-creatography; cannulation time; fluoroscopy time; endoscopic retrograde cholangiopancreatography competence

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MDPI and ACS Style

Wehbi, M.; Qayed, E.; Dhere, T.; Gondha, C.; Kamil Obideen, M.; Cai, Q. Deep Common Bile Duct Cannulation Time at Endoscopic Retrograde Cholangiopancreatography: A Forgotten Parameter for Assessment of Endoscopic Competence? Gastroenterol. Insights 2010, 2, e7. https://doi.org/10.4081/gi.2010.e7

AMA Style

Wehbi M, Qayed E, Dhere T, Gondha C, Kamil Obideen M, Cai Q. Deep Common Bile Duct Cannulation Time at Endoscopic Retrograde Cholangiopancreatography: A Forgotten Parameter for Assessment of Endoscopic Competence? Gastroenterology Insights. 2010; 2(1):e7. https://doi.org/10.4081/gi.2010.e7

Chicago/Turabian Style

Wehbi, Mohammad, Emad Qayed, Tanvi Dhere, Chetan Gondha, Muhamad Kamil Obideen, and Qiang Cai. 2010. "Deep Common Bile Duct Cannulation Time at Endoscopic Retrograde Cholangiopancreatography: A Forgotten Parameter for Assessment of Endoscopic Competence?" Gastroenterology Insights 2, no. 1: e7. https://doi.org/10.4081/gi.2010.e7

APA Style

Wehbi, M., Qayed, E., Dhere, T., Gondha, C., Kamil Obideen, M., & Cai, Q. (2010). Deep Common Bile Duct Cannulation Time at Endoscopic Retrograde Cholangiopancreatography: A Forgotten Parameter for Assessment of Endoscopic Competence? Gastroenterology Insights, 2(1), e7. https://doi.org/10.4081/gi.2010.e7

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