Original articleClinical endoscopyInitial experience with EUS-guided cholangiopancreatography for biliary and pancreatic duct drainage: a Spanish national survey
Section snippets
Material and methods
In September of 2010, all Spanish endoscopy units with experience in ESCP were contacted and asked to submit clinical, procedural, and operator data for their initial cases. Whereas the total number of ESCPs performed by unit usually was <20, those few units with experience of ≥20 ESCPs were asked to provide data only for their first 20 procedures per endoscopist. Data were pooled into a common database.
Variables regarding patient characteristics included age, sex, diagnosis, and indication for
Results
Twenty hospitals with experience in ESCP were identified and contacted, and only 1 refused to participate. As far as we could ascertain, this represents the complete Spanish experience in ESCP. Only 2 of these hospitals (HRH and HVH) had performed more than 20 ESCP procedures. A total of 125 patients from these 19 hospitals were included. Fifteen centers were tertiary-care hospitals, which contributed 103 patients. Four were community hospitals in which ESCP had been performed in 22 patients. A
Discussion
Since the first description of EUS-guided choledochoduodenostomy by Giovannini et al,8 ESCP has been established as a salvage procedure after failed or impossible ERCP.2, 9 However, it is not yet known how widely disseminated is ESCP. Up to the time of this writing, 23 studies including more than 4 patients referring to biliary ESCP had been published,5, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31 with technical success rates ranging from 75% to
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DISCLOSURE: All authors disclosed no financial relationships relevant to this publication.