Characteristics of the 551 endoscopic procedures carried out.
sphincter of Oddi dysfunction, biliary stone, biliary leaks, divisum, pseudocyst, pancreatic stones, intrahepatic stones, tumors, pancreatic strictures, biliary strictures
RECURRENT PANCREATITIS, MINOR, SPHINCTER OF ODDI DYSFUNCTION, STRICTURES, TUMORS
PropofolOpioidNeuromuscular blockerInhalation agentEtomidateOtherPropofolOpioidSevofluraneBenzodiazepineNeuromuscular blockerOtherProneSupineLeft lateral decubitusEndoscopy suite
Difficult cannulation without failed ERCP
Failed ERCP without difficult cannulationFailed ERCP with difficult cannulationCompleted, no crossoverCompleted with crossoverNot completed, without crossoverNot completed, with crossoverGrade 1Grade 2Grade 3Grade 4Procedures not included in ASGE grading systemERCP, endoscopic retrograde cholangiopancreatography; NSAID, nonsteroidal anti-inflammatory drug; ASGE, American Society for Gastrointestinal Endoscopy.One case was aborted (because patient had food in the stomach) so the procedure time was 0 and was not included in the “total procedure time” calculation.Denominator = 514 procedures.ASGE grade for complexity of ERCPs: grade 1, deep cannulation of duct of interest, main papilla, sampling; grade 2, biliary stone extraction < 10 mm, treat biliary leaks, treat extrahepatic benign and malignant strictures, placed prophylactic stents; grade 3, biliary stone extraction ≥ 10 mm, minor papilla cannulation in divisum and therapy, removal of internally migrated biliary stents, intraductal imaging/biopsy/fine needle aspiration, management of acute or recurrent pancreatitis, treat pancreatic strictures, remove pancreatic stones mobile and < 5 mm, treat hilar tumors, treat benign biliary strictures hilum and above, manage suspected sphincter of Oddi dysfunction (with or without manometry); grade 4, remove internally migrated pancreatic stents, intraductal image-guided therapy (e. g. photodynamic therapy, electrohydraulic lithotripsy), pancreatic stones impacted and/or ≥ 5 mm, intrahepatic stones, pseudocyst drainage/necrosectomy, ampullectomy, ERCP after Whipple or Roux-en-Y bariatric surgery.Investigators reported that after the study procedures, most of the single-use duodenoscopes were discarded in standard medical waste (35.4 %; 195 /551), or medical grade recycling (29.9 %; 165/551), regulated medical waste (24.9 %; 137/551), a sharps disposal container (4.9 %; 27/551), or other (4.9 %; 27/551). A high proportion of patients completed the 72-hour (92.9 %; 512/551) and 30-day (89.8 %; 495/551) study follow-up.