DDW News

Experts offer tips for avoiding ERCP trouble situations

During Sunday’s ASGE Clinical Symposium ERCP: Staying Out of Trouble Situations, four experts will offer practical advice for overcoming common challenges when performing endoscopic retrograde cholangiopancreatography (ERCP).

John Baillie, MD, FASGE, professor of medicine and medical director of endoscopy at Virginia Commonwealth University School of Medicine and Medical Center, Richmond, will co-moderate the symposium with Richard A. Kozarek, MD, FASGE, executive director of the Digestive Disease Institute at Virginia Mason Medical Center, Seattle.

John Baillie, MD, FASGE

In the first presentation, Ashley L. Faulx, MD, FASGE, associate professor at Case Western Reserve University School of Medicine, Cleveland, OH, will discuss the importance of performing a pre-procedure assessment and obtaining informed consent for every patient.
“The way ERCP was done in the past, we just had patients sign a simple consent form and then we got on with it,” Dr. Baillie said. “Now, with increasing emphasis on outcomes and value-based care, you really have to make sure that the patient truly understands the potential risks and that their expectations are realistic.”

Prabhleen Chahal, MD, FASGE, advanced endoscopist in the department of gastroenterology and hepatology in the Digestive Disease Institute at the Cleveland Clinic, OH, will then explore different methods for managing difficult cannulation and when to discontinue the procedure.

Next, Bret T. Petersen, MD, FASGE, professor of medicine at the Mayo Clinic, Rochester, MN, will address ongoing concerns related to duodenoscope reprocessing and carbapenem-resistant Enterobacteriaceae transmission, and discuss the vigilance that is required to meet current infection control recommendations.

The final speaker of the symposium, Steven A. Edmundowicz, MD, FASGE, professor of medicine at the University of Colorado School of Medicine, Aurora, will present “10 Lessons I Have Learned Doing ERCP.” He will offer both pearls and precautions to help practicing endoscopists understand when to perform ERCP and, often more importantly, when not to.

“A lot of what he will be talking about relates to medico-legal issues and how to protect yourself from lawsuits,” Dr. Baillie said.

Please refer to the DDW Mobile App or the Program section in Sunday’s DDW Daily News for additional details on this and other DDW® events.

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