Document Detail


Comparison of accessory performance using a novel ERCP mechanical simulator.
MedLine Citation:
PMID:  19065479     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND AND STUDY AIMS:There is a paucity of in vitro methods for evaluating ERCP accessories. We hypothesize that the time taken to perform a simulated single stent or multiple stents placement is different for stenting systems with or without the capability of intraductal ductal release (IDR) of the guide wire. PATIENTS AND METHODS:We conducted an un-blinded in vitro comparison of ERCP accessories using a mechanical simulator during hands-on ERCP practice workshops. A total of 21 U.S. participants and 20 Chinese participants with various level of ERCP experience took part in the different practice workshops. Accessories with and without the capability of intraductal release of guide wire were compared. Total time required for completing a simulated stenting procedure with single or multiple stents and the respective simulated fluoroscopy time were recorded. RESULTS:There was no significant difference in the time taken for placement of a single stent using either stenting systems. Stenting system capable of intraductal release of the guide wire required significantly shorter time to complete placement of three stents. CONCLUSIONS:Using time required to complete a specific task, i. e. biliary stenting, the mechanical simulator permits the performance of different accessories by the same group of operators to be evaluated objectively.
Authors:
J W Leung; W Lee; R Wilson; B S Lim; F W Leung
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Publication Detail:
Type:  Comparative Study; In Vitro; Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, Non-P.H.S.     Date:  2008-12-08
Journal Detail:
Title:  Endoscopy     Volume:  40     ISSN:  1438-8812     ISO Abbreviation:  Endoscopy     Publication Date:  2008 Dec 
Date Detail:
Created Date:  2008-12-09     Completed Date:  2009-03-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0215166     Medline TA:  Endoscopy     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  983-8     Citation Subset:  IM    
Affiliation:
Section of Gastroenterology, Sacramento Veterans Affairs Medical Center, Veterans Affairs Northern California Healthcare System, Mather, California 95655, USA. jwleung@ucdavis.edu
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MeSH Terms
Descriptor/Qualifier:
Attitude of Health Personnel
Cholangiopancreatography, Endoscopic Retrograde / instrumentation*
Cholestasis, Extrahepatic / diagnosis,  therapy
Common Bile Duct Diseases / diagnosis,  therapy
Curriculum
Education
Equipment Design
Fellowships and Scholarships
Fluoroscopy / instrumentation
Gastroenterology / education
Humans
Models, Anatomic*
Questionnaires
Stents
Time and Motion Studies

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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