| The impact of post-procedure interpretation of ERCP X-ray films by radiologists on patient care: should it be routine or selective? | |
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MedLine Citation:
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PMID: 14520288 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Review of ERCP x-ray films by radiologists is routine, but the utility of this practice is unproven. The aim of this study was to assess whether the routine post-procedural interpretation of ERCP films by radiologists alters patient management. METHODS: A retrospective analysis of 212 ERCPs followed by a prospective analysis of 112 ERCPs was performed. Comparative ductogram interpretations were categorized as: I, complete agreement; II, minor findings reported only by the radiologist; III, findings reported only by the endoscopist; and IV, major findings reported only by the radiologist that altered or should have altered management. RESULTS: In the retrospective analysis, 289 ductograms were identified, and interpretations were classified as: category I, 73%; category II, 16%; category III, 10.7%; and category IV, 0.3%. In the prospective study, interpretations of 167 ductograms were analyzed and classified as follows: category I, 84%; category II, 11%; category III, 5%; category IV, none. CONCLUSIONS: Post-procedure interpretation of ERCP spot x-ray films by radiologists adds little to patient management. Selective consultation with radiologists would appear to be more appropriate than review by radiologists of ERCP spot x-ray films on a routine basis. |
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Authors:
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John T Sweeney; Raj J Shah; Stephen P Martin; Charles D Ulrich; Lehel Somogyi |
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Publication Detail:
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Type: Journal Article; Research Support, U.S. Gov't, P.H.S. |
Journal Detail:
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Title: Gastrointestinal endoscopy Volume: 58 ISSN: 0016-5107 ISO Abbreviation: Gastrointest. Endosc. Publication Date: 2003 Oct |
Date Detail:
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Created Date: 2003-10-01 Completed Date: 2004-02-06 Revised Date: 2007-11-14 |
Medline Journal Info:
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Nlm Unique ID: 0010505 Medline TA: Gastrointest Endosc Country: United States |
Other Details:
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Languages: eng Pagination: 549-53 Citation Subset: IM |
Affiliation:
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Disease Center, Division of Digestive Diseases, University of Cincinnati, 231 Albert B. Sabin Way, P.O. Box 670595, Cincinnati, OH 45267-0595, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Aged, 80 and over Cholangiopancreatography, Endoscopic Retrograde* Diagnostic Tests, Routine / utilization* Female Humans Male Middle Aged Prospective Studies Referral and Consultation Retrospective Studies |
| Grant Support | |
ID/Acronym/Agency:
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DK-58319/DK/NIDDK NIH HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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