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内镜逆行胰胆管造影术：中心医院会更好吗？反对内镜逆行胰胆管造影服务集中化的理由。

Endoscopic retrograde cholangiopancreatography: is the centre better? The case against centralisation of ERCP services.

作者信息

Muller A Frank

出版信息

Frontline Gastroenterol. 2013 Jul;4(3):210-212. doi: 10.1136/flgastro-2012-100182. Epub 2012 Nov 29.

DOI:10.1136/flgastro-2012-100182
PMID:23795285
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3686311/
Abstract

More than 48 000 endoscopic retrograde cholangiopancreatographies (ERCP) are performed in the UK per annum; the majority within district general hospitals. The proposal for centralisation of ERCP services is based on evidence that technical success, length of stay and complication rates are related to the numbers of procedures performed. Local units wishing to continue their ERCP practice, must demonstrate that they are performing sufficient numbers of procedures in a safe, timely and competent fashion.

摘要

英国每年进行超过48000例内镜逆行胰胆管造影术（ERCP）；大多数手术在地区综合医院进行。ERCP服务集中化的提议基于这样的证据：技术成功率、住院时间和并发症发生率与手术例数有关。希望继续开展ERCP手术的当地单位必须证明他们能够以安全、及时且专业的方式进行足够数量的手术。

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本文引用的文献

1
Endoscopic retrograde cholangio-pancreatography services can be accessible and of a high standard in a district general hospital.在地区综合医院可以获得高标准的内镜逆行胰胆管造影服务。
Frontline Gastroenterol. 2012 Jul;3(3):152-156. doi: 10.1136/flgastro-2011-100084. Epub 2012 Apr 27.
2
All-cause mortality after first ERCP in England: clinically guided analysis of hospital episode statistics with linkage to registry of death.英格兰首次内镜逆行胰胆管造影术（ERCP）后的全因死亡率：基于临床指导的医院病例统计数据分析，并与死亡登记处进行链接。
Gastrointest Endosc. 2011 Oct;74(4):825-33. doi: 10.1016/j.gie.2011.06.007. Epub 2011 Aug 11.
3
Are low-volume ERCPists a problem in the United States? A plea to examine and improve ERCP practice-NOW.在美国，低手术量的内镜逆行胰胆管造影（ERCP）医生是个问题吗？呼吁立即审视并改进ERCP操作。
Gastrointest Endosc. 2011 Jul;74(1):161-6. doi: 10.1016/j.gie.2011.03.1233.
4
Endoscopic retrograde cholangio-pancreatography practice in district general hospitals in North East England: a Northern Regional Endoscopy Group (NREG) study.英格兰东北部地区综合医院的内镜逆行胰胆管造影术实践：一项北部地区内镜检查小组（NREG）的研究。
J R Coll Physicians Edinb. 2011 Jun;41(2):109-13. doi: 10.4997/JRCPE.2011.221.
5
Individual and practice differences among physicians who perform ERCP at varying frequency: a national survey.不同频率行 ERCP 操作的医师之间的个体和实践差异：一项全国性调查。
Gastrointest Endosc. 2011 Jul;74(1):65-73.e12. doi: 10.1016/j.gie.2011.01.072. Epub 2011 Apr 14.
6
Nationwide, population-based data from 11,074 ERCP procedures from the Swedish Registry for Gallstone Surgery and ERCP.全国范围内，来自瑞典胆囊结石手术和内镜逆行胰胆管造影术登记处的 11074 例内镜逆行胰胆管造影术的基于人群的数据。
Gastrointest Endosc. 2010 Dec;72(6):1175-84, 1184.e1-3. doi: 10.1016/j.gie.2010.07.047.
7
Case volume and outcome of endoscopic retrograde cholangiopancreatography: results of a nationwide Austrian benchmarking project.内镜逆行胰胆管造影术的病例量与结果：奥地利全国基准项目的结果
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Relationship among hospital ERCP volume, length of stay, and technical outcomes.医院内镜逆行胰胆管造影术（ERCP）手术量、住院时间和技术结果之间的关系。
Gastrointest Endosc. 2006 Sep;64(3):338-47. doi: 10.1016/j.gie.2005.05.016.