Boškoski Ivo, Tringali Andrea, Costamagna Guido
Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.
Università Cattolica Del Sacro Cuore di Roma, Center for Endoscopic Research Therapeutics and training (CERTT), Rome, Italy.
Transl Gastroenterol Hepatol. 2019 May 14;4:30. doi: 10.21037/tgh.2019.04.05. eCollection 2019.
In the last two decades, endoscopic retrograde cholangiopancreatography (ERCP) has evolved from a diagnostic procedure to an almost exclusively therapeutic one. Contemporaneously, many different catheters have become available for cannulation and special techniques have also been developed for difficult cases. ERCP is a skill demanding procedure that can lead to severe complications and death. Teaching ERCP is the most difficult task in an endoscopic training program. Training programs in ERCP must be effective, standardized and structured. Furthermore, robust standards for certification and revalidation are required to ensure ERCP as effective and as safe as possible.
在过去二十年中,内镜逆行胰胆管造影术(ERCP)已从一种诊断性操作演变为几乎完全是治疗性操作。与此同时,许多不同的导管可用于插管,并且针对困难病例也开发了特殊技术。ERCP是一项要求很高的技术,可能导致严重并发症甚至死亡。教授ERCP是内镜培训项目中最困难的任务。ERCP培训项目必须有效、标准化且结构化。此外,需要严格的认证和再认证标准,以确保ERCP尽可能有效和安全。