The July 26, 2016 Gastroenterology and Endoscopy News article, "Appropriate Use, Skilled Care Crucial for ERCP Safety," is essentially a Q&A interview with Drs. Rajesh N. Keswani, Gregory A. Cote, and Sachin Wani. An outbreak of antibiotic-resistant bacterial infections linked to ERCP equipment is the focus of this article.
The outbreak led to a recall of some duodenoscopes used in the procedure and a Senate report demanding improved device safety monitoring. To ensure the best and safest use of this important technique, it’s crucial for physicians to use ERCP appropriately and be certain the procedure is performed by competent providers, according to Rajesh N. Keswani, MD.
It is imperative ERCP be used only when absolutely necessary and care must be taken to ensure equipment is free of bacteria. Due to the pancreatitis-risk ERCP carries, the physicians encourage the use of endoscopic ultrasound (EUS) and MRCP with secretin for diagnosing sphincter of Oddi dysfunction. In most cases, though, these types of scans are not fool-proof in detecting SOD. ERCP is still the gold standard diagnostic tool for SOD. However, it is advised ERCP not be used for SOD Type 3 patients.
The physicians recommend ERCP procedures be conducted in centers designated as "high-quality" with highly trained staff.
For more information, go to: http://www.gastroendonews.com/In-the-News/Article/07-16/Appropriate-Use-Skilled-Care-Crucial-for-ERCP-Safety/37000.