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The aim of this study was to analyze the association between ERCP success and complications, and endoscopist and centre case-volumes.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>Data were obtained from the Swedish National Register for Gallstone Surgery and ERCP (GallRiks) on all ERCPs performed for Common Bile Duct Stone (CBDS) (<jats:italic>n<\/jats:italic>\u2009=\u200917,873) and suspected or confirmed malignancy (<jats:italic>n<\/jats:italic>\u2009=\u20096152) between 2009 and 2018. Successful cannulation rate, procedure time, intra- and postoperative complication rates and post-ERCP pancreatitis (PEP) rate, were compared with endoscopist and centre ERCP case-volumes during the year preceding the procedure as predictor.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>In multivariable analyses of the CBDS group adjusting for age, gender and year, a high endoscopist case-volume was associated with higher successful cannulation rate, lower complication and PEP rates, and shorter procedure time (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05). Centres with a high annual case-volume were associated with high successful cannulation rate and shorter procedure time (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05), but not lower complication and PEP rates.<\/jats:p>\n                <jats:p>When indication for ERCP was malignancy, a high endoscopist case-volume was associated with high successful cannulation rate and low PEP rates (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05), but not shorter procedure time or low complication rate. Centres with high case-volume were associated with high successful cannulation rate and low complication and PEP rates (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05), but not shorter procedure time.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>The results suggest that higher endoscopist and centre case-volumes are associated with safer ERCP and successful outcome.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00464-021-08915-y","type":"journal-article","created":{"date-parts":[[2022,1,3]],"date-time":"2022-01-03T22:02:40Z","timestamp":1641247360000},"page":"5339-5347","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":28,"title":["Outcome of ERCP related to case-volume"],"prefix":"10.1007","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6484-5406","authenticated-orcid":false,"given":"Eva-Lena","family":"Syr\u00e9n","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriel","family":"Sandblom","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lars","family":"Enochsson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arne","family":"Eklund","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bengt","family":"Isaksson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johanna","family":"\u00d6sterberg","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Staffan","family":"Eriksson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2022,1,3]]},"reference":[{"key":"8915_CR1","unstructured":"GallRiks Annual Report (2018).\u00a0https:\/\/www.ucr.uu.se\/gallriks\/fou\/arsrapporter"},{"key":"8915_CR2","doi-asserted-by":"publisher","first-page":"54","DOI":"10.1016\/j.gie.2014.07.056","volume":"81","author":"DG Adler","year":"2015","unstructured":"Adler DG, Lieb JG 2nd, Cohen J, Pike IM, Park WG, Rizk MK, Sawhney MS, Scheiman JM, Shaheen NJ, Sherman S, Wani S (2015) Quality indicators for ERCP. 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Eva-Lena Syr\u00e9n, Gabriel Sandblom, Lars Enochsson, Arne Eklund, Bengt Isaksson, Johanna \u00d6sterberg and Staffan Eriksson have no conflicts of interest or financial ties to disclose.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Disclosures"}}]}}