{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T21:29:27Z","timestamp":1792099767203,"version":"4.4.0"},"reference-count":26,"publisher":"Georg Thieme Verlag KG","issue":"10","license":[{"start":{"date-parts":[[2021,9,16]],"date-time":"2021-09-16T00:00:00Z","timestamp":1631750400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Endosc Int Open"],"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background and study aims\u2002Endoscopic retrograde cholangiopancreatography (ERCP) is a complex procedure with a relatively high rate of adverse events. Data on training of operators and fulfillment of quality indicators in Italy are scarce. The goal of this study was to assess the overall quality of ERCP in Italy compared to international standards.<\/jats:p><jats:p>\n          Patients and methods\u2002This was a prospective, observational study from different Italian centers performing ERCP. Operators answered a questionnaire, then recorded data on ERCPs over a 1-to 3-month period.<\/jats:p><jats:p>\n          Results\u2002Nineteen Italian centers participated in the study. The most common concern of operators about training was the lack of structured programs. Seven\/19 centers routinely used conscious sedation for ERCP. Forty-one experienced operators and 21 trainees performed 766 ERCPs: a successful deep biliary cannulation in native-papilla patients was achieved in 95.1\u200a% of cases; the post-ERCP pancreatitis (PEP) rate was 5.4\u200a% in native-papilla patients; cholangitis rate was 1.0\u200a%; bleeding and perforation occurred in 2.7\u200a% and 0.4\u200a% of the patients, respectively.<\/jats:p><jats:p>\n          Conclusions\u2002This study revealed that, overall, ERCP is performed in the participating Italian centers meeting good quality standards, but structured training and sedation practice are still subpar. The bleeding and perforation rate slightly exceeded the American Society of Gastrointestinal Endoscopy indicator targets but they are comparable to the reported rates from other international surveys.<\/jats:p>","DOI":"10.1055\/a-1531-4691","type":"journal-article","created":{"date-parts":[[2021,9,16]],"date-time":"2021-09-16T18:38:29Z","timestamp":1631817509000},"page":"E1563-E1571","source":"Crossref","is-referenced-by-count":9,"title":["A prospective study on quality in endoscopic retrograde cholangiopancreatography (ERCP): trend in Italy from the REQUEST study"],"prefix":"10.1055","volume":"09","author":[{"given":"Giulio","family":"Donato","sequence":"additional","affiliation":[{"name":"Gastroenterology Unit, Department of Oncological and Specialty Medicine, Ospedale \u201cMaggiore della Carit\u00e0\u201d, Novara, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pietro","family":"Occhipinti","sequence":"additional","affiliation":[{"name":"Gastroenterology Unit, Department of Oncological and Specialty Medicine, Ospedale \u201cMaggiore della Carit\u00e0\u201d, Novara, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Loredana","family":"Correale","sequence":"additional","affiliation":[{"name":"Gastroenterology Unit, Department of Oncological and Specialty Medicine, Ospedale \u201cMaggiore della Carit\u00e0\u201d, Novara, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco","family":"Spadaccini","sequence":"additional","affiliation":[{"name":"Digestive Endoscopy Unit, Division of Gastroenterology, Humanitas Clinical and Research Hospital-IRCCS, Rozzano (MI), Italy"},{"name":"Digestive Endoscopy Unit, Division of Gastroenterology, Humanitas Clinical and Research Hospital-IRCCS, Rozzano (MI), Italy; Department of Biomedical Sciences, Pieve Emanuele, Milano, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandro","family":"Repici","sequence":"additional","affiliation":[{"name":"Digestive Endoscopy Unit, Division of Gastroenterology, Humanitas Clinical and Research Hospital-IRCCS, Rozzano (MI), Italy"},{"name":"Digestive Endoscopy Unit, Division of Gastroenterology, Humanitas Clinical and Research Hospital-IRCCS, Rozzano (MI), Italy; Department of Biomedical Sciences, Pieve Emanuele, Milano, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Anderloni","sequence":"additional","affiliation":[{"name":"Digestive Endoscopy Unit, Division of Gastroenterology, Humanitas Clinical and Research Hospital-IRCCS, Rozzano (MI), Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandro","family":"Fugazza","sequence":"additional","affiliation":[{"name":"Digestive Endoscopy Unit, Division of Gastroenterology, Humanitas Clinical and Research Hospital-IRCCS, Rozzano (MI), Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Piergiorgio","family":"Mosca","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology, Department of Gastroenterology & Transplantation, AOU Ospedali Riuniti, Ancona, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Tringali","sequence":"additional","affiliation":[{"name":"Digestive Endoscopy Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italy"},{"name":"Centre for Endoscopic Research Therapeutics and Training (CERTT), Universit\u00e0 Cattolica del Sacro Cuore, Roma, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guido","family":"Costamagna","sequence":"additional","affiliation":[{"name":"Digestive Endoscopy Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italy"},{"name":"Centre for Endoscopic Research Therapeutics and Training (CERTT), Universit\u00e0 Cattolica del Sacro Cuore, Roma, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Milutin","family":"Bulajic","sequence":"additional","affiliation":[{"name":"Gastroenterology and GI Endoscopy Unit, University Hospital of Udine, Udine, Italy"},{"name":"Mater Olbia Hospital-Qatar Foundation Endowment & Gemelli Foundation, Gastroenterology and GI Endoscopy Unit, Olbia (OT), Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giovanni","family":"de Pretis","sequence":"additional","affiliation":[{"name":"Gastroenterology and Digestive Endoscopy Unit, Ospedale S. Chiara, Trento, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Armando","family":"Gabbrielli","sequence":"additional","affiliation":[{"name":"Digestive Endoscopy Unit, AOUI Verona, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco Maria","family":"Di Matteo","sequence":"additional","affiliation":[{"name":"Operative Digestive Endoscopy Unit, Policlinico Universitario Campus Bio-Medico di Roma, Roma"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roberto","family":"Faggiani","sequence":"additional","affiliation":[{"name":"Gastroenterology and Endoscopy Unit, Department of Oncological and Specialty Medicine, S. Camillo Forlanini Hospital, Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammad","family":"Ayoubi","sequence":"additional","affiliation":[{"name":"Gastroenterology and Endoscopy Unit, Gradenigo-Humanitas, Torino, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luca","family":"De Luca","sequence":"additional","affiliation":[{"name":"Gastroenterology and Digestive Endoscopy Unit, A.O. Ospedale Riuniti Marche Nord, Pesaro, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paolo","family":"Cant\u00f9","sequence":"additional","affiliation":[{"name":"Gastroenterology and Endoscopy Unit, Fondazione IRCCS Ca\u2019 Granda Ospedale Maggiore Policlinico, Department of Pathophysiology and Transplantation, Universit\u00e0 degli Studi di Milano, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matteo","family":"Blois","sequence":"additional","affiliation":[{"name":"Interventional Endoscopy Unit, Azienda USL Toscana Nord-Ovest, Livorno, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Iginio","family":"Dell\u2019Amico","sequence":"additional","affiliation":[{"name":"Endoscopy Unit, Apuane Hospital, Massa-Carrara, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Attilio","family":"Maurano","sequence":"additional","affiliation":[{"name":"Operative Endoscopy Unit, Azienda Ospedaliera Universitaria di Salerno, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Flavia","family":"Savarese","sequence":"additional","affiliation":[{"name":"Gastroenterology and Gastrointestinal Endoscopy, General Hospital, Sanremo (IM), Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giampiero","family":"Manes","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Digestive Endoscopy, ASST Rhodense Garbagnate Milanese, Milano, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raffaella","family":"Ferraro","sequence":"additional","affiliation":[{"name":"Gastroenterology and Digestive Endoscopy Unit, Ospedale S. Andrea, ASL VC, Vercelli, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mauro","family":"Barberis","sequence":"additional","affiliation":[{"name":"Gastroenterology Unit, Policlinico di Monza, Monza (MB), Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cesare","family":"Hassan","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Nuovo Regina Margherita Hospital, Roma, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"The REQUEST Group","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2021,9,16]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"721","DOI":"10.1016\/S0016-5107(04)02169-8","article-title":"Complications of ERCP: a prospective study","volume":"60","author":"M Christensen","year":"2004","journal-title":"Gastrointest Endosc"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"1965","DOI":"10.1007\/s00464-007-9711-0","article-title":"Severe and fatal complications after ERCP: analysis of 2555 procedures in a single experienced center","volume":"22","author":"P Salminen","year":"2008","journal-title":"Surg Endosc"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"457","DOI":"10.1016\/j.gie.2008.11.022","article-title":"Quality indicators, including complications, of ERCP in a community setting: a prospective study","volume":"70","author":"J B Colton","year":"2009","journal-title":"Gastrointest Endosc"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"80","DOI":"10.1016\/j.gie.2008.10.039","article-title":"Risk factors for complications after ERCP: a multivariate analysis of 11,497 procedures over 12 years","volume":"70","author":"P B Cotton","year":"2009","journal-title":"Gastrointest Endosc"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1016\/j.gie.2016.06.051","article-title":"Adverse events associated with ERCP","volume":"85","author":"V Chandrasekhara","year":"2017","journal-title":"Gastrointest Endosc"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"S29","DOI":"10.1016\/j.gie.2006.02.019","article-title":"Quality indicators for endoscopic retrograde cholangiopancreatography","volume":"63","author":"T H Baron","year":"2006","journal-title":"Gastrointest Endosc"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"54","DOI":"10.1016\/j.gie.2014.07.056","article-title":"Quality indicators for ERCP","volume":"81","author":"D G Adler","year":"2015","journal-title":"Gastrointest Endosc"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"1448","DOI":"10.1177\/2050640618808157","article-title":"Performance measures for endoscopic retrograde cholangiopancreatography and endoscopic ultrasound: A European Society of Gastrointestinal Endoscopy (ESGE) Quality Improvement Initiative","volume":"6","author":"D Domagk","year":"2018","journal-title":"United European Gastroenterol J"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"821","DOI":"10.1136\/gut.2006.097543","article-title":"Are we meeting the standards set for endoscopy? 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