Introduction:

The endoscopic retrograde colangiopancreatography (ERCP) is an important diagnostic and therapeutic tool for the pancreatobiliary diseases. A procedure that requires expertise due to its complexity and has a high complication rate. The American Association of Gastrointestinal Endoscopy (ASGE) established in 2015, quality indicators for the use of CPRE.

Outcome:

Determine the level of quality indicators in the use of ERCP in the endoscopy service of the Hospital Juarez de Mexico.

Material and Methods:

Observational, cross-sectional study by reviewing quality indicators of the ERCP performed in the Hospital Juarez de Mexico, between January 2016 and December 2019.

Results:

688 ERCP were included, 521 were women (60%), average age was 58 years ± 12. The most common ERCP indication was bile duct disease in 405 procedures (47%) biliary stenosis 137 (16%), pancreatitis 84 (10%), bile leak 77 (9%), jaundice 62 (7%), acute cholangitis 55 (6%) biliary stent exchange 47 (5%). Quality indicators previous to the procedure were a correct indication of the study in 863 (99%), all of them with a previous consent (100%), correct administration of antibiotic 849 (96%). All of the procedures, were made or supervised by a trained endoscopist and were reported annually. During the procedure a Deep cannulation was obtained in 851(98%) and without alteration of anatomy in 824 (95%), bile duct resolution 445 (91%) and adequate biliary stent in 200 (93%), but frequency and dosage of radiation was not documented. Post procedure quality indicators included a complete report in all patients. (100%) Adverse events reported in 33 procedures (100%), post ERCO pancreatitis in 32 (4%), post sphincterotomy/sphincteroplasty hemorrhage in 9 (1%) and intestinal perforation in 2 procedures (0.3%). There was no record of the patient follow up at 14 days.

Conclusions:

Quality indicators in ERCP in our hospital are within the percentages required by ASGE, we offer quality procedures of ERCP to our population, according to international standards.