An audit on the preliminary results of endoscopic retrograde cholangiopancreatography performed in the Limpopo Academic Complex, Polokwane, South Africa
DOI:
https://doi.org/10.7196/SAMJ.2022.v112i11b.16821Keywords:
endoscopic, auditAbstract
Background. Endoscopic retrograde cholangiopancreatography (ERCP) is an endoscopic procedure that is an important treatment
modality for the management of hepatic, pancreatic and biliary diseases. The ERCP unit in the Limpopo Academic Complex in Polokwane, South Africa, was established at the end of 2021.
Objectives. To identify areas for improvement in the new ERCP unit.
Methods. All ERCP procedures were audited in five components: (i) room set-up; (ii) endoscope, guidewires and consumable accessories; (iii) fluoroscopy; (iv) sedation and analgesia; and (v) ERCP endoscopist and staff. These were considered the essential pillars of an ERCP unit. The quality of each component was graded in every ERCP procedure as grade 1 (very poor), grade 2 (below average), grade 3 (average), grade 4 (above average), and grade 5 (highly satisfactory).
Results. Nine therapeutic ERCP procedures were performed during the period 10 January - 31 May 2022. Eighteen theatre slots were
allocated for ERCP procedures during the study period, but only seven of them were utilised. The quality of ERCP unit components was
highest for the sedation and analgesia component (mean grade of 4) and lowest for fluoroscopy (mean 1.8).
Conclusion. Establishing a new ERCP service is a task with many challenges. We present the preliminary results of the Limpopo Academic Complex ERCP unit with a view to adding our experience to the current knowledge.
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