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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2020.1
- 수록면
- 346 - 354 (9page)
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초록· 키워드
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Background/Aims: Endoscopic retrograde cholangiopancreatography (ERCP) requires a unique skill set. Currently, there is noobjective methodology to assess and train a professional to perform ERCP. This study aimed to develop and validate a novel ERCPsimulator. Methods: The simulator consists of papillae presenting different anatomy and positioned in varied locations. Deep cannulation of thepancreatic duct, followed by the bile duct, was performed. The time allotted was 5 minutes. The content validity indexes (CVIs) forrealism, relevance, and representativeness were calculated. Correlation between ERCP experience and simulator score was determined. Results: Twenty-three participants completed the simulation. The CVIs for realism were orientation of duodenoscope to papilla (1.00),angulation of papillotome to achieve cannulation (0.71), and haptic feedback during cannulation (0.80). The CVIs for relevance wereuse of elevator (1.00), wheels to achieve en face orientation (1.00), and papillotome for selective cannulation (1.00). Regarding CVI forrepresentativeness, the results were as follows: basic cannulation (0.83), papilla locations (0.83), and papilla anatomies (0.80). The novice,intermediate, and experienced groups scored 6.7±8.7, 30.0±16.3, and 74.4±43.9, respectively (p<0.0001). There was a strong correlationbetween the ERCP experience level and the individual’s simulator score (Pearson value of 0.77, R2 of 0.60). Conclusions: This simulator appears to be realistic, relevant, and representative of ERCP cannulation techniques. Additionally, it iseffective at objectively assessing basic ERCP skills by differentiating scores based on clinical experience.
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참고문헌 (25)
참고문헌 신청
Andriulli A / 2007 / Incidence rates of post-ERCP complications : a systematic survey of prospective studies / Am J Gastroenterol 102:1781~1788
Freeman ML / 1996 / Complications of endoscopic biliary sphincterotomy / N Engl J Med 335:909~918
Masci E / 2001 / Complications of diagnostic and therapeutic ERCP : a prospective multicenter study / Am J Gastroenterol 96:417~423
Chutkan RK / 2006 / ERCP core curriculum / Gastrointest Endosc 63:361~376
Desilets DJ / 2011 / Endoscopic simulators / Gastrointest Endosc 73:861~867
Freeman ML / 1996 / Complications of endoscopic biliary sphincterotomy / N Engl J Med 335:909~918
Masci E / 2001 / Complications of diagnostic and therapeutic ERCP : a prospective multicenter study / Am J Gastroenterol 96:417~423
Chutkan RK / 2006 / ERCP core curriculum / Gastrointest Endosc 63:361~376
Desilets DJ / 2011 / Endoscopic simulators / Gastrointest Endosc 73:861~867
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