<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1130-0108</journal-id>
<journal-title><![CDATA[Revista Española de Enfermedades Digestivas]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. esp. enferm. dig.]]></abbrev-journal-title>
<issn>1130-0108</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Española de Patología Digestiva]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1130-01082018001000009</article-id>
<article-id pub-id-type="doi">10.17235/reed.2018.5652/2018</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Indicadores de calidad en colangiopancreatografía retrógrada endoscópica. Procedimiento de la colangiopancreatografía retrógrada endoscópica]]></article-title>
<article-title xml:lang="en"><![CDATA[Quality indicators for endoscopic retrograde cholangiopancreatography. The procedure of endoscopic retrograde cholangiopancreatography]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Alberca-de-las-Parras]]></surname>
<given-names><![CDATA[Fernando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López-Picazo]]></surname>
<given-names><![CDATA[Julio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez-Romero]]></surname>
<given-names><![CDATA[Shirley]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sánchez-del-Río]]></surname>
<given-names><![CDATA[Antonio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Júdez-Gutiérrez]]></surname>
<given-names><![CDATA[Javier]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[León-Molina]]></surname>
<given-names><![CDATA[Joaquín]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Clínico Universitario Virgen de la Arrixaca Servicio de Medicina de Aparato Digestivo Unidad de Endoscopias]]></institution>
<addr-line><![CDATA[Murcia ]]></addr-line>
<country>Spain</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Clínico Universitario Virgen de la Arrixaca Servicio de Calidad Asistencial ]]></institution>
<addr-line><![CDATA[Murcia ]]></addr-line>
<country>Spain</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital San Juan de Dios. Santa Cruz de Tenerife  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Spain</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,SEPD  ]]></institution>
<addr-line><![CDATA[Madrid ]]></addr-line>
<country>Spain</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Hospital Clínico Universitario Virgen de la Arrixaca Servicio de Medicina de Aparato Digestivo ]]></institution>
<addr-line><![CDATA[Murcia ]]></addr-line>
<country>Spain</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>10</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>10</month>
<year>2018</year>
</pub-date>
<volume>110</volume>
<numero>10</numero>
<fpage>658</fpage>
<lpage>666</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S1130-01082018001000009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S1130-01082018001000009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S1130-01082018001000009&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN El objetivo del proyecto en el que se inscribe este trabajo es proponer procedimientos e indicadores de calidad y seguridad útiles para facilitar la mejora de la calidad en unidades de endoscopia digestiva. En este tercer resultado se proponen procedimientos e indicadores de la colangiopancreatografía retrógrada endoscópica (CPRE). Primero, se ha diseñado un diagrama de los pasos previos y consecutivos a la realización de la CPRE. Un grupo de expertos en calidad asistencial y/o endoscopia, bajo el amparo de la Sociedad Española de Patología Digestiva (SEPD), ha realizado una revisión cualitativa de la literatura haciendo referencia a la búsqueda de indicadores de calidad en la CPRE. Posteriormente, por un procedimiento de análisis por pares se ha hecho la selección y análisis de la literatura seleccionada. Se han identificado un total de seis indicadores específicos, independientemente de los ya descritos comunes, todos de proceso (dos de preprocedimiento y cuatro de procedimiento). Se ha analizado la calidad de la evidencia de cada uno de ellos aplicando la clasificación utilizada en Grading of Recommendations Assessment, Development and Evaluation) GRADE).]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT The goal of the project encompassing the present paper is to propose useful quality procedures and indicators in order to improve quality in digestive endoscopy units. In this third part outcome procedures and indicators are suggested for endoscopic retrograde cholangiopancreatography (ERCP). First, a diagram of pre- and post-ERCP steps was developed. A group of experts in healthcare quality and/or endoscopy, under the shelter of the Spanish Society of Digestive Diseases (Sociedad Española de Patología Digestiva - SEPD), carried out a qualitative review of the literature regarding quality indicators for ERCP. Then, a paired analysis was used for the selection of identified references. A total of six specific indicators, apart from the common indicators already described, were identified, all of them process indicators (two pre-procedure and four post-procedure). Evidence quality was analyzed for each indicator using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) classification.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Indicadores calidad]]></kwd>
<kwd lng="es"><![CDATA[Colangiopancreatografía retrógrada endoscópica]]></kwd>
<kwd lng="es"><![CDATA[Aparato digestivo]]></kwd>
<kwd lng="en"><![CDATA[Quality indicators]]></kwd>
<kwd lng="en"><![CDATA[Endoscopic retrograde cholangiopancreatography]]></kwd>
<kwd lng="en"><![CDATA[Digestive system]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Medical practice in gastroenterology]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Conklin]]></surname>
<given-names><![CDATA[LS]]></given-names>
</name>
<name>
<surname><![CDATA[Bernstein]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Bartholomew]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<source><![CDATA[Clin Gastroenterol Hepatol]]></source>
<year>2008</year>
<volume>6</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>677-81</page-range></nlm-citation>
</ref>
<ref id="B2">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Twenty more ERCP lawsuits why? Poor indications and communications]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cotton]]></surname>
<given-names><![CDATA[PB]]></given-names>
</name>
</person-group>
<source><![CDATA[Gastrointest Endosc]]></source>
<year>2010</year>
<volume>72</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>904</page-range></nlm-citation>
</ref>
<ref id="B3">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Donabedian]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<source><![CDATA[Basic approaches to assessment: what to assess. Exploration, structure, process and outcomes - Quality assessment and monitoring. Vol. 1]]></source>
<year>1980</year>
<publisher-loc><![CDATA[Michigan ]]></publisher-loc>
<publisher-name><![CDATA[Health Administration Press Ann Arbor]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B4">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Quality indicators in digestive endoscopy introduction to structure, process, and outcome common indicators]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[López-Picazo]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Alberca-de-las-Parras]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Sánchez-del-Río]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<source><![CDATA[Rev Esp Enferm Dig]]></source>
<year>2016</year>
<volume>109</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>435-50</page-range></nlm-citation>
</ref>
<ref id="B5">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Indicadores de calidad en colonoscopia Procedimiento de la colonoscopia]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sánchez-del-Río]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Pérez-Romero]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[López-Picazo]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<source><![CDATA[Rev Esp Enferm Dig]]></source>
<year>2018</year>
<volume>110</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>316-26</page-range></nlm-citation>
</ref>
<ref id="B6">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Systems for grading the quality of evidence and the strength of recommendations I critical appraisal of existing approaches. The GRADE Working Group]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Atkins]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Eccles]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Flottorp]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<source><![CDATA[BMC Health Serv Res]]></source>
<year>2004</year>
<volume>4</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>38</page-range></nlm-citation>
</ref>
<ref id="B7">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Systems for grading the quality of evidence and the strength of recommendations II pilot study of a new system]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Atkins]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Briss]]></surname>
<given-names><![CDATA[PA]]></given-names>
</name>
<name>
<surname><![CDATA[Eccles]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<source><![CDATA[BMC Health Serv Res]]></source>
<year>2005</year>
<volume>5</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>25</page-range></nlm-citation>
</ref>
<ref id="B8">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[ASGE/ACG Task Force on quality in endoscope Quality indicators for ERCP]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Adler]]></surname>
<given-names><![CDATA[DG]]></given-names>
</name>
<name>
<surname><![CDATA[Lien II]]></surname>
<given-names><![CDATA[JG]]></given-names>
</name>
<name>
<surname><![CDATA[Cohen]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<source><![CDATA[Gastrointest Endosc]]></source>
<year>2015</year>
<volume>81</volume>
<page-range>54-66</page-range></nlm-citation>
</ref>
<ref id="B9">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Comorbidities, sphincterotomy, and balloon dilation predict post-ERCP adverse events in PSC patients operator experience is protective]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Alkhatib]]></surname>
<given-names><![CDATA[AA]]></given-names>
</name>
<name>
<surname><![CDATA[Hilden]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Adler]]></surname>
<given-names><![CDATA[DG]]></given-names>
</name>
</person-group>
<source><![CDATA[Dig Dis Sci]]></source>
<year>2011</year>
<volume>56</volume>
<page-range>3685-8</page-range></nlm-citation>
</ref>
<ref id="B10">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Brand]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Bizos]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Antibiotic prophylaxis for patients undergoing elective endoscopic retrograde cholangiopancreatography]]></article-title>
<collab>O'Farrell PJR</collab>
<source><![CDATA[Cochrane Database System Rev]]></source>
<year>2010</year>
<volume>10</volume>
<page-range>CD007345</page-range></nlm-citation>
</ref>
<ref id="B11">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[ASGE Standards of Practice Committee Antibiotic prophylaxis for GI endoscopy]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Khashab]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
<name>
<surname><![CDATA[Chithadi]]></surname>
<given-names><![CDATA[KV]]></given-names>
</name>
<name>
<surname><![CDATA[Acosta]]></surname>
<given-names><![CDATA[RD]]></given-names>
</name>
</person-group>
<source><![CDATA[Gastrointest Endosc]]></source>
<year>2015</year>
<volume>81</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>81-9</page-range></nlm-citation>
</ref>
<ref id="B12">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Grading ERCPs by degree of difficulty a new concept to produce more meaningful outcome data]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Schutz]]></surname>
<given-names><![CDATA[SM]]></given-names>
</name>
<name>
<surname><![CDATA[Abbott]]></surname>
<given-names><![CDATA[RM]]></given-names>
</name>
</person-group>
<source><![CDATA[Gastrointest Endosc]]></source>
<year>2000</year>
<volume>51</volume>
<page-range>535-9</page-range></nlm-citation>
</ref>
<ref id="B13">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Quality evaluation through self-assessment a novel method to gain insight into ERCP performance]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ekkelenkamp]]></surname>
<given-names><![CDATA[VE]]></given-names>
</name>
<name>
<surname><![CDATA[Koch]]></surname>
<given-names><![CDATA[AD]]></given-names>
</name>
<name>
<surname><![CDATA[Haringsma]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<source><![CDATA[Frontline Gastroenterol]]></source>
<year>2014</year>
<volume>5</volume>
<page-range>10-6</page-range></nlm-citation>
</ref>
<ref id="B14">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Income and outcome metrics for the objective evaluation of ERCP and alternative methods]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cotton]]></surname>
<given-names><![CDATA[PB]]></given-names>
</name>
</person-group>
<source><![CDATA[Gastrointest Endosc]]></source>
<year>2002</year>
<volume>56</volume>
<numero>Suppl 6</numero>
<issue>Suppl 6</issue>
<page-range>S283-90</page-range></nlm-citation>
</ref>
<ref id="B15">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Baron]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Petersen]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Mergener]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Quality indicators for endoscopic retrograde cholangiopancreatography]]></article-title>
<collab>ASGE/ACG Taskforce on Quality in Endoscopy</collab>
<source><![CDATA[Am J Gastroenterol]]></source>
<year>2006</year>
<volume>101</volume>
<page-range>892-7</page-range></nlm-citation>
</ref>
<ref id="B16">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Grading the complexity of endoscopic procedures results of an ASGE working party]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cotton]]></surname>
<given-names><![CDATA[PB]]></given-names>
</name>
<name>
<surname><![CDATA[Eisen]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Romagnuolo]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<source><![CDATA[Gastrointest Endosc]]></source>
<year>2011</year>
<volume>73</volume>
<numero>8</numero>
<issue>8</issue>
<page-range>868-74</page-range></nlm-citation>
</ref>
<ref id="B17">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Intraprocedural quality in endoscopic retrograde cholangiopancreatography a meta-analysis]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[DeBenedet]]></surname>
<given-names><![CDATA[AT]]></given-names>
</name>
<name>
<surname><![CDATA[Elmunzer]]></surname>
<given-names><![CDATA[BJ]]></given-names>
</name>
<name>
<surname><![CDATA[McCarthy]]></surname>
<given-names><![CDATA[ST]]></given-names>
</name>
</person-group>
<source><![CDATA[Am J Gastroenterol]]></source>
<year>2013</year>
<volume>108</volume>
<numero>11</numero>
<issue>11</issue>
<page-range>1696-704</page-range></nlm-citation>
</ref>
<ref id="B18">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Case volume and outcome of endoscopic retrograde cholangiopancreatography results of a nationwide Austrian benchmarking project]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kapral]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Duller]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Wewalka]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
</person-group>
<source><![CDATA[Endoscopy]]></source>
<year>2008</year>
<volume>40</volume>
<page-range>625-30</page-range></nlm-citation>
</ref>
<ref id="B19">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Papillary cannulation and sphincterotomy techniques at ERCP European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Testoni]]></surname>
<given-names><![CDATA[PA]]></given-names>
</name>
<name>
<surname><![CDATA[Mariani]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Aabakken]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<source><![CDATA[Endoscopy]]></source>
<year>2016</year>
<volume>48</volume>
<numero>7</numero>
<issue>7</issue>
<page-range>657-83</page-range></nlm-citation>
</ref>
<ref id="B20">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Difficult cannulation as defined by a prospective study of the Scandinavian Association for Digestive Endoscopy (SADE) in 907 ERCPs]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Halttunen]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Meisner]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Aabakken]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<source><![CDATA[Scand J Gastroenterol]]></source>
<year>2014</year>
<volume>49</volume>
<page-range>752-8</page-range></nlm-citation>
</ref>
<ref id="B21">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[The role of endoscopy in the evaluation of suspected choledocholithiasis]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Maple]]></surname>
<given-names><![CDATA[JT]]></given-names>
</name>
<name>
<surname><![CDATA[Ben-Menachem]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Anderson]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
</person-group>
<source><![CDATA[Gastrointest Endosc]]></source>
<year>2010</year>
<volume>71</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>1-9</page-range></nlm-citation>
</ref>
<ref id="B22">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[The role of endoscopy in the management of choledocholithiasis]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Maple]]></surname>
<given-names><![CDATA[JT]]></given-names>
</name>
<name>
<surname><![CDATA[Ikenberry]]></surname>
<given-names><![CDATA[SO]]></given-names>
</name>
<name>
<surname><![CDATA[Anderson]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
</person-group>
<source><![CDATA[Gastrointest Endosc]]></source>
<year>2011</year>
<volume>74</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>731-44</page-range></nlm-citation>
</ref>
<ref id="B23">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Endoscopic biliary sphincterotomy is not required for transpapillary SEMS placement for biliary obstruction]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Banerjee]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Hilden]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Baron]]></surname>
<given-names><![CDATA[TH]]></given-names>
</name>
</person-group>
<source><![CDATA[Dig Dis Sci]]></source>
<year>2011</year>
<volume>56</volume>
<page-range>591-5</page-range></nlm-citation>
</ref>
<ref id="B24">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Measures of patient radiation exposure during endoscopic retrograde cholangiography beyond fluoroscopy time]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kachaamy]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Harrison]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Pannala]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<source><![CDATA[World J Gastroenterol]]></source>
<year>2015</year>
<volume>21</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>1900-6</page-range></nlm-citation>
</ref>
<ref id="B25">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Recording ERCP fluoroscopy metrics using a multinational quality network establishing benchmarks and examining time-related improvements]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Romagnuolo]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Cotton]]></surname>
<given-names><![CDATA[PB]]></given-names>
</name>
</person-group>
<source><![CDATA[Am J Gastroenterol]]></source>
<year>2013</year>
<volume>108</volume>
<page-range>1224-30</page-range></nlm-citation>
</ref>
<ref id="B26">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Effects of a brief educational program on optimization of fluoroscopy to minimize radiation exposure during endoscopic retrograde cholangiopancreatography]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Barakat]]></surname>
<given-names><![CDATA[MT]]></given-names>
</name>
<name>
<surname><![CDATA[Thosani]]></surname>
<given-names><![CDATA[NC]]></given-names>
</name>
<name>
<surname><![CDATA[Huang]]></surname>
<given-names><![CDATA[RJ]]></given-names>
</name>
</person-group>
<source><![CDATA[Clin Gastroenterol Hepatol]]></source>
<year>2017</year>
<volume>S1542-3565</volume>
<numero>17</numero>
<issue>17</issue>
<page-range>30937-0</page-range></nlm-citation>
</ref>
<ref id="B27">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Guidelines for patient radiation dose management]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Stecker]]></surname>
<given-names><![CDATA[MS]]></given-names>
</name>
<name>
<surname><![CDATA[Balter]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Towbin]]></surname>
<given-names><![CDATA[RB]]></given-names>
</name>
</person-group>
<source><![CDATA[J Vasc Interv Radiol]]></source>
<year>2009</year>
<volume>20</volume>
<page-range>S263-73</page-range></nlm-citation>
</ref>
<ref id="B28">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Endoscopic sphincterotomy complications and their management an attempt at consensus]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cotton]]></surname>
<given-names><![CDATA[PB]]></given-names>
</name>
<name>
<surname><![CDATA[Lehman]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Vennes]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<source><![CDATA[Gastrointest Endosc]]></source>
<year>1991</year>
<volume>37</volume>
<page-range>383-93</page-range></nlm-citation>
</ref>
<ref id="B29">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Improving ERCP quality and decreasing risk to patients and providers]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kachaamy]]></surname>
<given-names><![CDATA[TA]]></given-names>
</name>
<name>
<surname><![CDATA[Faigel]]></surname>
<given-names><![CDATA[DO]]></given-names>
</name>
</person-group>
<source><![CDATA[Expert Rev Gastroenterol Hepatol]]></source>
<year>2013</year>
<volume>7</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>531-40</page-range></nlm-citation>
</ref>
<ref id="B30">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Prevention of post-ERCP pancreatitis a comprehensive review]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Freeman]]></surname>
<given-names><![CDATA[ML]]></given-names>
</name>
<name>
<surname><![CDATA[Guda]]></surname>
<given-names><![CDATA[NM]]></given-names>
</name>
</person-group>
<source><![CDATA[Gastrointest Endosc]]></source>
<year>2004</year>
<volume>59</volume>
<page-range>845-64</page-range></nlm-citation>
</ref>
<ref id="B31">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Risk factors for complications after ERCP a multivariate analysis of 11,497 procedures over 12 years]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cotton]]></surname>
<given-names><![CDATA[PB]]></given-names>
</name>
<name>
<surname><![CDATA[Garrow]]></surname>
<given-names><![CDATA[DA]]></given-names>
</name>
<name>
<surname><![CDATA[Gallagher]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<source><![CDATA[Gastrointest Endosc]]></source>
<year>2009</year>
<volume>70</volume>
<page-range>80-8</page-range></nlm-citation>
</ref>
<ref id="B32">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Complications of ERCP]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Anderson]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
<name>
<surname><![CDATA[Fisher]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Jain]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<source><![CDATA[Gastrointest Endosc]]></source>
<year>2012</year>
<volume>75</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>467-73</page-range></nlm-citation>
</ref>
<ref id="B33">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Effect of the administration of rectal indomethacin on amylase serum levels after endoscopic retrograde cholangiopancreatography, and its impact on the development of secondary pancreatitis episodes]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Montaño Loza]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Rodríguez Lomelí]]></surname>
<given-names><![CDATA[X]]></given-names>
</name>
<name>
<surname><![CDATA[García Correa]]></surname>
<given-names><![CDATA[JE]]></given-names>
</name>
</person-group>
<source><![CDATA[Rev Esp Enferm Dig]]></source>
<year>2007</year>
<volume>99</volume>
<page-range>330-6</page-range></nlm-citation>
</ref>
<ref id="B34">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[A randomized trial of rectal indomethacin to prevent post-ERCP pancreatitis]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Elmunzer]]></surname>
<given-names><![CDATA[BJ]]></given-names>
</name>
<name>
<surname><![CDATA[Scheiman]]></surname>
<given-names><![CDATA[JM]]></given-names>
</name>
<name>
<surname><![CDATA[Lehman]]></surname>
<given-names><![CDATA[GA]]></given-names>
</name>
</person-group>
<source><![CDATA[N Engl J Med]]></source>
<year>2012</year>
<volume>366</volume>
<page-range>1414-22</page-range></nlm-citation>
</ref>
<ref id="B35">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Prophylactic pancreatic stent placement and post-ERCP pancreatitis a systematic review and meta-analysis]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mazaki]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Masuda]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Takayama]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
</person-group>
<source><![CDATA[Endoscopy]]></source>
<year>2010</year>
<volume>42</volume>
<page-range>842-53</page-range></nlm-citation>
</ref>
<ref id="B36">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Riesgo de sangrado en la colangiopancreatografía retrógrada endoscópica impacto del uso de fármacos antitrombóticos]]></article-title>
<collab>Alberca de las Parras F.Egea Valenzuela J.Carballo Álvarez F</collab>
<source><![CDATA[Rev Esp Enferm Dig]]></source>
<year>2017</year>
<volume>109</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>202-10</page-range></nlm-citation>
</ref>
<ref id="B37">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Incidence rates of post-ERCP complications a systematic survey of prospective studies]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Andriulli]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Loperfido]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Napolitano]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<source><![CDATA[Am J Gastroenterol]]></source>
<year>2007</year>
<volume>102</volume>
<page-range>1781-8</page-range></nlm-citation>
</ref>
<ref id="B38">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Glomsaker]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Hoff]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Kvaløy]]></surname>
<given-names><![CDATA[JT]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Patterns and predictive factors of complications after endoscopic retrograde cholangiopancreatography]]></article-title>
<collab>Norwegian Gastronet ERCP Group</collab>
<source><![CDATA[Br J Surg]]></source>
<year>2013</year>
<volume>100</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>373-80</page-range></nlm-citation>
</ref>
<ref id="B39">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Precut papillotomy via fine-needle knife papillotome a safe and effective technique]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Huibregtse]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Katon]]></surname>
<given-names><![CDATA[RM]]></given-names>
</name>
<name>
<surname><![CDATA[Tytgat]]></surname>
<given-names><![CDATA[GN]]></given-names>
</name>
</person-group>
<source><![CDATA[Gastrointest Endosc]]></source>
<year>1986</year>
<volume>32</volume>
<page-range>403-5</page-range></nlm-citation>
</ref>
<ref id="B40">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Prevention and management of adverse events of endoscopic retrograde cholangiopancreatography]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Balmadrid]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Kozarek]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<source><![CDATA[Gastrointest Endosc Clin N Am]]></source>
<year>2013</year>
<volume>23</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>385-403</page-range></nlm-citation>
</ref>
<ref id="B41">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Guidelines for the management of anticoagulant endoscopic procedures and antiplatelet therapy in patients undergoing endoscopic procedures]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Veitch]]></surname>
<given-names><![CDATA[AM]]></given-names>
</name>
<name>
<surname><![CDATA[Baglin]]></surname>
<given-names><![CDATA[TP]]></given-names>
</name>
<name>
<surname><![CDATA[Gershlick]]></surname>
<given-names><![CDATA[AH]]></given-names>
</name>
</person-group>
<source><![CDATA[Gut]]></source>
<year>2008</year>
<volume>57</volume>
<page-range>1322-9</page-range></nlm-citation>
</ref>
<ref id="B42">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Becker]]></surname>
<given-names><![CDATA[RC]]></given-names>
</name>
<name>
<surname><![CDATA[Scheiman]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Dauerman]]></surname>
<given-names><![CDATA[HL]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Management of platelet-directed pharmacotherapy in patients with atherosclerotic coronary artery disease undergoing elective endoscopic gastrointestinal procedures]]></article-title>
<collab>American College of Cardiology and the American College of Gastroenterology</collab>
<source><![CDATA[Am J Gastroenterol]]></source>
<year>2009</year>
<volume>104</volume>
<page-range>2903-17</page-range></nlm-citation>
</ref>
<ref id="B43">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Manejo de los fármacos antitrombóticos asociados a los procedimientos endoscópicos]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Alberca de las Parras]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Marín]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Roldán Schilling]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
</person-group>
<source><![CDATA[Rev Esp Enferm Dig]]></source>
<year>2015</year>
<volume>107</volume>
<page-range>289-306</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
