The sequential ERCP training of bile duct and pancreatic duct cannulation in the pig model / 中华消化内镜杂志

ABSTRACT

Objective To explore a new approach of sequential cannulation in bile duct and pancreatic duct in the pig model for ERCP training.Methods A group of 5 trainees received 5 to 10 sessions of training of bile duct cannulation first, the results were evaluated by ERCP experts.When the trainees passed the assessment, they received next phase of training of pancreatic duct cannulation.A 3 scores system was used to evaluate the level of operation before and after the training conducted by experts.Results All participants successfully completed the sequential cannulation training.Compared with the operation level before training, the insertion time of ERCP after training was shortened (5.2±1.5 min vs.2.5±0.7 min, P<0.05), and the operating skills were also improved significantly (1.3±0.5 vs.2.7±0.5, P<0.05).The training project was accepted very well by all participants.Conclusion The sequential cannulation in bile duct and pancreatic duct in pig model is of good cost-effectiveness and can get better training results under the premise of increasing the operating frequency and operating difficulties.