2015 Volume 86 Issue 1 Pages 94-98
The number of patients with pancreatobiliary disease is increasing along with the aging population, and we often encounter patients requiring emergency bile duct drainage, such as those with acute cholangitis. In some cases, bile duct intubation cannot be performed despite the performance of endoscopic retrograde cholangiopancreatography (ERCP) , eventually leading to post-ERCP pancreatitis. Not all patients can be transferred to a high-level healthcare institution ; therefore, educational institutions should establish a method for teaching pancreatobiliary endoscopy (related to ERCP and endoscopic ultrasonography) so that it can be performed safely by appropriate staff in, to some extent, any place. However, advisory doctors are present in only a few educational institutions. The pancreatobiliary endoscopy educational method followed at our institution includes : 1) enabling physicians to experience work as an ERCP assistant and operator as frequently as possible ; 2) facilitating the understanding of diagnosis and treatment of pancreatobiliary disease through inpatients ; 3) developing image diagnostic skills by describing ECRP findings ; 4) educating through mini lectures ; and 5) educating using a simulator.
