Comparison of Off-site vs. hands-on Assistance for Trainees During ERCP
NCT06197815 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 754
Last updated 2024-01-17
Summary
Endoscopic retrograde cholangiopancreatography (ERCP) is a technically challenging procedure. It takes time to learn the basic skill and at least 180 - 200 cases for trainees to achieve competency in ERCP. Hands-on practice in patients remains the gold standard for ERCP training. It required the trainer to stand by the trainee in the procedure room to assist. There were insufficient patients for most trainees to achieve competence until the trainee graduate. Technology-enabled health care at a distance has profound scientific potential and accordingly has been met with growing interest. We hypothesized that the trainee can be safely guided by a senior trainer off-site with the endoscopic view displayed on a screen. Using the teleguidance, the trainer can even continue to provide guidance when the trainees complete their training and return to their hospitals until they achieve the recommended clinical competency. Given the advantages of the off-site teleguidance, it could be an attractive substitute for hands-on assistance to ERCP training.
The primary aim of this study was to evaluate whether off-site assistance (OA group) could achieve a comparable success rate to standard hands-on assistance (HA group) with regard to the rates of successful selective biliary cannulation during ERCP training.
Conditions
- ERCP Training
Interventions
- BEHAVIORAL
-
The assistance type during ERCP
The senior trainer guides the trainees during ERCP procedure outside the operating room using communication equipment and the screen displaying an endoscopic view.
Sponsors & Collaborators
-
Department of Endoscopy, Eastern Hepatobiliary Hospital, Second Military Medical University
collaborator UNKNOWN -
Department of Gastroenterology, The Second Affiliated Hospital Chongqing Medical University
collaborator UNKNOWN -
Air Force Military Medical University, China
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- OTHER
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 90 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2020-12-03
- Primary Completion
- 2024-06-30
- Completion
- 2024-08-31
Countries
- China
Study Locations
More Related Trials
-
Primary Cholangioscopy Versus ERCP in the Diagnosis of Biliary Strictures
NCT04010734 ·Status: UNKNOWN ·Phase: NA
-
Refeeding in Post-ERCP Pancreatitis
NCT04750044 ·Status: UNKNOWN ·Phase: NA
-
Clinical Outcomes of Preoperative and Postoperative Rehabilitation in the Patients With HBP Malignancy
NCT02784353 ·Status: COMPLETED ·Phase: NA
-
a Prediction of Post-Endoscopic Retrograde Cholangiopancreatography Complication
NCT06277414 ·Status: RECRUITING
-
Fast-tracking ERCP Learning: Does Training on a Mechanical Simulator Improve Trainee's Clinical Performance?
NCT05533944 ·Status: COMPLETED ·Phase: NA
-
Video Consent Form Versus Written Consent Form for ERCP
NCT02810379 ·Status: UNKNOWN ·Phase: NA
-
A Register on the Quality of ERCP and Training of Endoscopists in Italy
NCT02971579 ·Status: COMPLETED
-
Learning Curve of Double-wire Cannulation Technique During Endoscopic Retrograde Cholangiopancreatography (ERCP)
NCT03707613 ·Status: COMPLETED ·Phase: NA
-
Risk Factors for Post-ESWL and Post-ERCP Pancreatitis
NCT04619511 ·Status: COMPLETED
-
Procedural Oxygen Mask vs. High-flow Nasal Cannula for Hypoxemia Prevention During ERCP
NCT06817603 ·Status: COMPLETED ·Phase: NA
-
Comparison of LCBDE vs ERCP + LC for Choledocholithiasis
NCT02515474 ·Status: COMPLETED ·Phase: NA
-
Efficacy and Safety of Single-session Endoscopic Stone Extraction
NCT06327126 ·Status: COMPLETED
-
Biliary Drainage in Patients With Duodenal Metal Stent
NCT02376907 ·Status: UNKNOWN
-
The Relationship Between Post-ERCP-choledocholithiasis and Gallbladder Status
NCT04234126 ·Status: COMPLETED
-
Diagnostic Accuracy of ERCP-guided Versus Cholangioscopy-guided Tissue Acquisition in Patients With Indeterminate Biliary Strictures Suspected to be Intrinsic .
NCT03140007 ·Status: UNKNOWN ·Phase: NA
-
Effect of ERCP Mechanical Simulator (EMS) Practice on Endoscopic Retrograde Cholangiopancreatography (ERCP) Training
NCT01080833 ·Status: COMPLETED ·Phase: NA
-
Feasibility and Safety of Supraglottic Oxygen Delivery Via an Endotracheal Tube for Non-intubated ERCP Anesthesia: A Two-Stage Phase II Clinical Study
NCT07051980 ·Status: RECRUITING ·Phase: PHASE2
-
Trainee Involvement in ERCP Risk Score
NCT04341909 ·Status: COMPLETED
-
Rapid Assessment of Trainee Endoscopy Skills (RATES) Study Two
NCT02509416 ·Status: COMPLETED
-
SmartGlass-Guided ERCP with Cannulation of Native Papilla 1.0
NCT06683716 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
The Clinical Utility of Cholangioscopy and Pancreatoscopy in the Diagnosis and Management of Pancreaticobiliary Disorders
NCT00861198 ·Status: COMPLETED
-
Rapid Assessment of Trainee Endoscopy Skills (RATES) Study
NCT02247115 ·Status: COMPLETED
-
Effect of 3D Typing on Surgical Treatment of Hepatolithiasis
NCT03098251 ·Status: UNKNOWN ·Phase: NA
-
Comparison of Dual-lumen Catheter-guided Mini-forceps Biopsy and Brush Cytology with Vacuum Aspiration in Suspicious Biliary Strictures
NCT06612931 ·Status: COMPLETED ·Phase: NA
-
Early Intervention of High Tension in the Pancreatic Duct on the Outcome of Severe Biliary Pancreatitis
NCT04255095 ·Status: UNKNOWN ·Phase: NA