iLearning Recorded Webinar
Complications of ERCP
Overview
ERCP has evolved from a diagnostic procedure into a primarily therapeutic procedure for a variety of biliary and pancreatic disorders. ERCP with or without associated biliary and pancreatic therapeutics can cause a variety of complications including pancreatitis, hemorrhage, perforation, cardiopulmonary problems, and others. These complications can range from minor with full recovery, to severe and devastating, with permanent disability or death. This education activity will review ERCP and current techniques to help mitigate risks and reduce complications.
This learner paced recorded webinar is intended primarily for RNs with a responsibility for or an interest in endoscopic procedures. The presentation will also be of interest to allied healthcare personnel and MDs involved in endoscopy.
Upon completion of this presentation, participants will be able to:
1) List four complications of endoscopic retrograde cholangiopancreatography (ERCP)
2) Identify risk factors related to ERCP
3) Discuss risk reduction strategies to mitigate ERCP complications in the GI Suite
Participants will complete the recorded webinar learning activity. They will view the presentation, then register to complete the evaluation and take the post-test on the website. They will submit the documentation as directed. A bibliographic reference is included for those wishing additional information.
Upon successful completion of the entire online program and submission of required documentation, participants will be granted 1 contact hour. No partial credit will be granted.
Provider approved by the California Board of Registered Nursing, Provider Number 08747, the District of Columbia Board of Nursing, Provider Number 50-574, the Florida Board of Registered Nursing, Provider Number 50-574 and the Georgia Board of Nursing, Provider Number 50-574.
According to the criteria of the American Board of Certification for Gastroenterology Nurses (ABCGN), contact hours earned in this activity are considered GI Specific for the purpose of recertification through the ABCGN.
Successful completion: Participants must complete the entire program, register, achieve a score of 80% on the post-test and submit required documentation.
- Conflict of interest: Planners disclose no conflict of interest. The speakers disclose salary or honorarium from the commercial support entity; they have signed a statement agreeing to present material fairly and without bias.
- Commercial company support: Fees are underwritten by education funding provided by Cantel Medical.
- Non-commercial company support: None.
- Alternative/Complementary therapy: None.
- Complementary/Alternative therapy: None.
- Implicit Bias: Educational Dimensions supports efforts to eliminate health care disparities and implicit bias in medical treatment along lines of race ethnicity, gender identity, sexual orientation, age, socioeconomic status, or other characteristics in CNE activities addressing direct patient care.
Participants successfully completing the activity and submitting required documentation will be permitted to print a certificate of completion. Participants are advised to retain the certificate for eight years following activity completion.
Replacement of misplaced certificate is available from Educational Dimensions. There is a fee for this service. Request a replacement by contacting us.
Guide to Study
The following steps will assist you in your successful completion of this eLearning Activity.
- Read the content or view the recorded presentation. If you want contact hours at the completion of studying the eLearning material, you will be required to register, complete an evaluation and take a post-test prior to printing your Certificate of Completion. We urge you to complete the eLearning activity once you have started. However, if you do need to come back later, you can sign in with your email and eLearning ID.
- First Time Visitors will be asked to register using an email address as your User Name. Make a note which email address you have used. Then you will create an eLearning ID using a combination of at least 6-10 letters or numbers. Please make a note of your eLearning ID and if for some reason you forget, you may request that your eLearning ID be sent to you. The web site is secured by Trustwave.
- Return Visitors: If you have registered already you do not need to register again. Just Sign In using your email and eLearning ID.
- Evaluation Form: Once you have registered or signed in you will be asked to complete an evaluation form and submit it. This is required to obtain the Certificate of Completion.
- Post-test: A post-test, based on the content of the eLearning activity, will need to be taken. A passing score of 80% is required. This is required to obtain the Certificate of Completion.
- Printing Your Certificate of Completion: Once you have successfully passed the post-test you will be able to print your Certificate of Completion. You will be given an opportunity to verify the information that will be printed on your certificate. Please make sure your printer is ready to print. You will not have access to the certificate page on later visits unless you contact us. Once you choose to print the Certificate of Completion, it will not be possible to make corrections. To obtain a corrected certificate you will need to contact Educational Dimensions. Fees may apply.
- Browser recommendations: We require using an up-to-date browser with JavaScript enabled. You must enable cookies from this site in order to access the secure areas.
- If you encounter any technical problems during this eLearning activity, please contact us.
Recorded Webinar Video
CNE Certificate Process
Note: Your computer should be connected to a printer before completing the Post-Testing in order to permit printing your course certificate.
ASGE The use of carbon dioxide in gastrointestinal endoscopy. Technology Status Evaluation Report (2016). http://dx.doi.org/10.1016/j.gie.2016.01.046.
Buxbaum, JL et al (2023). American Society for Gastrointestinal Endoscopy guideline on post-ERCP pancreatitis prevention strategies: summary and recommendations. Gastrointestinal Endoscopy; 97(2): 153-162. https://doi.org/10.1016/j.gie.2022.10.005.
Chandrasekhara, V et al. (2017). Adverse events associated with ERCP. Gastrointestinal Endoscopy. 85(1). http://dx.doi.org/10.1016/j.gie.2016.06.051.
FDA. Design of Endoscopic Retrograde Cholangiopancreatography (ERCP) Duodenoscopes May Impede Effective Cleaning: FDA Safety Communication. 2015.
FDA. The FDA is recommending transition to duodenoscopes with innovative design to enhance safety: FDA Safety Communication. 2019.
FDA U.S. Food & Drug Administration. Use Duodenoscopes with Innovative Designs to Enhance Safety: FDA Communication. https://www.fda.gov/medical-devices/safety-communications/use-duodenoscopes-innovative-designs-enhance-safety-fda-safety-communication (accessed 30March2023).
FDA. Infections Associated with Duodenoscopes. https://www.fda.gov/medical-devices/reprocessing-reusable-medical-devices/infections-associated-reprocessed-duodenoscopes
Forbes, F et al (2021). Adverse events associated with endoscopic retrograde cholangiopancreatography: protocol for a systematic review and meta-analysis. BMJ Open; 11: e053302. Doi: 10.1136/bmjopen-2021-053302.
Gastroenterology Nursing: A Core Curriculum. 6th edition (2019): 340-342. The Society of Gastroenterology Nurses and Associates, Inc. ISBN: 978-0-9855091-6-3.
Ofstead CL, Buro BL, Hopkins KM, Eiland JE, P. Wetzler H, Lichtenstein DR. Duodenoscope-associated infection prevention: A call for evidence-based decision making. Endoscopy International Open. 2020;08:E1769-E81.
Reddy, DN, Nabi, Z, & Lakhtakia, S. How to Improve Cannulation Rates During Endoscopic Retrograde Cholangiopancreatography. Mentoring, Education, and Training Corner.
Rolanda, C et al (2013). Emergencies after endoscopic procedures. Best Practice & Research Clinical
Gastroenterology; 27: 783-798. http://dx.doi.org/10.1016/j.bpg.2013.08.012.
Thornhill G, David M. Endoscope-associated infections: A microbiologist’s perspective on current technologies. Techniques in Gastrointestinal Endoscopy. 2019;21(4):1-12.
Tse F, Liu J, Yuan Y, Moayyedi P, Leontiadis GI (2022). Guidewire-assisted cannulation of the common bile duct for the prevention of post-endoscopic retrograde cholangiopancreatography (ERCP) pancreatitis. Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD009662.pub3.
