PMID- 36997186
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20230803
IS  - 2234-2400 (Print)
IS  - 2234-2443 (Electronic)
IS  - 2234-2400 (Linking)
VI  - 56
IP  - 4
DP  - 2023 Jul
TI  - Medical disputes related to advanced endoscopic procedures with endoscopic 
      retrograde cholangiopancreatography or endoscopic ultrasonography for the 
      management of pancreas and biliary tract diseases.
PG  - 499-509
LID - 10.5946/ce.2022.208 [doi]
AB  - BACKGROUND/AIMS: This study aimed to evaluate the characteristics of endoscopic 
      retrograde cholangiopancreatography (ERCP) or endoscopic ultrasonography 
      (EUS)-related adverse events (AEs) that eventually lead to medical disputes or 
      claims on medical professional liability. METHODS: Medical disputes for 
      ERCP/EUS-related AEs filed in the Korea Medical Dispute Mediation and Arbitration 
      Agency between April 2012 and August 2020 were evaluated using corresponding 
      medical records. AEs were categorized into three sections: procedure-related, 
      sedation-related, and safety-related AEs. RESULTS: Among a total of 34 cases, 
      procedure-related AEs were 26 (76.5%; 12 duodenal perforations, 7 post-ERCP 
      pancreatitis, 5 bleedings, 2 perforations combined with post-ERCP pancreatitis); 
      sedation-related AEs were 5 (14.7%; 4 cardiac arrests, 1 desaturation), and 
      safety-related AEs were 5 (8.8%; 1 follow-up loss for stent removal, 1 asphyxia, 
      1 fall). Regarding clinical outcomes, 20 (58.8%) were fatal and eventually 
      succumbed to AEs. For the types of medical institutions, 21 cases (61.8%) 
      occurred at tertiary or academic hospitals, and 13 (38.2%) occurred at community 
      hospitals. CONCLUSION: The ERCP/EUS-related AEs filed in Korea Medical Dispute 
      Mediation and Arbitration Agency showed distinct features: duodenal perforation 
      was the most frequent AE, and clinical outcomes were fatal, resulting in at least 
      more than permanent physical impairment.
FAU - Lee, Yoon Suk
AU  - Lee YS
AD  - Department of Internal Medicine, Inje University Ilsan Paik Hospital, Inje 
      University College of Medicine, Goyang, Korea.
FAU - Jang, Jae-Young
AU  - Jang JY
AD  - Department of Internal Medicine, Kyung Hee University Medical Center, Seoul, 
      Korea.
FAU - Bae, Jun Yong
AU  - Bae JY
AD  - Department of Internal Medicine, Seoul Medical Center, Seoul, Korea.
FAU - Oh, Eun Hye
AU  - Oh EH
AD  - Department of Internal Medicine, Hanyang University Guri Hospital, Hanyang 
      University College of Medicine, Guri, Korea.
FAU - Park, Yehyun
AU  - Park Y
AD  - Department of Internal Medicine, Ewha Womans University Seoul Hospital, Ewha 
      Women's University College of Medicine, Seoul, Korea.
FAU - Kwon, Yong Hwan
AU  - Kwon YH
AD  - Department of Internal Medicine, Kyungpook National University School of 
      Medicine, Daegu, Korea.
FAU - Shin, Jeong Eun
AU  - Shin JE
AD  - Department of Internal Medicine, Dankook University Hospital, Dankook University 
      College of Medicine, Cheonan, Korea.
FAU - Lee, Jun Kyu
AU  - Lee JK
AD  - Department of Internal Medicine, Dongguk University Ilsan Hospital, Dongguk 
      University College of Medicine, Goyang, Korea.
FAU - Lee, Tae Hee
AU  - Lee TH
AD  - Institute for Digestive Research and Soonchunhyang University Seoul Hospital, 
      Soonchunhyang University College of Medicine, Seoul, Korea.
FAU - Paik, Chang Nyol
AU  - Paik CN
AD  - Department of Internal Medicine, St. Vincent's Hospital, College of Medicine, The 
      Catholic University of Korea, Suwon, Korea.
LA  - eng
GR  - Korean Gastrointestinal Endoscopy Research Foundation/
PT  - Journal Article
DEP - 20230328
PL  - Korea (South)
TA  - Clin Endosc
JT  - Clinical endoscopy
JID - 101576886
PMC - PMC10393579
OTO - NOTNLM
OT  - Endoscopic retrograde cholangiopancreatography
OT  - Endosonography
OT  - Legal liabilities
OT  - Medical errors
OT  - Patient safety
COIS- Conflicts of Interest The authors have no potential conflicts of interest.
EDAT- 2023/03/31 06:00
MHDA- 2023/03/31 06:01
PMCR- 2023/07/01
CRDT- 2023/03/30 20:37
PHST- 2022/08/02 00:00 [received]
PHST- 2022/09/23 00:00 [accepted]
PHST- 2023/03/31 06:01 [medline]
PHST- 2023/03/31 06:00 [pubmed]
PHST- 2023/03/30 20:37 [entrez]
PHST- 2023/07/01 00:00 [pmc-release]
AID - ce.2022.208 [pii]
AID - ce-2022-208 [pii]
AID - 10.5946/ce.2022.208 [doi]
PST - ppublish
SO  - Clin Endosc. 2023 Jul;56(4):499-509. doi: 10.5946/ce.2022.208. Epub 2023 Mar 28.