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Medical disputes related to advanced endoscopic procedures with endoscopic retrograde cholangiopancreatography or endoscopic ultrasonography for the management of pancreas and biliary tract diseases.
Lee, Yoon Suk; Jang, Jae-Young; Bae, Jun Yong; Oh, Eun Hye; Park, Yehyun; Kwon, Yong Hwan; Shin, Jeong Eun; Lee, Jun Kyu; Lee, Tae Hee; Paik, Chang Nyol.
Afiliación
  • Lee YS; Department of Internal Medicine, Inje University Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea.
  • Jang JY; Department of Internal Medicine, Kyung Hee University Medical Center, Seoul, Korea.
  • Bae JY; Department of Internal Medicine, Seoul Medical Center, Seoul, Korea.
  • Oh EH; Department of Internal Medicine, Hanyang University Guri Hospital, Hanyang University College of Medicine, Guri, Korea.
  • Park Y; Department of Internal Medicine, Ewha Womans University Seoul Hospital, Ewha Women's University College of Medicine, Seoul, Korea.
  • Kwon YH; Department of Internal Medicine, Kyungpook National University School of Medicine, Daegu, Korea.
  • Shin JE; Department of Internal Medicine, Dankook University Hospital, Dankook University College of Medicine, Cheonan, Korea.
  • Lee JK; Department of Internal Medicine, Dongguk University Ilsan Hospital, Dongguk University College of Medicine, Goyang, Korea.
  • Lee TH; Institute for Digestive Research and Soonchunhyang University Seoul Hospital, Soonchunhyang University College of Medicine, Seoul, Korea.
  • Paik CN; Department of Internal Medicine, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Suwon, Korea.
Clin Endosc ; 56(4): 499-509, 2023 Jul.
Article en En | MEDLINE | ID: mdl-36997186
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.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Clin Endosc Año: 2023 Tipo del documento: Article Pais de publicación: Corea del Sur
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Clin Endosc Año: 2023 Tipo del documento: Article Pais de publicación: Corea del Sur