Multicenter database registry for endoscopic retrograde cholangiopancreatography: Japan Endoscopic Database Project

Masayuki Kato, Kiyohito Tanaka, Mitsuhiro Kida, Shomei Ryozawa, Koji Matsuda, Mitsuhiro Fujishiro, Yutaka Saito, Kazuo Ohtsuka, Ichiro Oda, Chikatoshi Katada, Kiyonori Kobayashi, Shu Hoteya, Takahiro Horimatsu, Shinya Kodashima, Takahisa Matsuda, Manabu Muto, Hironori Yamamoto, Ryuichi Iwakiri, Hiromu Kutsumi, Hiroaki MiyataMototsugu Kato, Ken Haruma, Kazuma Fujimoto, Naomi Uemura, Michio Kaminishi, Hisao Tajiri

Research output: Contribution to journalArticle

Abstract

Background and Aim: Few studies have reported on a national, population-based endoscopic retrograde cholangiopancreatography (ERCP) database. Hence, in 2015, we established a multicenter ERCP database registry, the Japan Endoscopic Database (JED) Project in preparation for a nationwide endoscopic database. The objective the present study was to evaluate this registry before the establishment of a nationwide endoscopic database. Methods: From 1 January 2015 to 31 March 2017, we collected and analyzed the ERCP data of all patients who underwent ERCP in four participating centers in the JED Project based on the JED protocol. Results: Four centers carried out 4104 ERCP on 2173 patients. Data entry of ERCP information (age, 100%; gender, 100%; American Society of Anesthesiologists Physical Status Classification System, 74.5%; scope, 92.7%; time to ERCP, 100%; antithrombotic drug information, 55.0%; primary selective common bile duct [CBD] cannulation methods, 73.0%; number of attempts at primary selective CBD cannulation, 67.6%; overall selective CBD cannulation methods, 68.9%; ERCP procedure time, 66.3%; fluoroscopy time, 65.1%; adverse events, 74.9%; serum amylase levels 1 day post-ERCP, 36.5%) was accurately extracted from the four centers. Success rate of CBD cannulation by level of ERCP difficulty was 98.5%, 99.0%, and 96.4% in grades 1, 2, and 3, respectively. Complication rate by overall selective CBD cannulation method was 5.6%, 7.6%, and 10.5% in the contrast-assisted technique, guidewire-assisted technique, and cross-over method, respectively. Conclusion: Data from this evaluation of the JED Project, a multicenter ERCP database registry, suggest the feasibility of establishing a nationwide ERCP database and its challenges.

Original languageEnglish
JournalDigestive Endoscopy
DOIs
Publication statusAccepted/In press - 2019 Jan 1
Externally publishedYes

Fingerprint

Endoscopic Retrograde Cholangiopancreatography
Registries
Japan
Databases
Common Bile Duct
Catheterization
Fluoroscopy
Amylases

Keywords

  • antithrombotic drugs
  • complications
  • database
  • ERCP
  • fluoroscopy

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Gastroenterology

Cite this

Kato, M., Tanaka, K., Kida, M., Ryozawa, S., Matsuda, K., Fujishiro, M., ... Tajiri, H. (Accepted/In press). Multicenter database registry for endoscopic retrograde cholangiopancreatography: Japan Endoscopic Database Project. Digestive Endoscopy. https://doi.org/10.1111/den.13495

Multicenter database registry for endoscopic retrograde cholangiopancreatography : Japan Endoscopic Database Project. / Kato, Masayuki; Tanaka, Kiyohito; Kida, Mitsuhiro; Ryozawa, Shomei; Matsuda, Koji; Fujishiro, Mitsuhiro; Saito, Yutaka; Ohtsuka, Kazuo; Oda, Ichiro; Katada, Chikatoshi; Kobayashi, Kiyonori; Hoteya, Shu; Horimatsu, Takahiro; Kodashima, Shinya; Matsuda, Takahisa; Muto, Manabu; Yamamoto, Hironori; Iwakiri, Ryuichi; Kutsumi, Hiromu; Miyata, Hiroaki; Kato, Mototsugu; Haruma, Ken; Fujimoto, Kazuma; Uemura, Naomi; Kaminishi, Michio; Tajiri, Hisao.

In: Digestive Endoscopy, 01.01.2019.

Research output: Contribution to journalArticle

Kato, M, Tanaka, K, Kida, M, Ryozawa, S, Matsuda, K, Fujishiro, M, Saito, Y, Ohtsuka, K, Oda, I, Katada, C, Kobayashi, K, Hoteya, S, Horimatsu, T, Kodashima, S, Matsuda, T, Muto, M, Yamamoto, H, Iwakiri, R, Kutsumi, H, Miyata, H, Kato, M, Haruma, K, Fujimoto, K, Uemura, N, Kaminishi, M & Tajiri, H 2019, 'Multicenter database registry for endoscopic retrograde cholangiopancreatography: Japan Endoscopic Database Project', Digestive Endoscopy. https://doi.org/10.1111/den.13495
Kato, Masayuki ; Tanaka, Kiyohito ; Kida, Mitsuhiro ; Ryozawa, Shomei ; Matsuda, Koji ; Fujishiro, Mitsuhiro ; Saito, Yutaka ; Ohtsuka, Kazuo ; Oda, Ichiro ; Katada, Chikatoshi ; Kobayashi, Kiyonori ; Hoteya, Shu ; Horimatsu, Takahiro ; Kodashima, Shinya ; Matsuda, Takahisa ; Muto, Manabu ; Yamamoto, Hironori ; Iwakiri, Ryuichi ; Kutsumi, Hiromu ; Miyata, Hiroaki ; Kato, Mototsugu ; Haruma, Ken ; Fujimoto, Kazuma ; Uemura, Naomi ; Kaminishi, Michio ; Tajiri, Hisao. / Multicenter database registry for endoscopic retrograde cholangiopancreatography : Japan Endoscopic Database Project. In: Digestive Endoscopy. 2019.
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abstract = "Background and Aim: Few studies have reported on a national, population-based endoscopic retrograde cholangiopancreatography (ERCP) database. Hence, in 2015, we established a multicenter ERCP database registry, the Japan Endoscopic Database (JED) Project in preparation for a nationwide endoscopic database. The objective the present study was to evaluate this registry before the establishment of a nationwide endoscopic database. Methods: From 1 January 2015 to 31 March 2017, we collected and analyzed the ERCP data of all patients who underwent ERCP in four participating centers in the JED Project based on the JED protocol. Results: Four centers carried out 4104 ERCP on 2173 patients. Data entry of ERCP information (age, 100{\%}; gender, 100{\%}; American Society of Anesthesiologists Physical Status Classification System, 74.5{\%}; scope, 92.7{\%}; time to ERCP, 100{\%}; antithrombotic drug information, 55.0{\%}; primary selective common bile duct [CBD] cannulation methods, 73.0{\%}; number of attempts at primary selective CBD cannulation, 67.6{\%}; overall selective CBD cannulation methods, 68.9{\%}; ERCP procedure time, 66.3{\%}; fluoroscopy time, 65.1{\%}; adverse events, 74.9{\%}; serum amylase levels 1 day post-ERCP, 36.5{\%}) was accurately extracted from the four centers. Success rate of CBD cannulation by level of ERCP difficulty was 98.5{\%}, 99.0{\%}, and 96.4{\%} in grades 1, 2, and 3, respectively. Complication rate by overall selective CBD cannulation method was 5.6{\%}, 7.6{\%}, and 10.5{\%} in the contrast-assisted technique, guidewire-assisted technique, and cross-over method, respectively. Conclusion: Data from this evaluation of the JED Project, a multicenter ERCP database registry, suggest the feasibility of establishing a nationwide ERCP database and its challenges.",
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T2 - Japan Endoscopic Database Project

AU - Kato, Masayuki

AU - Tanaka, Kiyohito

AU - Kida, Mitsuhiro

AU - Ryozawa, Shomei

AU - Matsuda, Koji

AU - Fujishiro, Mitsuhiro

AU - Saito, Yutaka

AU - Ohtsuka, Kazuo

AU - Oda, Ichiro

AU - Katada, Chikatoshi

AU - Kobayashi, Kiyonori

AU - Hoteya, Shu

AU - Horimatsu, Takahiro

AU - Kodashima, Shinya

AU - Matsuda, Takahisa

AU - Muto, Manabu

AU - Yamamoto, Hironori

AU - Iwakiri, Ryuichi

AU - Kutsumi, Hiromu

AU - Miyata, Hiroaki

AU - Kato, Mototsugu

AU - Haruma, Ken

AU - Fujimoto, Kazuma

AU - Uemura, Naomi

AU - Kaminishi, Michio

AU - Tajiri, Hisao

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N2 - Background and Aim: Few studies have reported on a national, population-based endoscopic retrograde cholangiopancreatography (ERCP) database. Hence, in 2015, we established a multicenter ERCP database registry, the Japan Endoscopic Database (JED) Project in preparation for a nationwide endoscopic database. The objective the present study was to evaluate this registry before the establishment of a nationwide endoscopic database. Methods: From 1 January 2015 to 31 March 2017, we collected and analyzed the ERCP data of all patients who underwent ERCP in four participating centers in the JED Project based on the JED protocol. Results: Four centers carried out 4104 ERCP on 2173 patients. Data entry of ERCP information (age, 100%; gender, 100%; American Society of Anesthesiologists Physical Status Classification System, 74.5%; scope, 92.7%; time to ERCP, 100%; antithrombotic drug information, 55.0%; primary selective common bile duct [CBD] cannulation methods, 73.0%; number of attempts at primary selective CBD cannulation, 67.6%; overall selective CBD cannulation methods, 68.9%; ERCP procedure time, 66.3%; fluoroscopy time, 65.1%; adverse events, 74.9%; serum amylase levels 1 day post-ERCP, 36.5%) was accurately extracted from the four centers. Success rate of CBD cannulation by level of ERCP difficulty was 98.5%, 99.0%, and 96.4% in grades 1, 2, and 3, respectively. Complication rate by overall selective CBD cannulation method was 5.6%, 7.6%, and 10.5% in the contrast-assisted technique, guidewire-assisted technique, and cross-over method, respectively. Conclusion: Data from this evaluation of the JED Project, a multicenter ERCP database registry, suggest the feasibility of establishing a nationwide ERCP database and its challenges.

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