Medical disputes related to advanced endoscopic procedures with endoscopic retrograde cholangiopancreatography or endoscopic ultrasonography for the management of pancreas and biliary tract diseases
- Authors
- 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
- Issue Date
- Jul-2023
- Publisher
- Mosby Inc.
- Keywords
- Endoscopic retrograde cholangiopancreatography; Endosonography; Legal liabilities; Medical errors; Patient safety
- Citation
- Gastrointestinal Endoscopy, v.56, no.4, pp 499 - 509
- Pages
- 11
- Journal Title
- Gastrointestinal Endoscopy
- Volume
- 56
- Number
- 4
- Start Page
- 499
- End Page
- 509
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/22567
- DOI
- 10.5946/ce.2022.208
- ISSN
- 0016-5107
1097-6779
- Abstract
- 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 profesMethods: 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, seven post-ERCP pancreatitis, five bleedings, 2 perforations combined with post-ERCP pancreatitis); sedation-related AEs were five (14.7%; 4 cardiac arrests, one desaturation), and safety-related AEs were three (8.8%; 1 follow-up loss for stent removal, one 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 ter-tiary or academic hospitals, and 13 (38.2%) occurred at community hospitals. Conclusions: 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.
- Files in This Item
- There are no files associated with this item.
- Appears in
Collections - College of Medicine > Department of Internal Medicine > 1. Journal Articles
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.