Endoscopy 2020; 52(S 01): S141
DOI: 10.1055/s-0040-1704435
ESGE Days 2020 ePoster Podium presentations
ERCP: Training and practice 11:00 – 11:30 Thursday, April 23, 2020 ePoster Podium 5
© Georg Thieme Verlag KG Stuttgart · New York

THE ERCP-RELATED LAWSUIT: THE DECLINE OF PANCREATITIS AND THE RISE OF INFECTIONS

G Balan
1   Grigore T. Popa University of Medicine and Pharmacy, Faculty of Medicine, Iasi, Romania
,
V Sandru
2   Clinical Emergency Hospital Bucharest, Bucharest, Romania
,
C Sfarti
1   Grigore T. Popa University of Medicine and Pharmacy, Faculty of Medicine, Iasi, Romania
,
G Constantinescu
2   Clinical Emergency Hospital Bucharest, Bucharest, Romania
,
A Trifan
1   Grigore T. Popa University of Medicine and Pharmacy, Faculty of Medicine, Iasi, Romania
› Author Affiliations
Further Information

Publication History

Publication Date:
23 April 2020 (online)

Also available at
 

Aims The aim of our research is to determine the main causes for the ERCP-related lawsuits and to describe possible time trends regarding the causes for professional liability and medical litigation.

Methods In order to objectively assess the causes and the timely dynamics for malpractice trials we performed a meta-analysis of all ERCP related lawsuits published in the medical and judicial databases between 1993 and 2018. The indication for ERCP, type of procedural adverse event, the lawsuit allegation and the judicial sentence have been monitored. Cumulative meta-analysis of the effects have been studied using the Freeman-Tukey method with two-tailed significance levels.

Results 7257 published papers have been reviewed, 125 publications were found relevant and only 14 of them were suitable for meta-analysis inclusion. 809 malpractice suits have been evaluated. Post-ERCP acute pancreatitis has been constantly associated with an elevated risk for malpractice. However, its overall timely dynamics has been descending while the total number of duodenoscope-associated nosocomial infections-related lawsuits is on the rise. Nevertheless though, the total number of ERCP-related lawsuits has slightly decreased in the study period.

Conclusions Despite the fact that post-ERCP pancreatitis is still the most frequent post-procedural adverse events, judicial malpractice cases and subsequent sentences in favor of the plaintiff tend to refer more to infections rather than other traditional adverse events.