| ISSN | 1948-5190 (online) | 
            
                | Open Access | This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/ | 
            
                | Copyright | © The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved. | 
                    
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        | Category | Gastroenterology & Hepatology | 
    
        | Manuscript Type | Retrospective Cohort Study | 
    
        | Article Title | Endoscopic retrograde cholangiopancreatography-related early perforations: A study of effects of procedure duration, complexity, and endoscopist experience | 
    
        | Manuscript Source | Invited Manuscript | 
    
        | All Author List | Mark Aloysius, Hemant Goyal, Tejas Nikumbh, Niraj James Shah, Ghassan M Hammoud, Pritesh Mutha, Mairin Joseph-Talreja, Savio John, Ganesh Aswath, Vaibhav Wadhwa and Nirav Thosani | 
            
                | ORCID |  | 
    
        | Funding Agency and Grant Number |  | 
    
        | Corresponding Author | Hemant Goyal, MD, Instructor, Department of Surgery, The University of Texas Health Science Center, No. 6431 Fannin, MSB 4.152, Houston, TX 77030, United States. doc.hemant@yahoo.com | 
    
        | Key Words | Endoscopic retrograde cholangiopancreatography; Endoscopy complications; Perforations | 
    
        | Core Tip | We analyzed the profile of perforations (Perf) related to endoscopic retrograde cholangiopancreatography (ERCP) from the clinical outcomes research initiative-national endoscopic database over 12 years. The retrospective analysis of 14153 ERCPs done by 258 endoscopists reported a Perf rate of 0.14% (20 Perf) among 16 endoscopists. The cannulation rate was 100% for Perf and 91.5% for no Perf groups. 65% of endoscopists were high-volume performers, and 55% of Perf occurred in centers with the highest volumes (4th quartile). Higher volume endoscopists and centres are known to have less ERCP-related adverse events. However, this national database study on Perf has shown prolonged and complex procedures performed by high-volume endoscopists at high-volume centers contributed to Perf. | 
            
                | Publish Date | 2023-11-10 03:19 | 
    
        | Citation | Aloysius M, Goyal H, Nikumbh T, Shah NJ, Hammoud GM, Mutha P, Joseph-Talreja M, John S, Aswath G, Wadhwa V, Thosani N. Endoscopic retrograde cholangiopancreatography-related early perforations: A study of effects of procedure duration, complexity, and endoscopist experience. World J Gastrointest Endosc 2023; 15(11): 641-648 | 
            
                | URL | https://www.wjgnet.com/1948-5190/full/v15/i11/641.htm | 
            
                | DOI | https://dx.doi.org/10.4253/wjge.v15.i11.641 |