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Center for Advanced Endoscopy, Research and Education Metrics

Procedures

Total Procedures

1044

Total Procedures FY23-24

1042

Clinical Outcomes

DHI

Benchmark

Technical Success for procedures

Failed outside ERCP = 12, Failed outside EUS = 19; Failed resections = 36

99.3%

90%

Technical Failures

Failed cannulation = 3; Failed resection = 4, Failed EUS-guided interventions = 0

0.67%

--

Adverse Events

post-ERCP pancreatitis = 3; post-resection bleeding = 5; perforation = 1

0.86%

≤10%

Referrals, Transfers, Admissions

Referrals to Surgery/Others by CARE

11

Inpatient Transfers to CARE

159

Post-Procedure Admissions

64

Research

EPOCH (Chronic Pancreatitis Randomized Trial)

2

BEEPER (Esophageal Neoplasia Randomized Trial)

COMPLETE

GOOSE (EUS vs. Surgery Gastrojejunostomy Randomized Trial)

COMPLETE

Education

Physician Journal Clubs

1

Publications

1

Procedures

Total Procedures

1173

Total Procedures FY23-24

938

Clinical Outcomes

DHI

Benchmark

Technical Success for procedures

Failed outside ERCP = 18, Failed outside EUS = 21; Failed resections = 29

99.24%

90%

Technical Failures

Failed cannulation = 3; Failed resection = 5, Failed EUS-guided interventions = 1

0.76%

--

Adverse Events

post-ERCP pancreatitis = 5; post-resection bleeding = 6; perforation = 2

1.1%

≤10%

Referrals, Transfers, Admissions

Referrals to Surgery/Others by CARE

14

Inpatient Transfers to CARE

271

Post-Procedure Admissions

63

Research

EPOCH (Chronic Pancreatitis Randomized Trial)

0

BEEPER (Esophageal Neoplasia Randomized Trial)

1

GOOSE (EUS vs. Surgery Gastrojejunostomy Randomized Trial)

COMPLETE

Education

Physician Journal Clubs

1

Publications

1

Procedures

Total Procedures

858

Total Procedures FY23-24

946

Clinical Outcomes

DHI

Benchmark

Technical Success for procedures

Failed outside ERCP = 15, Failed outside EUS = 19; Failed resections = 32

98.9%

90%

Technical Failures

Failed cannulation = 4; Failed resection = 5, Failed EUS-guided interventions = 0

1.1%

--

Adverse Events

post-ERCP pancreatitis = 3; post-resection bleeding = 4; perforation = 1

0.93%

≤10%

Referrals, Transfers, Admissions

Referrals to Surgery/Others by CARE

12

Inpatient Transfers to CARE

158

Post-Procedure Admissions

57

Research

EPOCH (Chronic Pancreatitis Randomized Trial)

0

BEEPER (Esophageal Neoplasia Randomized Trial)

1

GOOSE (EUS vs. Surgery Gastrojejunostomy Randomized Trial)

COMPLETE

Education

Physician Journal Clubs

1

Publications

2

Procedures

Total Procedures

1214

Total Procedures FY23-24

1004

Clinical Outcomes

DHI

Benchmark

Technical Success for procedures

Failed outside ERCP = 12, Failed outside EUS = 11; Failed resections = 41

99.10%

90%

Technical Failures

Failed cannulation = 3; Failed resection = 4, Failed EUS-guided interventions = 3

0.90%

--

Adverse Events

post-ERCP pancreatitis = 7; post-resection bleeding = 4; perforation = 1

0.90%

≤10%

Referrals, Transfers, Admissions

Referrals to Surgery/Others by CARE

16

Inpatient Transfers to CARE

166

Post-Procedure Admissions

71

Research

EPOCH (Chronic Pancreatitis Randomized Trial)

1

BEEPER (Esophageal Neoplasia Randomized Trial)

1

GOOSE (EUS vs. Surgery Gastrojejunostomy Randomized Trial)

COMPLETE

Education

Physician Journal Clubs

1

Publications

2

Procedures

Total Procedures

1128

Total Procedures FY23-24

902

Clinical Outcomes

DHI

Benchmark

Technical Success for procedures

Failed outside ERCP = 11, Failed outside EUS = 18; Failed resections = 38

97.5%

90%

Technical Failures

Failed cannulation = 5; Failed resection = 6, Failed EUS-guided interventions = 0

2.5%

--

Adverse Events

post-ERCP pancreatitis = 7; post-resection bleeding = 4; perforation = 0

2.5%

≤10%

Referrals, Transfers, Admissions

Referrals to Surgery/Others by CARE

14

Inpatient Transfers to CARE

174

Post-Procedure Admissions

63

Research

EPOCH (Chronic Pancreatitis Randomized Trial)

2

BEEPER (Esophageal Neoplasia Randomized Trial)

1

GOOSE (EUS vs. Surgery Gastrojejunostomy Randomized Trial)

COMPLETE

Education

Physician Journal Clubs

1

Publications

2

Procedures

Total Procedures

1036

Total Procedures FY23-24

845

Clinical Outcomes

DHI

Benchmark

Technical Success for procedures

Failed outside ERCP = 12, Failed outside EUS = 11; Failed resections = 41

98.9%

90%

Technical Failures

Failed cannulation = 3; Failed resection = 4, Failed EUS-guided interventions = 3

1.35%

--

Adverse Events

post-ERCP pancreatitis = 7; post-resection bleeding = 4; perforation = 1

0.86%

≤10%

Referrals, Transfers, Admissions

Referrals to Surgery/Others by CARE

14

Inpatient Transfers to CARE

176

Post-Procedure Admissions

71

Research

EPOCH (Chronic Pancreatitis Randomized Trial)

0

BEEPER (Esophageal Neoplasia Randomized Trial)

1

GOOSE (EUS vs. Surgery Gastrojejunostomy Randomized Trial)

COMPLETE

Education

Physician Journal Clubs

1

Publications

0

Procedures

Total Procedures

1095

Total Procedures FY23-24

843

Clinical Outcomes

DHI

Benchmark

Technical Success for procedures

Failed outside ERCP = 16, Failed outside EUS = 19; Failed resections = 37

99.1%

90%

Technical Failures

Failed cannulation = 5; Failed resection = 4, Failed EUS-guided interventions = 1

0.9%

--

Adverse Events

post-ERCP pancreatitis = 9; post-resection bleeding = 5; perforation = 1

1.36%

≤10%

Referrals, Transfers, Admissions

Referrals to Surgery/Others by CARE

23

Inpatient Transfers to CARE

169

Post-Procedure Admissions

67

Research

EPOCH (Chronic Pancreatitis Randomized Trial)

1

BEEPER (Esophageal Neoplasia Randomized Trial)

2

GOOSE (EUS vs. Surgery Gastrojejunostomy Randomized Trial)

COMPLETE

Education

Physician Journal Clubs

1

Publications

2

Procedures

Total Procedures

1133

Total Procedures FY23-24

921

Clinical Outcomes

DHI

Benchmark

Technical Success for procedures

Failed outside ERCP = 21, Failed outside EUS = 19; Failed resections = 51

98.8%

90%

Technical Failures

Failed cannulation = 6; Failed resection = 6, Failed EUS-guided interventions = 2

1.2%

--

Adverse Events

post-ERCP pancreatitis = 8; post-resection bleeding = 4; perforation = 0

1.05%

≤10%

Referrals, Transfers, Admissions

Referrals to Surgery/Others by CARE

17

Inpatient Transfers to CARE

200

Post-Procedure Admissions

83

Research

EPOCH (Chronic Pancreatitis Randomized Trial)

3

BEEPER (Esophageal Neoplasia Randomized Trial)

2

GOOSE (EUS vs. Surgery Gastrojejunostomy Randomized Trial)

COMPLETE

Education

Physician Journal Clubs

1

Publications

1

Procedures

Total Procedures

1026

Total Procedures FY23-24

888

Clinical Outcomes

DHI

Benchmark

Technical Success for procedures

Failed outside ERCP = 18, Failed outside EUS = 11; Failed resections = 45

99.2%

90%

Technical Failures

Failed cannulation = 4; Failed resection = 3, Failed EUS-guided interventions = 2

0.87%

--

Adverse Events

post-ERCP pancreatitis = 6; post-resection bleeding = 4; perforation = 0

0.97%

≤10%

Referrals, Transfers, Admissions

Referrals to Surgery/Others by CARE

17

Inpatient Transfers to CARE

162

Post-Procedure Admissions

55

Research

EPOCH (Chronic Pancreatitis Randomized Trial)

3

BEEPER (Esophageal Neoplasia Randomized Trial)

2

GOOSE (EUS vs. Surgery Gastrojejunostomy Randomized Trial)

COMPLETE

Education

Physician Journal Clubs

1

Publications

1

Procedures

Total Procedures

1025

Total Procedures FY23-24

885

Clinical Outcomes

DHI

Benchmark

Technical Success for procedures

Failed outside ERCP = 12, Failed outside EUS = 11; Failed resections = 41

99.2%

>90%

Technical Failures

Failed cannulation = 3; Failed resection = 4, Failed EUS-guided interventions = 3

0.78%

- -

Adverse Events

post-ERCP pancreatitis = 7; post-resection bleeding = 4; perforation = 1

0.97%

≤10%

Referrals, Transfers, Admissions

Referrals to Surgery/Others by CARE

21

Inpatient Transfers to CARE

182

Post-Procedure Admissions

72

Research

EPOCH (Chronic Pancreatitis Randomized Trial)

3

BEEPER (Esophageal Neoplasia Randomized Trial)

2

GOOSE (EUS vs. Surgery Gastrojejunostomy Randomized Trial)

COMPLETE

Education

Physician Journal Clubs

1

Publications

2

Procedures

Total Procedures

952

Total Procedures FY23-24

767

Clinical Outcomes

DHI

Benchmark

Technical Success for procedures

Failed outside ERCP = 12, Failed outside EUS = 11; Failed resections = 41

98.9%

>90%

Technical Failures

Failed cannulation = 3; Failed resection = 4, Failed EUS-guided interventions = 3

1.05%

- -

Adverse Events

post-ERCP pancreatitis = 7; post-resection bleeding = 4, post-resection bleeding = 4, perforation = 1

1.26%

≤10%

Referrals, Transfers, Admissions

Referrals to Surgery/Others by CARE

23

Inpatient Transfers to CARE

189

Post-Procedure Admissions

67

Research

EPOCH (Chronic Pancreatitis Randomized Trial) 2

3

BEEPER (Esophageal Neoplasia Randomized Trial)

2

GOOSE (EUS vs. Surgery Gastrojejunostomy Randomized Trial)

Complete

Education

Physician Journal Clubs

1

Publications

2

Procedures

Total Procedures

917

Total Procedures FY23-24

763

Clinical Outcomes

Technical Success for procedures

Failed outside ERCP = 11, Failed outside EUS = 13; Failed resections = 38

98.7%

Technical Failures

Failed cannulation = 5; Failed resection = 4, Failed EUS-guided interventions = 3

1.3%

Adverse Events

post-ERCP pancreatitis = 7, post-resection bleeding = 4, post-resection bleeding = 4, post-necrosectomy bleeding/death = 1, perforation = 0

1.3%

Referrals, Transfers, Admissions

Referrals to Surgery/Others by CARE

6

Inpatient Transfers to CARE

181

Post-Procedure Admissions

54

Research

EPOCH (Chronic Pancreatitis Randomized Trial) 2

3

BEEPER (Esophageal Neoplasia Randomized Trial)

2

GOOSE (EUS vs. Surgery Gastrojejunostomy Randomized Trial)

Complete

Education

Physician Journal Clubs

1

Publications

2

Procedures

Total Procedures

1042

Total Procedures FY23-24

784

Clinical Outcomes

Technical Success for procedures

Failed outside ERCP = 14, Failed outside EUS = 17; Failed resections = 41

99.6%

Technical Failures

Failed cannulation = 3; Failed resection = 4, Failed EUS-guided interventions = 0

0.4%

Adverse Events

post-ERCP pancreatitis = 6, post-resection bleeding = 4, perforation = 0

0.95%

Referrals, Transfers, Admissions

Referrals to Surgery/Others by CARE

7

Inpatient Transfers to CARE

186

Post-Procedure Admissions

59

Research

EPOCH (Chronic Pancreatitis Randomized Trial) 2

2

BEEPER (Esophageal Neoplasia Randomized Trial)

2

GOOSE (EUS vs. Surgery Gastrojejunostomy Randomized Trial)

Complete

Education

Physician Journal Clubs

1

Publications

2

Procedures

Total Procedures

938

Total Procedures FY23-24

722

Clinical Outcomes

Technical Success for procedures

Failed outside ERCP = 14, Failed outside EUS = 12; Failed resections = 27

99.6%

Technical Failures

Failed cannulation = 1; Failed resection = 3, Failed EUS-guided interventions = 0

0.4%

Adverse Events

post-ERCP pancreatitis = 6, post-resection bleeding = 2, perforation = 0

0.84%

Referrals, Transfers, Admissions

Referrals to Surgery/Others by CARE

7

Inpatient Transfers to CARE

155

Post-Procedure Admissions

40

Research

AI EUG (Registry)

Complete

BEEPER (Esophageal Neoplasia Randomized Trial)

2

EUS vs Surgery Gastrojejunostomy Randomized Trial

Complete

Education

Physician Journal Clubs

1

Publications

1

Patient Visits

Outpatient Referrals

517

Inpatient Procedures (Inclusive of outside transfers)

202

Procedures

ERCP

101

EUS (Diagnostic 150, Biopsies 136, Stents 3, CP interventions 18)

307

Upper GI endoscopy (Diagnostic 144, Tissue Resection 67, Stents 0, RFA 17)

240

Lower GI endoscopy (Diagnostic 163, Tissue Resection 101)

264

Enteroscopy

30

Third Space Endoscopy

4

Total Procedures

946

Clinical Outcomes

Technical Success for procedures

Failed outside ERCP = 15, Failed outside EUS = 12; Failed resections = 22

99.3%

Technical Failures

Failed cannulation = 3; Failed resection = 3, Failed EUS- guided interventions = 1

0.7%

Adverse Events

post-ERCP pancreatitis = 3, post-resection bleeding = 3, perforation = 1

0.7%

Referrals, Transfers, Admissions

Referrals to Surgery/Others by CARE

9

Inpatient Transfers to CARE

153

Post-Procedure Admissions

54

Research

EPOCH (Chronic Pancreatitis Randomized Trial)

0

BEEPER (Esophageal Neoplasia Randomized Trial)

0

GOOSE (EUS vs. Surgery Gastrojejunostomy Randomized Trial)

COMPLETE

Education

Physician Journal Clubs

1

Publications

1

Patient Visits

Outpatient Referrals

576

Inpatient Procedures (Inclusive of outside transfers)

289

Procedures

ERCP

114

EUS (Diagnostic 154, Biopsies 171, Stents 19, CP interventions 16)

360

Upper GI endoscopy (Diagnostic 141, Tissue Resection 67, Stents 0, RFA 16 )

224

Lower GI endoscopy (Diagnostic 166, Tissue Resection 116)

282

Enteroscopy

18

Third Space Endoscopy

6

Total Procedures

1004

Clinical Outcomes

Technical Success for procedures

Failed outside ERCP = 19, Failed outside EUS = 14; Failed resections =31

99.4%

Technical Failures

Failed cannulation = 3; Failed resection = 4, Failed EUS- guided interventions = 2

0.89%

Adverse Events

post-ERCP pancreatitis = 7, post-resection bleeding = 3, perforation = 0

0.4%

Referrals, Transfers, Admissions

Referrals to Surgery/Others by CARE

11

Inpatient Transfers to CARE

137

Post-Procedure Admissions

42

Research

AI-EUS (Registry)

COMPLETE

BEEPER (Esophageal Neoplasia Randomized Trial)

1

EUS vs. Surgery Gastrojejunostomy Randomized Trial

1

Education

Physician Journal Clubs

1

Publications

2

Patient Visits

Outpatient Referrals

475

Inpatient Procedures (Inclusive of outside transfers)

202

Procedures

ERCP

100

EUS (Diagnostic 165, Biopsies 137, Stents 14, CP interventions 4)

320

Upper GI endoscopy (Diagnostic 122, Tissue Resection 64, Stents 0, RFA 13 )

199

Lower GI endoscopy (Diagnostic 149, Tissue Resection 101)

250

Enteroscopy

24

Third Space Endoscopy

9

Total Procedures

902

Clinical Outcomes

Technical Success for procedures

Failed outside ERCP = 21, Failed outside EUS = 16; Failed resections =41

99.2.%

Technical Failures

Failed cannulation = 2; Failed resection = 3, Failed EUS- guided interventions = 2

0.77%

Adverse Events

post-ERCP pancreatitis = 10, post-resection bleeding = 3, perforation = 1

1.55%

Referrals, Transfers, Admissions

Referrals to Surgery/Others by CARE

14

Inpatient Transfers to CARE

124

Post-Procedure Admissions

60

Research

AI-EUS (Registry)

COMPLETE

BEEPER (Esophageal Neoplasia Randomized Trial)

2

EUS vs. Surgery Gastrojejunostomy Randomized Trial

0

Education

Physician Journal Clubs

1

Publications

2

Patient Visits

Outpatient Referrals

451

Inpatient Procedures (Inclusive of outside transfers)

196

Procedures

ERCP

94

EUS (Diagnostic 134, Biopsies 111, Stents 12, CP interventions 4)

261

Upper GI endoscopy (Diagnostic 120, Tissue Resection 69, Stents 1, RFA 9 )

199

Lower GI endoscopy (Diagnostic 157, Tissue Resection 101)

258

Enteroscopy

23

Third Space Endoscopy

10

Total Procedures

845

Clinical Outcomes

Technical Success for procedures

Failed outside ERCP = 12, Failed outside EUS = 9; Failed resections = 41

98.8%

Technical Failures

Failed cannulation = 3; Failed resection = 5, Failed EUS- guided interventions = 2

1.2%

Adverse Events

post-ERCP pancreatitis = 6, post-resection bleeding = 3, perforation = 1

1.2%

Referrals, Transfers, Admissions

Referrals to Surgery/Others by CARE

11

Inpatient Transfers to CARE

126

Post-Procedure Admissions

54

Research

AI-EUS (Registry)

COMPLETE

BEEPER (Esophageal Neoplasia Randomized Trial)

3

EUS vs. Surgery Gastrojejunostomy Randomized Trial

1

Education

Physician Journal Clubs

1

Publications

2

Patient Visits

Outpatient Referrals

517

Inpatient Procedures (Inclusive of outside transfers)

111

Procedures

ERCP

111

EUS (Diagnostic 141, Biopsies 129, Stents 7, CP interventions 20)

297

Upper GI endoscopy (Diagnostic 109, Tissue Resection 65, Stents 0, RFA 11 )

185

Lower GI endoscopy (Diagnostic 138, Tissue Resection 91)

229

Enteroscopy

15

Third Space Endoscopy

6

Total Procedures

843

Clinical Outcomes

Technical Success for procedures

Failed outside ERCP = 19, Failed outside EUS = 11; Failed resections =61

98.7%

Technical Failures

Failed cannulation = 4; Failed resection = 5, Failed EUS- guided interventions = 2

1.3%

Adverse Events

post-ERCP pancreatitis = 5, post-resection bleeding = 4, post-EUS-intervention bleeding = 1, perforation = 1

1.3%

Referrals, Transfers, Admissions

Referrals to Surgery/Others by CARE

9

Inpatient Transfers to CARE

146

Post-Procedure Admissions

40

Research

AI-EUS (Registry)

COMPLETE

BEEPER (Esophageal Neoplasia Randomized Trial)

2

EUS vs. Surgery Gastrojejunostomy Randomized Trial

2

Education

Physician Journal Clubs

1

Publications

2

Patient Visits

Outpatient Referrals

442

Inpatient Procedures (Inclusive of outside transfers)

216

Procedures

ERCP

107

EUS (Diagnostic 188, Biopsies 142, Stents 16, CP interventions 11)

393

Upper GI endoscopy (Diagnostic 99, Tissue Resection 52, Stents 1, RFA 10 )

197

Lower GI endoscopy (Diagnostic 118, Tissue Resection 106)

245

Enteroscopy

16

Third Space Endoscopy

13

Total Procedures

921

Clinical Outcomes

Technical Success for procedures

Failed outside ERCP = 20, Failed outside EUS = 17; Failed resections =45

99.02%

Technical Failures

Failed cannulation = 2; Failed resection = 2, Failed EUS- guided interventions = 1

0.98%

Adverse Events

post-ERCP pancreatitis = 4, post-resection bleeding = 3, post-EUS-intervention bleeding = 1, perforation = 1

0.98%

Referrals, Transfers, Admissions

Referrals to Surgery/Others by CARE

8

Inpatient Transfers to CARE

163

Post-Procedure Admissions

39

Research

AI-EUS (Registry)

56

BEEPER (Esophageal Neoplasia Randomized Trial)

2

EUS vs. Surgery Gastrojejunostomy Randomized Trial

1

Education

Physician Journal Clubs

1

Publications

2

Patient Visits

Outpatient Referrals

447

Inpatient Procedures (Inclusive of outside transfers)

187

Procedures

ERCP

121

EUS (Diagnostic 188, Biopsies 142, Stents 16, CP interventions 11)

357

Upper GI endoscopy (Diagnostic 99, Tissue Resection 52, Stents 1, RFA 10 )

187

Lower GI endoscopy (Diagnostic 118, Tissue Resection 106)

187

Enteroscopy

32

Third Space Endoscopy

11

Total Procedures

888

Clinical Outcomes

Technical Success for procedures

Failed outside ERCP = 20, Failed outside EUS = 17; Failed resections =38

98.5%

Technical Failures

Failed cannulation = 4; Failed resection = 8, Failed EUS- guided interventions = 1

1.5%

Adverse Events

post-ERCP pancreatitis = 4, post-resection bleeding = 4, post-EUS bleeding = 1

1.01%

Referrals, Transfers, Admissions

Referrals to Surgery/Others by CARE

10

Inpatient Transfers to CARE

188

Post-Procedure Admissions

42

Research

AI-EUS (Registry)

46

BEEPER (Esophageal Neoplasia Randomized Trial)

2

EUS vs. Surgery Gastrojejunostomy Randomized Trial

0

Education

Physician Journal Clubs

1

Publications

1

Patient Visits

Outpatient Referrals

471

Inpatient Procedures (Inclusive of outside transfers)

211

Procedures

ERCP

111

EUS (Diagnostic 188, Biopsies 142, Stents 16, CP interventions 11)

357

Upper GI endoscopy (Diagnostic 99, Tissue Resection 52, Stents 1, RFA 10 )

162

Lower GI endoscopy (Diagnostic 118, Tissue Resection 106)

224

Enteroscopy

19

Third Space Endoscopy

12

Total Procedures

885

Clinical Outcomes

Technical Success for procedures

Failed outside ERCP = 21, Failed outside EUS = 18; Failed resections =39

98.09%

Technical Failures

Failed cannulation = 3; Failed resection = 4, Failed EUS- guided interventions = 2

1.01%

Adverse Events

post-ERCP pancreatitis = 5, post-resection bleeding = 3, post-EUS perforation = 1

1.01%

Referrals, Transfers, Admissions

Referrals to Surgery/Others by CARE

11

Inpatient Transfers to CARE

142

Post-Procedure Admissions

58

Research

AI-EUS (Registry)

87

BEEPER (Esophageal Neoplasia Randomized Trial)

2

EUS vs. Surgery Gastrojejunostomy Randomized Trial

1

Education

Physician Journal Clubs

1

Publications

2

Patient Visits

Outpatient Referrals

416

Inpatient Procedures (Inclusive of outside transfers)

186

Procedures

ERCP

101

EUS (Diagnostic 188, Biopsies 142, Stents 16, CP interventions 11)

310

Upper GI endoscopy (Diagnostic 99, Tissue Resection 52, Stents 1, RFA 10 )

132

Lower GI endoscopy (Diagnostic 118, Tissue Resection 106)

192

Enteroscopy

20

Third Space Endoscopy

12

Total Procedures

767

Clinical Outcomes

Technical Success for procedures

Failed outside ERCP = 17, Failed outside EUS = 11; Failed resections =31

99.4%

Technical Failures

Failed cannulation = 2; Failed resection = 3, Failed EUS- guided interventions = 0

0.6%

Adverse Events

post-ERCP pancreatitis = 8, post-resection bleeding = 5, post-EUS bile leak = 0, post-EUS-FNA bleeding = 0

1.7%

Referrals, Transfers, Admissions

Referrals to Surgery/Others by CARE

10

Inpatient Transfers to CARE

147

Post-Procedure Admissions

48

Research

AI-EUS (Registry)

90

BEEPER (Esophageal Neoplasia Randomized Trial)

3

EUS vs. Surgery Gastrojejunostomy Randomized Trial

0

Education

Physician Journal Clubs

1

Publications

2

Patient Visits

Outpatient Referrals

416

Inpatient Procedures (Inclusive of outside transfers)

157

Procedures

ERCP

103

EUS (Diagnostic 168, Biopsies 122, Stents 6, CP interventions 16)

312

Upper GI endoscopy (Diagnostic 76, Tissue Resection 44, Stents 0, RFA 7 )

127

Lower GI endoscopy (Diagnostic 99, Tissue Resection 90, Stents 0)

189

Enteroscopy

28

Third Space Endoscopy

4

Total Procedures

763

Clinical Outcomes

Technical Success for procedures

Failed outside ERCP = 11, Failed outside EUS = 13; Failed resections = 25

99.5%

Technical Failures

Failed cannulation = 1; Failed resection = 3, Failed EUS- guided interventions = 0

0.5%

Adverse Events

post-ERCP pancreatitis = 4, post-resection bleeding = 2, post-EUS bile leak = 1, post-EUS-FNA bleeding = 0

0.9%

Referrals, Transfers, Admissions

Referrals to Surgery/Others by CARE

7

Inpatient Transfers to CARE

143

Post-Procedure Admissions

25

Research

AI-EUS (Registry)

91

BEEPER (Esophageal Neoplasia Randomized Trial)

1

EUS vs. Surgery Gastrojejunostomy Randomized Trial

1

Education

Physician Journal Clubs

1

Publications

3

Patient Visits

Outpatient Referrals

456

Inpatient Procedures (Inclusive of outside transfers)

168

Procedures

ERCP

96

EUS (Diagnostic 182, Biopsies 124, Stents 7, CP interventions 11)

324

Upper GI endoscopy (Diagnostic 87, Tissue Resection 45, Stents 0, RFA 7)

139

Lower GI endoscopy (Diagnostic 101, Tissue Resection 81, Stents 1)

183

Enteroscopy

30

Third Space Endoscopy

12

Total Procedures

784

Clinical Outcomes

Technical Success for procedures

Failed outside ERCP = 14 , Failed outside EUS = 6 ; Failed resections = 22 

99.2%

Technical Failures

Failed cannulation = 2; Failed resection =2, Failed EUS- guided interventions = 2

0.8%

Adverse Events

Post-ERCP pancreatitis = 3, Post-resection bleeding = 3, Post-EUS bile leak = 1, Post-EUS-FNA bleeding = 1

1.0%

Referrals, Transfers, Admissions

Referrals to Surgery/Others by CARE

7

Inpatient Transfers to CARE

148

Post-Procedure Admissions

27

Research

AI-EUS (Registry)

14

BEEPER (Esophageal Neoplasia Randomized Trial)

1

EUS vs. Surgery Gastrojejunostomy Randomized Trial

0

Education

Physician Journal Clubs

1

Publications

1

Patient Visits

Outpatient Referrals

352

Inpatient Procedures (Inclusive of outside transfers)

171

Procedures

ERCP

103

EUS (Diagnostic 181, Biopsies 84, Stents 4, CP interventions 10)

279

Upper GI endoscopy (Diagnostic 77, Tissue Resection 31, Stents 0, RFA 10)

118

Lower GI endoscopy (Diagnostic 122, Tissue Resection 73, Stents 1)

196

Enteroscopy

20

Third Space Endoscopy

6

Total Procedures

722

Clinical Outcomes

Technical Success for procedures

Failed outside ERCP = 18, Failed outside EUS  = 12, Failed resections = 9

99.5%

Technical Failures  = 4

Failed cannulation = 1, Failed resection = 3

0.5%

Adverse Events

Post-ERCP pancreatitis = 4; Post-resection bleeding = 2

0.8%

Referrals, Transfers, Admissions

Referrals to Surgery/Others by CARE

7

Inpatient Transfers to CARE

105

Post-Procedure Admissions

31

Research

DESTIN (Pancreatic Necrosis Randomized Trial)

PUBLISHED

BEEPER (Esophageal Neoplasia Randomized Trial)

2

EUS vs. Surgery Gastrojejunostomy Randomized Trial

0

Education

Physician Journal Clubs

1

Publications

3

Patient Visits

Outpatient Referrals

347

Inpatient Procedures (Inclusive of outside transfers)

138

Procedures

ERCP

93

EUS (Diagnostic 196, Biopsies 70, Stents 5, Celiac interventions 15)

286

Upper GI endoscopy (Diagnostic 96, Tissue Resection 26, Stents 0, RFA 8)

130

Lower GI endoscopy (Diagnostic 117, Tissue Resection 55, Stents 0)

172

Enteroscopy

19

Third Space Endoscopy

9

Total Procedures

709

Clinical Outcomes

Technical Success for procedures

Failed outside ERCP = 11, Failed outside EUS  = 8, Failed outside resections = 7

99.2%

Technical Failures  = 7

Failed cannulation = 2, Failed resection = 2, Failed EUS = 2

0.8%

Adverse Events

Post-ERCP pancreatitis =2, Death from PE =1, Infection = 1

0.5%

Referrals, Transfers, Admissions

Referrals to Surgery/Others by CARE

8

Inpatient Transfers to CARE

129

Post-Procedure Admissions

36

Research

GOOSE (Surgery vs. EUS for Gastro-jejunostomy Randomized Trial)

1

BEEPER (Esophageal Neoplasia Randomized Trial)

2

EPOCH (EUS vs. sham therapy for chronic pancreatitis)

STARTED

Education

Physician Journal Clubs

1

Publications

4

Patient Visits

Outpatient Referrals

410

Inpatient Procedures (Inclusive of outside transfers)

215

Procedures

ERCP

105

EUS (Diagnostic 177, Biopsies 121, Stents 12, CP interventions 27)

337

Upper GI endoscopy (Diagnostic 91, Tissue Resection 42, Stents 0, RFA 6)

139

Lower GI endoscopy (Diagnostic 136, Tissue Resection 71, Stents 1)

208

Enteroscopy

26

Third Space Endoscopy

2

Total Procedures

817

Clinical Outcomes

Technical Success for procedures =808

Failed outside ERCP = 11, Failed outside EUS  = 6, Failed outside EMR = 9

99.1%

Technical Failures  = 7

Failed cannulation = 3, Failed EMR/ESD = 4

99.1%

Adverse Events = 4 

Post-ERCP Pancreatitis = 3, Post-procedure bleeding/sepsis = 3

0.5%

Referrals, Transfers, Admissions

Referrals to Surgery/Others by CARE

10

Inpatient Transfers to CARE

136

Post-Procedure Admissions

31

Research

DESTIN (Pancreatic Necrosis Randomized Trial)

COMPLETE

BEEPER (Esophageal Neoplasia Randomized Trial)

2

EUS – Gastric Outlet Obstruction Randomized Trial

0

Education

Physician Journal Clubs

1

Publications

2

Patient Visits

Outpatient Referrals

349

Inpatient Procedures (Inclusive of outside transfers)

184

Procedures

ERCP

89

EUS (Diagnostic 142, Biopsies 82, Stents 10, CP interventions 10)

244

Upper GI endoscopy (Diagnostic 90, Tissue Resection 22, Stents 0, RFA 9)

121

Lower GI endoscopy (Diagnostic 127, Tissue Resection 61, Stents 1)

189

Enteroscopy

21

Third Space Endoscopy

3

Total Procedures

667

Clinical Outcomes

Technical Success for procedures = 657

Failed outside ERCP = 8, Failed outside EUS  = 5, Failed outside EMR = 8

98.5%

Technical Failures  = 10

Failed cannulation = 4, Failed EMR/ESD = 4, Failed EUS-intervention = 2

1.5%

Adverse Events = 8  

Pancreatitis = 4, Post-procedure pain/bleeding  = 4

1.2%

Referrals, Transfers, Admissions

Referrals to Surgery/Others by CARE

8

Inpatient Transfers to CARE

89

Post-Procedure Admissions

24

Research

DESTIN (Pancreatic Necrosis Randomized Trial)

COMPLETE

BEEPER (Esophageal Neoplasia Randomized Trial)

1

EUS - Pancreatic cancer molecular marker study

COMPLETE

Education

Physician Journal Clubs

1

Publications

2

Patient Visits

Outpatient Referrals

427

Inpatient Procedures (Inclusive of outside transfers)

116

Procedures

ERCP

79

EUS (Diagnostic 140, Biopsies 99, Stents 14, CP interventions 18)

264

Upper GI endoscopy (Diagnostic 82, Tissue Resection 30, Stents 0, RFA 18)

141

Lower GI endoscopy (Diagnostic 133, Tissue Resection 79, Stents 1)

213

Enteroscopy

12

Third Space Endoscopy

16

Total Procedures

715

Clinical Outcomes

Technical Success for procedures

Failed outside ERCP 21; Failed outside EUS = 9; Failed outside resections = 6

99.8%

Technical Failures: 7, failed cannulation = 3; failed resection = 2; failed EUS intervention = 2

1.2%

Adverse Events: post-ERCP pancreatitis =4; post-resection bleeding =2

1.2%

Referrals, Transfers, Admissions

Referrals to Surgery/Others by CARE

13

Inpatient Transfers to CARE

117

Post-Procedure Admissions

28

Research

DESTIN (Pancreatic Necrosis Randomized Trial)

COMPLETE

BEEPER (Esophageal Neoplasia Randomized Trial)

2

EUS vs. Surgery Gastro-jejunostomy Randomized Trial

1

Education

Physician Journal Clubs

1

Publications

1

Patient Visits

Outpatient Referrals

321

Inpatient Procedures (Inclusive of outside transfers)

211

Procedures

ERCP

81

EUS (Diagnostic 140, Biopsies 99, Stents 14, CP interventions 18)

255

Upper GI endoscopy (Diagnostic 82, Tissue Resection 30, Stents 0, RFA 18)

185

Lower GI endoscopy (Diagnostic 133, Tissue Resection 79, Stents 1)

100

Enteroscopy

10

Third Space Endoscopy

6

Total Procedures

637

Clinical Outcomes

Technical Success for procedures

Failed outside ERCP 21; Failed outside EUS = 9; Failed outside resections = 6

99.4%

Technical Failures: 7, failed cannulation = 3; failed resection = 2; failed EUS intervention = 2

0.8%

Adverse Events: post-ERCP pancreatitis =4; post-resection bleeding =2

0.6%

Referrals, Transfers, Admissions

Referrals to Surgery/Others by CARE

12

Inpatient Transfers to CARE

137

Post-Procedure Admissions

27

Research

DESTIN (Pancreatic Necrosis Randomized Trial)

COMPLETE

BEEPER (Esophageal Neoplasia Randomized Trial)

2

EUS vs. Surgery Gastro-jejunostomy Randomized Trial

2

Education

Physician Journal Clubs

1

Publications

0

Patient Visits

Outpatient Referrals

346

Inpatient Procedures (Inclusive of outside transfers)

201

Procedures

ERCP

90

EUS (Diagnostic 140, Biopsies 99, Stents 14, CP interventions 18)

276

Upper GI endoscopy (Diagnostic 82, Tissue Resection 30, Stents 0, RFA 18)

133

Lower GI endoscopy (Diagnostic 133, Tissue Resection 79, Stents 1)

230

Enteroscopy

16

Third Space Endoscopy

6

Total Procedures

751

Clinical Outcomes

Technical Success for procedures

  Failed outside ERCP 21; Failed outside EUS = 9; Failed outside resections = 6

99.2%

Technical Failures: 7, failed cannulation = 3; failed resection = 2; failed EUS intervention = 2

0.8%

Adverse Events: post-ERCP pancreatitis =4; post-resection bleeding =2

1.1%

Referrals, Transfers, Admissions

Referrals to Surgery/Others by CARE

12

Inpatient Transfers to CARE

137

Post-Procedure Admissions

27

Research

DESTIN (Pancreatic Necrosis Randomized Trial)

COMPLETE

BEEPER (Esophageal Neoplasia Randomized Trial)

2

EUS vs. Surgery Gastro-jejunostomy Randomized Trial

2

Education

Physician Journal Clubs

1

Publications

1

Patient Visits

Outpatient Referrals

423

Inpatient Procedures (Inclusive of outside transfers)

116

Procedures

ERCP

97

EUS (Diagnostic 140, Biopsies 99, Stents 14, CP interventions 18)

271

Upper GI endoscopy (Diagnostic 82, Tissue Resection 30, Stents 0, RFA 18)

130

Lower GI endoscopy (Diagnostic 133, Tissue Resection 79, Stents 1)

213

Enteroscopy

19

Third Space Endoscopy

12

Total Procedures

742

Clinical Outcomes

Technical Success for procedures

Failed outside ERCP 21; Failed outside EUS = 9; Failed outside resections = 6

99.1%

Technical Failures: 7, failed cannulation = 3; failed resection = 2; failed EUS intervention = 2

0.9%

Adverse Events: post-ERCP pancreatitis =4; post-resection bleeding =2

0.8%

Referrals, Transfers, Admissions

Referrals to Surgery/Others by CARE

16

Inpatient Transfers to CARE

121

Post-Procedure Admissions

37

Research

DESTIN (Pancreatic Necrosis Randomized Trial)

COMPLETE

BEEPER (Esophageal Neoplasia Randomized Trial)

3

EUS vs. Surgery Gastro-jejunostomy Randomized Trial

2

Education

Physician Journal Clubs

1

Publications

1

Patient Visits

Outpatient Referrals

353

Inpatient Procedures (Inclusive of outside transfers)

208

Procedures

ERCP

95

EUS (Diagnostic 128, Biopsies 116, Stents 21, CP interventions 17)

282

Upper GI endoscopy (Diagnostic 92, Tissue Resection 28, Stents 0, RFA 20)

140

Lower GI endoscopy (Diagnostic 93, Tissue Resection 86 , Stents 0)

179

Enteroscopy

20

Third Space Endoscopy

3

Total Procedures

719

Clinical Outcomes

 

Technical Success for procedures

Failed outside ERCP = 17, Failed outside EUS = 11; Failed resections = 17

99.2%

Technical Failures: 7, failed cannulation = 3; failed resection =3; failed EUS-guided interventions = 1

1.1%

Adverse Events: post-ERCP pancreatitis =5 post-resection bleeding =1

0.79%

Referrals, Transfers, Admissions

Referrals to Surgery/Others by CARE

12

Inpatient Transfers to CARE

140

Post-Procedure Admissions

29

Research

DESTIN (Pancreatic Necrosis Randomized Trial)

COMPLETE

BEEPER (Esophageal Neoplasia Randomized Trial)

1

EUS vs. Surgery Gastrojejunostomy Randomized Trial

2

Education

Physician Journal Clubs

1

Publications

2

Patient Visits

Outpatient Referrals

462

Inpatient Procedures (Inclusive of outside transfers)

211

Procedures

ERCP

109

EUS (Diagnostic 143, Biopsies 129, Stents 26, CP interventions 30)

328

Upper GI endoscopy (Diagnostic 102, Tissue Resection 28, Stents 0, RFA 18)

148

Lower GI endoscopy (Diagnostic 104, Tissue Resection 93 , Stents 0)

197

Enteroscopy

23

Third Space Endoscopy

7

Total Procedures

812

Clinical Outcomes

 

Technical Success for procedures

Failed outside ERCP = 21, Failed outside EUS = 19; Failed resections = 9

98.9%

Technical Failures: 9, failed cannulation = 2; failed resection =2; failed EUS-guided interventions = 2, failed resection = 3

1.1%

Adverse Events: post-ERCP pancreatitis =4; post-resection bleeding =2; post-FNA bleeding=2

0.98%

Referrals, Transfers, Admissions

Referrals to Surgery/Others by CARE

12

Inpatient Transfers to CARE

53

Post-Procedure Admissions

32

Research

DESTIN (Pancreatic Necrosis Randomized Trial)

COMPLETE

BEEPER (Esophageal Neoplasia Randomized Trial)

1

EUS - Pancreatic cancer molecular marker study

2

Education

Physician Journal Clubs

1

Publications

2

Patient Visits

Outpatient Referrals

354

Inpatient Procedures (Inclusive of outside transfers)

129

Procedures

ERCP

89

EUS (Diagnostic 142, Biopsies 111, Stents 28, CP interventions 24)

305

Upper GI endoscopy (Diagnostic 89, Tissue Resection 20, Stents 3, RFA 13)

125

Lower GI endoscopy (Diagnostic 89, Tissue Resection 67, Stents 1)

157

Enteroscopy

20

Third Space Endoscopy

2

Total Procedures

698

Clinical Outcomes

 

Technical Success for procedures

Failed outside ERCP = 28, Failed outside EUS = 18

98.8%

Technical Failures = 6, failed cannulation = 3; failed resection = 3

1.2%

Adverse Events: Death 1 (aspiration); post-procedure pancreatitis 3; infection 1, bleeding 2 (post-resection)

1.1%

Referrals, Transfers, Admissions

Referrals to Surgery/Others by CARE

21

Inpatient Transfers to CARE

136

Post-Procedure Admissions

19

Research

DESTIN (Pancreatic Necrosis Randomized Trial)

COMPLETE

BEEPER (Esophageal Neoplasia Randomized Trial)

3

EUS vs. Surgery for Gastro-jejunostomy

3

Education

Physician Journal Clubs

1

Publications

1

Patient Visits

Outpatient Referrals

341

Inpatient Procedures (Inclusive of outside transfers)

129

Procedures

ERCP

93

EUS (Diagnostic 142, Biopsies 111, Stents 28, CP interventions 24)

241

Upper GI endoscopy (Diagnostic 89, Tissue Resection 20, Stents 3, RFA 13)

101

Lower GI endoscopy (Diagnostic 89, Tissue Resection 67, Stents 1)

138

Enteroscopy

24

Third Space Endoscopy

6

Total Procedures

603
Clinical Outcomes

Technical Success for procedures

Failed outside ERCP = 28, Failed outside EUS = 18

98.5%

Technical Failures = 6, failed cannulation = 3; failed resection = 3

1.5%

Adverse Events: Death 1 (aspiration); post-procedure pancreatitis 3; infection 1, bleeding 2 (post-resection)

1.1%

Referrals, Transfers, Admissions

Referrals to Surgery/Others by CARE

6

Inpatient Transfers to CARE

111

Post-Procedure Admissions

22
Research

DESTIN (Pancreatic Necrosis Randomized Trial)

COMPLETE

BEEPER (Esophageal Neoplasia Randomized Trial)

2

EUS vs. Surgery for Gastro-jejunostomy

COMPLETE

Education

Physician Journal Clubs

1

Publications

1

Patient Visits

Outpatient Referrals

317

Inpatient Procedures (Inclusive of outside transfers)

89

Procedures

ERCP

75

EUS (Diagnostic 141, Biopsies  98 , Stents 11, CP interventions 6

256

Upper GI endoscopy (Diagnostic 61, Tissue Resection  37 , Stents 1, RFA  4)

103

Lower GI endoscopy (Diagnostic 49, Tissue Resection 86 , Stents 0)

135

Enteroscopy

8

Third Space Endoscopy

14

Total Procedures

591

Clinical Outcomes

Technical Success for procedures

Failed outside ERCP = 13, Failed outside = 9, Failed polyp resections = 7

99.1%

Technical Failures = 5, failed cannulation = 2 (altered anatomy), failed  resection =2; failed EUS due to technical difficulty = 1

0.9%

Adverse Events: Perforation 1 (altered anatomy), post-ERCP pancreatitis 3, post-procedure cholangitis 1

0.84%

Referrals, Transfers, Education

Referrals to Surgery/Others by CARE

9

Inpatient Transfers to CARE

138

Post-Procedure Admissions

33

Research

DESTIN (Pancreatic Necrosis Randomized Trial)

COMPLETE

BEEPER (Esophageal Neoplasia Randomized Trial)

1

EUS - Pancreatic cancer molecular marker study

COMPLETE

Education

Physician Journal Clubs

1

Publications

1

Patient Visits

Outpatient Referrals

367

Inpatient Procedures (Inclusive of outside transfers)

117

Procedures

ERCP

81

EUS (Diagnostic 124, Biopsies  109, Stents 13, CP interventions  5)

251

Upper GI endoscopy (Diagnostic 76, Tissue Resection 47, Stents 0 , RFA 8 )

131

Lower GI endoscopy (Diagnostic 74, Tissue Resection 98)

172

Enteroscopy

16

Third Space Endoscopy

4

Total Procedures

655

Clinical Outcomes

Technical Success for procedures

Failed outside ERCP = 13; Failed outside EUS = 12, Failed resection = 9

99.39%

Technical Failures: 4 ; failed cannulation = 2 (altered anatomy);  failed  resection  = 2

0.61%

Adverse Events: Post-resection bleeding = 2, post-ERCP pancreatitis 4

0.91%

Referrals, Transfers, Admissions

Referrals to Surgery/Others by CARE

6

Inpatient Transfers to CARE

106

Post-Procedure Admissions

28

Research

DESTIN (Pancreatic Necrosis Randomized Trial)

2

BEEPER (Esophageal Neoplasia Randomized Trial)

1

EUS - Pancreatic cancer molecular marker study

0

Education

Physician Journal Clubs

1

Publications

1

Patient Visits

Outpatient Referrals

375

Inpatient Procedures (Inclusive of outside transfers)

86

Procedures

ERCP

71

EUS (Diagnostic 128, Biopsies 81, Stents 14, CP interventions 15)

238

Upper GI endoscopy (Diagnostic, 71 Tissue Resection 23, Stents 1, RFA 8)

104

Lower GI endoscopy (Diagnostic 61, Tissue Resection 62)

123

Enteroscopy

11

Third Space Endoscopy

4

Total Procedures

551

Clinical Outcomes

Technical Success for procedures

Failed outside ERCP = 11, Failed outside EUS = 5

99.6%

Technical Failures = 2, failed cannulation = 1; failed resection =1

0.4%

Adverse Events: Death 2 (unrelated to procedures); post-ERCP pancreatitis 2

0.36%

Referrals, Transfers, Admissions

Referrals to Surgery/Others by CARE

7

Inpatient Transfers to CARE

108

Post-Procedure Admissions

12

Research

DESTIN (Pancreatic Necrosis Randomized Trial)

2

BEEPER (Esophageal Neoplasia Randomized Trial)

1

EUS - Pancreatic cancer molecular marker study

COMPLETE

Education

Physician Journal Clubs

1

Publications

1

Patient Visits

Outpatient Referrals

301

Inpatient Procedures (Inclusive of outside transfers)

71

Procedures

ERCP

79

EUS (Diagnostic 126, Biopsies 93, Stents 4, CP interventions 6)

229

Upper GI endoscopy (Diagnostic 67, Tissue Resection 20, Stents 3, RFA  6)

96

Lower GI endoscopy (Diagnostic 43, Tissue Resection 61, Stents 1)

105

Enteroscopy

12

Third Space Endoscopy

7

Total Procedures

528

Clinical Outcomes

Technical Success for procedures

Failed outside ERCP =7; Failed outside EUS = 1; Failed outside resection = 9

98.8%

Technical Failures:  6, failed resection = 5; failed cannulation = 1

1.1%

Adverse Events: Post-ERCP cholangitis =1; post-ERCP pancreatitis = 2, Post-resection bleeding = 2

0.9%

Referrals, Transfers, Admissions

Referrals to Surgery/Others by CARE

8

Inpatient Transfers to CARE

62

Post-Procedure Admissions

18

Research

DESTIN (Pancreatic Necrosis Randomized Trial)

1

BEEPER (Esophageal Neoplasia Randomized Trial)

1

EUS - Pancreatic cancer molecular marker study

COMPLETED

Education

Physician Journal Clubs

1

Publications

0

Patient Visits

Outpatient Referrals

363

Inpatient Procedures (Inclusive of outside transfers)

201

Procedures

ERCP

79

EUS (Diagnostic, Biopsies, Stents, CP interventions)

231

Upper GI endoscopy (Diagnostic, Tissue Resection, Stents RFA)

133

Lower GI endoscopy (Diagnostic, Tissue Resection, Stents)

143

Enteroscopy

9

Third Space Endoscopy

6

Total Procedures

601

Clinical Outcomes

Technical Success for procedures

Failed outside ERCP = 10, Failed outside EUS = 9, Failed outside resection = 6

98.8%

Technical Failures: 7, failed cannulation = 3, failed  resection = 4

1.2%

Adverse Events:  Post-ERCP bile leak/death =1; Post-ERCP pancreatitis =4;  Post-resection bleeding = 2

1.2%

Referrals/Inpatient Admissions

Referrals to Surgery/Others by CARE

6

Inpatient Transfers to CARE

110

Post-Procedure Admissions

41

Research

DESTIN (Pancreatic Necrosis Randomized Trial)

1

BEEPER (Esophageal Neoplasia Randomized Trial)

1

EUS - Pancreatic cancer molecular marker study

 COMPLETED

Education

Physician Journal Clubs

1

Publications

0

Patient Visits
Outpatient Referrals 317
Inpatient Procedures (Inclusive of outside transfers) 198
Procedures
ERCP 64
EUS (Diagnostic 117, Biopsies 76, Stents 18, Tumor ablation/palliation 8) 219
Upper GI endoscopy (Diagnostic 84, Tissue Resection 20, Stents 1, RFA 10) 115
Lower GI endoscopy (Diagnostic 51, Tissue Resection 46, Stents 0) 97
Enteroscopy 16
Third Space Endoscopy 4
Total Procedures 515
Clinical Outcomes
Technical Success for procedures
Failed outside ERCP = 12, Failed outside EUS = 6, Failed outside resection = 7
99%
Technical Failures = 5 (failed cannulation =2, failed cannulation in altered anatomy = 1, failed resection =2) 0.98%
Adverse Events: Post-EUS bleeding =1; Post-ERCP pancreatitis = 2; post-necrosectomy free air = 2 0.98%
Referrals, Transfers, Admissions
Referrals to Surgery/Others by CARE 9
Inpatient Transfers to CARE 114
Post-Procedure Admissions 25
Research
DESTIN (Pancreatic Necrosis Randomized Trial) 4
BEEPER (Esophageal Neoplasia Randomized Trial) 1
EUS - Pancreatic cancer molecular marker study 10
Education
Physician Journal Clubs 1
Publications 0
Patient Visits
Outpatient Referrals 365
Inpatient Procedures (Inclusive of outside transfers) 104
Procedures
ERCP 81
EUS (Diagnostic 98, Biopsies 87, Stents 12, CP interventions 6) 203
Upper GI endoscopy (Diagnostic 72, Tissue Resection 18, Stents 2, RFA 9) 101
Lower GI endoscopy (Diagnostic 42, Tissue Resection 68, Stents 0) 110
Enteroscopy 14
Third Space Endoscopy 5
Total Procedures 514
Clinical Outcomes
Technical Success for procedures
Failed outside ERCP=14, Failed outside EUS=6, Failed resection=15
99.03%
Technical Failures: 5 (Altered anatomy ERCP = 2; failed cannulation = 1; failed resection =2) 0.97%
Adverse Events: post-EUS bile leak=1; ERCP perforation=1; post-EMR bleeding =2; post-ERCP pancreatitis=2 1.19%
Referrals, Transfers, Admissions
Referrals to Surgery/Others by CARE 2
Inpatient Transfers to CARE 93
Post-Procedure Admissions 28
Research
DESTIN (Pancreatic Necrosis Randomized Trial) 4
BEEPER (Esophageal Neoplasia Randomized Trial) 2
EUS - Pancreatic cancer molecular marker study 7
Education
Physician Journal Clubs 1
Publications 1
Patient Visits
Outpatient Referrals 373
Inpatient Procedures (Inclusive of outside transfers) 108
Procedures
ERCP 80
EUS (Diagnostic 110, Biopsies 102, Stents 16, CP interventions 3) 231
Upper GI endoscopy (Diagnostic 80, Tissue Resection 14, Stents 1, RFA 5) 100
Lower GI endoscopy (Diagnostic 14, Tissue Resection 59, Stents 0) 73
Enteroscopy 18
Third Space Endoscopy 3
Total Procedures 505
Clinical Outcomes
Technical Success for procedures
Failed outside ERCP = 11; Failed outside resections = 13
99.61%
Technical Failures: 2 (Altered anatomy ERCP = 2) 0.39%
Adverse Events: post-EUS drainage bleeding = 1; post EMR bleeding =1; post-ERCP; pancreatitis =2; post-ERCP cholangitis = 1 0.98%
Referrals, Transfers, Admissions
Referrals to Surgery/Others by CARE 3
Inpatient Transfers to CARE 83
Post-Procedure Admissions 19
Research
DESTIN (Pancreatic Necrosis Randomized Trial) 2
BEEPER (Esophageal Neoplasia Randomized Trial) 2
EUS - Pancreatic cancer molecular marker study 4
Education
Physician Journal Clubs 1
Publications 0
Patient Visits
Outpatient Referrals 344
Inpatient Procedures (Inclusive of outside transfers) 72
Procedures
ERCP 66
EUS (Diagnostic 113, Biopsies 64, Stents 7, CP interventions 5) 189
Upper GI endoscopy (Diagnostic 75, Tissue Resection 29, Stents 4, RFA 5) 113
Lower GI endoscopy (Diagnostic 51, Tissue Resection 64, Stents 1) 116
Enteroscopy 18
Third Space Endoscopy 7
Total Procedures 509
Clinical Outcomes
Technical Success for procedures
Failed outside ERCP = 21, Failed outside EUS = 11
99.3%
Technical Failures: colon stent placement =1, failed gastric and colon ESD = 2; failed ERCP cannulation in altered anatomy = 1 0.7%
Adverse Events: Post-FNA pancreatitis = 1, post colon EMR bleed = 1 0.38%
Referrals, Transfers, Admissions
Referrals to Surgery/Others by CARE 3
Inpatient Transfers to CARE 84
Post-Procedure Admissions 17
Research
DESTIN (Pancreatic Necrosis Randomized Trial) 2
BEEPER (Esophageal Neoplasia Randomized Trial) 1
EUS - Pancreatic cancer molecular marker study 2
Education
Physician Journal Clubs 1
Publications 1
Patient Visits
Outpatient Referrals 388
Inpatient Procedures (Inclusive of outside transfers) 94
Procedures
ERCP 67
EUS (Diagnostic 138, Biopsies 69, Stents 16, CP interventions 5) 228
Upper GI endoscopy (Diagnostic 60, Tissue Resection 19, Stents 4, RFA 3) 86
Lower GI endoscopy (Diagnostic 72, Tissue Resection 27, Stents 0) 99
Enteroscopy 15
Third Space Endoscopy 0
Total Procedures 495
Clinical Outcomes
Technical Success for procedures
Failed outside ERCP = 14; Failed outside EUS = 9
100%
Technical Failures: 0 -
Adverse Events: 4 (perforation at double balloon ERCP =1; post-ERCP pancreatitis =2; post-glue injection bleeding =1) 0.8%
Referrals, Transfers, Admissions
Referrals to Surgery/Others by CARE 11
Inpatient Transfers to CARE 21
Post-Procedure Admissions 14
Research
DESTIN (Pancreatic Necrosis Randomized Trial) 5
BEEPER (Esophageal Neoplasia Randomized Trial) 0
EUS - Pancreatic cancer molecular marker study 0
Education
Physician Journal Clubs 1
Publications 2
Patient Visits
Outpatient Referrals 292
Inpatient Procedures (Inclusive of outside transfers) 58
Procedures
ERCP 65
EUS (Diagnostic 110, Biopsies 71, Stents 4, CP interventions 18) 203
Upper GI endoscopy (Diagnostic 58, Tissue Resection 18, Stents 4, RFA 5) 85
Lower GI endoscopy (Diagnostic 42, Tissue Resection 38) 80
Enteroscopy 6
Third Space Endoscopy 8
Total Procedures 447
Clinical Outcomes
Technical Success for procedures
Failed outside ERCP=9, Failed outside EUS=6
99.6%
Technical Failures: 2 (Failed cannulation at Double Balloon ERCP =1, colon tumor resection =1). 0.41%
Adverse Events: 2 (post-ERCP cholangitis=1, post-EMR bleeding=1). 0.41%
Referrals, Transfers, Admissions
Referrals to Surgery by CARE 13
Inpatient Transfers to CARE 19
Post-Procedure Admissions 20
Research
DESTIN (Pancreatic Necrosis Randomized Trial) 2
BEEPER (Esophageal Neoplasia Randomized Trial) 1
EUS - Pancreatic cancer molecular marker study 0
Education
Physician Journal Clubs 1
Publications 0
Patient Visits
Outpatient Referrals 124
Inpatient Referrals 129
Total Patient Visits 253
Inpatient Transfers to CARE 6
Procedures
ERCP 35
EUS 114
Other Procedures (RFA, Enteroscopy, Stenting, Endoscopic Resections) 101
POEM & Novel Procedures 3
Total Procedures 253
Referrals
Referrals to Surgery/Others by CARE 3
Post-Procedure Admissions 13
Studies
DESTIN 1
BEEPER 0
Pancreatic cancer molecular marker study 0
Other
Physician Journal Clubs 1
Publications 2