Publications by authors named "Sharan B Malipatil"
Factors affecting technical success of endoscopic retrograde cholangiopancreatographic outcomes in patients with surgically altered foregut anatomy: a retrospective study.
J Can Assoc Gastroenterol
August 2025
Introduction: Patients with surgically altered gastrointestinal anatomy undergoing endoscopic retrograde cholangiopancreatography (ERCP) pose challenges due to anatomical distortions. Various patient and endoscopic factors, such as sex and positioning, may impact procedural success. It is unclear how these factors may impact the technical success of ERCP among patients with altered anatomy.
View Article and Find Full Text PDFOutcomes of endoscopic retrograde cholangiopancreatography performed in the AM versus PM: does procedural timing matter?
J Can Assoc Gastroenterol
December 2024
Background: ERCP is a technically demanding procedure that carries a high cumulative adverse event (AE) rate of >10%. Identifying risk factors for adverse events is paramount. Procedure timing, as a surrogate for endoscopist fatigue, has been shown to influence key quality metrics in colonoscopy, but data on this relationship in ERCP is sparse.
View Article and Find Full Text PDFDefining standards for fluoroscopy in gastrointestinal endoscopy using Delphi methodology.
Endosc Int Open
November 2024
Article Synopsis
- The study focuses on developing guidelines for the safe use of fluoroscopy in gastrointestinal endoscopy, balancing its benefits with concerns about radiation exposure to patients and healthcare workers.
- A modified Delphi method was used, involving three rounds of surveys with 46 experts, resulting in 43 proposed statements, of which 31 achieved consensus and were prioritized across various categories such as Patient Safety and Staff Safety.
- The final consensus statements highlight the importance of education and safety measures, with a significant majority rated as high priority, aiming to enhance safety culture in healthcare settings while utilizing fluoroscopy.
Article Synopsis
- Resection of large nonpedunculated colorectal polyps can significantly lower the risk and death rate from colorectal cancer, highlighting the need for expert referral and planning of the procedure.
- A Delphi study involving 24 international endoscopy experts identified 19 key factors—such as patient demographics, medications, and lesion details—that should be included in referrals for effective endoscopic resection.
- The consensus gained from this study aims to enhance communication between referring physicians and therapeutic endoscopists, potentially improving the outcomes for patients with large colorectal polyps.