Presentor(s): Francisco Albuquerque, MD and Ben Nwomeh, MD Chief Residents
Department of Surgery
Virginia Commonwealth University
Lecture Date: September 14, 2000
Acknowledgement of Commercial Support:
There is no commercial support for this activity.
Faculty Disclosure:
Francisco Albuquerque, MD and Ben Nwomeh, MD has no financial relationships to disclose.
Description of Lecture: This is a debate between two upper level surgery residents. The debate is whether to use ERCP before or after cholecystectomy. The debate will demonstrate pros and cons, and provide up to date information about both positions.
Target Audience: This lecture is targeted for surgery faculty, residents, and students, as well
as any medical or allied health professional having an interest in new developments, new techniques, and
current research in the field of surgery.
Learning Objectives:
Position 1: Identify patients with choledocholithiasis preoperatively with a high degree of accuracy using simple clinical predictors and understand how preoperative ERCP is highly effective and remains the gold standard for treatment of choledocholithiasis; to comprehend that postoperative ERCP as a routine strategy exposes patients with choledocholithiasis to the risks of additional surgical procedures.
Position 2: To understand that there is no good predictive criteria for common bile duct (CBD) stones and surgeons who perform Laparoscopic Cholecystectomy should be able to perform intraoperative cholangiogram (IOC) and that preoperative ERCP has low yield to detect CBD stones, is not cost effective, prolongs hospital course and is associated with risks to the patient.
Description of Media: Media consist of approximately 45-60 minutes of digital audio and video captured from
the live event and streamed using Realmedia, accompanied by the audiovisual materials from the live
event. An evaluation questionnaire, a post-test consisting of 5 questions, and an opportunity to post questions to the presentor are included.
