ERCP or EUS

[chemist157]

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If you had to choose one to train in, which one would you choose and why?

 

[IM2GI]

What program is training you to do one but not the other? Are you a fellow?

Odd question, I would not be doing ERCP without knowing EUS.

If you wanted to do just one, I guess EUS, but why?

 

[chemist157]

Yes I'm a fellow. Our program will train you in one or the other in the third year. Otherwise for both we need to do a full forth year.

 

[IM2GI]

Yes I'm a fellow. Our program will train you in one or the other in the third year. Otherwise for both we need to do a full forth year.

I mean, to me it seems like if I was going to be performing ERCP I would want to be able to do EUS. Instead of looking for a possible retained stone in borderline cases, you are going to go right to ERCP and subject the patient to potential unnecessary risk.

I guess you have to decide if you are comfortable with that. Also, if you get sued, not having formal training, and having incomplete training, might be an issue.

 

[Gastrapathy]

ERCP without EUS is the much more common scenario in the community. Also the more employable scenario (ERCP is the one with the extra call).


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[chemist157]

We almost never do EUS for intermediate probability choledocholithiasis/retained stone. We always get an MRCP.