Patients at Risk 25 patients harmed and one dies after nurse permitted to perform ERCPs
Aug 18, 2025
Dr. Kaveh Hoda, a gastroenterologist and host of The House of Pod, sheds light on a harrowing incident in the UK where a nurse performed complex ERCPs, resulting in one death and multiple patient harms. The discussion delves into the rigorous training essential for such procedures, the tragic consequences of insufficient oversight, and the broader implications for patient safety in healthcare. Hoda raises critical questions about the qualifications of non-physicians and the necessity of high medical standards amidst a looming healthcare worker shortage.
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Lengthy, Layered Training For GI Specialists
- Becoming a gastroenterologist requires extensive multi-stage training including medical school, residency, and at least three years of GI fellowship.
- Advanced endoscopic skills like ERCP often require additional specialized fellowship time beyond core GI training.
ERCP Is High-Risk And Highly Technical
- ERCP is one of the most technically difficult and highest-risk procedures in gastroenterology.
- It accesses the biliary and pancreatic ducts to remove stones, place stents, or perform targeted diagnostic interventions.
Serious, Measurable Complication Rates
- ERCP carries procedure-specific risks including post-ERCP pancreatitis with 3–15% incidence and around 3% mortality when severe.
- Other risks include perforation and significant bleeding after sphincterotomy.
