Download PDF
CC BY-NC-ND 4.0 · Endosc Int Open 2017; 05(06): E526-E538
DOI: 10.1055/s-0043-106181
Original article
Eigentümer und Copyright ©Georg Thieme Verlag KG 2017

International core curriculum for capsule endoscopy training courses

Ignacio Fernandez-Urien
1   Department of Gastroenterology – CHN, Pamplona, Spain
,
Simon Panter
2   Department of Gastroenterology – South Tyneside NHS, South Tyneside, United Kingdom
,
Cristina Carretero
3   Department of Gastroenterology – University of Navarra, Pamplona, Spain
,
Carolyn Davison
2   Department of Gastroenterology – South Tyneside NHS, South Tyneside, United Kingdom
,
Xavier Dray
4   Department of Hepatology and Gastroenterology – Saint-Antoine Hospital, Pierre et Marie Curie University & APHP, Paris, France
,
Evgeny Fedorov
5   Department of Abdominal Surgery, Gastroenterology and Endoscopy – Pirogov Russia National Medical University, Moscow University Hospital, Moscow, Russia
,
Richard Makins
6   Department of Gastroenterology – Gloucestershire Hospitals, Gloucester, United Kingdom
,
Miguel Mascarenhas
7   ManopH & CUF Oporto Hospitals, Porto, Portugal
,
Mark McAlindon
8   Department of Gastroenterology – Royal Hallamshire Hospital, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, United Kingdom
,
Deirdre McNamara
9   Department of Clinical Medicine – Tallaght Hospital, Trinity College, Dublin, Ireland
,
Hansa Palmer
10   Digestive Endoscopy Unit – Royal Free Hampstead NHS Trust, London, United Kingdom
,
Jean Francoise Rey
11   Institut Arnault Tzanck, Saint Laurent du Var, France
,
Jean Christophe Saurin
12   Centre Hospitalier Lyon Sud, Pierre Bénite, Lyon, France
,
Uwe Seitz
13   Department of Internal Medicine 1 – Bergstrasse Medical Center, University Hospital Heidelberg, Heppenheim, Germany
,
Cristiano Spada
14   Digestive Endoscopy Unit, Fondazione Policlinico Universitario Gemelli, Rome, Italy
,
Ervin Toth
15   Department of Gastroenterology – Skåne University Hospital, Lund University, Malmö, Sweden
,
Felix Wiedbrauck
16   Department of Gastroenterology – Allgemeines Krankenhaus Celle, Celle, Germany
,
Martin Keuchel
17   Clinic for Internal Medicine, Bethesda Hospital Bergedorf, Hamburg, Germany
› Author Affiliations
Further Information

Publication History

submitted 06 February 2017

accepted after revision 10 February 2017

Publication Date:
07 June 2017 (online)

Also available at
   Permissions and Reprints

Abstract

Capsule endoscopy (CE) has become a first-line noninvasive tool for visualisation of the small bowel (SB) and is being increasingly used for investigation of the colon. The European Society of Gastrointestinal Endoscopy (ESGE) guidelines have specified requirements for the clinical applications of CE. However, there are no standardized recommendations yet for CE training courses in Europe. The following suggestions in this curriculum are based on the experience of European CE training courses directors. It is suggested that 12 hours be dedicated for either a small bowel capsule endoscopy (SBCE) or a colon capsule endoscopy (CCE) course with 4 hours for an introductory CCE course delivered in conjunction with SBCE courses. SBCE courses should include state-of-the-art lectures on indications, contraindications, complications, patient management and hardware and software use. Procedural issues require approximately 2 hours. For CCE courses 2.5 hours for theoretical lessons and 3.5 hours for procedural issued are considered appropriate. Hands-on training on reading and interpretation of CE cases using a personal computer (PC) for 1 or 2 delegates is recommended for both SBCE and CCE courses. A total of 6 hours hands-on session- time should be allocated. Cases in a SBCE course should cover SB bleeding, inflammatory bowel diseases (IBD), tumors and variants of normal and cases with various types of polyps covered in CCE courses. Standardization of the description of findings and generation of high-quality reports should be essential parts of the training. Courses should be followed by an assessment of traineesʼ skills in order to certify readers’ competency.

 

  • References

  • 1 Iddan G, Meron G, Glukhovsky A. et al. Wireless capsule endoscopy. Nature 2000; 405: 417
    PubMedSearch in Google Scholar
  • 2 Hale MF, Sidhu R, McAlindon ME. Capsule endoscopy: current practice and future directions. World J Gastroenterol 2014; 20: 7752-7759
    CrossrefPubMedSearch in Google Scholar
  • 3 Wang A, Banerjee S, Barth BA. et al. ASGE Technology Committee. Wireless capsule endoscopy. Gastrointest Endosc 2013; 78: 805-815
    CrossrefPubMedSearch in Google Scholar
  • 4 Koulaouzidis A, Rondonotti E, Karargyris A. Small-bowel capsule endoscopy: a ten-point contemporary review. World J Gastroenterol 2013; 19: 3726-3746
    CrossrefPubMedSearch in Google Scholar
  • 5 Schoofs N, Devière J, Van Gossum A. PillCam colon capsule endoscopy compared with colonoscopy for colorectal tumor diagnosis: a prospective pilot study. Endoscopy 2006; 38: 971-977
    Thieme ConnectPubMedSearch in Google Scholar
  • 6 Eliakim R, Fireman Z, Gralnek IM. et al. Evaluation of the PillCam Colon capsule in the detection of colonic pathology: results of the first multicenter, prospective, comparative study. Endoscopy 2006; 38: 963-970
    Thieme ConnectPubMedSearch in Google Scholar
  • 7 Eliakim R, Sharma VK, Yassin K. et al. A prospective study of the diagnostic accuracy of PillCam ESO esophageal capsule endoscopy versus conventional upper endoscopy in patients with chronic gastroesophageal reflux diseases. J Clin Gastroenterol 2005; 39: 572-578
    CrossrefPubMedSearch in Google Scholar
  • 8 Eisen GM, Eliakim R, Zaman A. et al. The accuracy of PillCam ESO capsule endoscopy versus conventional upper endoscopy for the diagnosis of esophageal varices: a prospective three-center pilot study. Endoscopy 2006; 38: 31-35
    Thieme ConnectPubMedSearch in Google Scholar
  • 9 Sidhu R, Sakellariou P, McAlindon ME. et al. Is formal training necessary for capsule endoscopy? The largest gastroenterology trainee study with controls. Dig Liver Dis 2008; 40: 298-302
    CrossrefPubMedSearch in Google Scholar
  • 10 Postgate A, Tekkis P, Fitzpatrick A. et al. The impact of experience on polyp detection and sizing accuracy at capsule endoscopy: implications for training from an animal model study. Endoscopy 2008; 40: 496-501
    Thieme ConnectPubMedSearch in Google Scholar
  • 11 Postgate A, Haycock A, Fitzpatrick A. et al. How should we train capsule endoscopy? A pilot study of performance changes during a structured capsule endoscopy training program. Dig Dis Sci 2009; 54: 1672-1679
    CrossrefPubMedSearch in Google Scholar
  • 12 Sidhu R, McAlindon ME, Davison C. et al. Training in Capsule Endoscopy: Are We Lagging behind?. Gastroenterol Res Pract 2012; 2012: 175248
    CrossrefPubMedSearch in Google Scholar
  • 13 Rajan E, Iyer PG, Oxentenko AS. et al. Training in small-bowel capsule endoscopy: assessing and defining competency. Gastrointest Endosc 2013; 78: 617-622
    CrossrefPubMedSearch in Google Scholar
  • 14 Rajan EA, Pais SA, Degregorio BT. ASGE Training Committee 2011–2012. et al. Small-bowel endoscopy core curriculum. Gastrointest Endosc 2013; 77: 1-6
    CrossrefPubMedSearch in Google Scholar
  • 15 Benner P. From novice to expert: Excellence and power in clinical nursing practice. Menlo Park, California: Addison-Wesley Publishing Company; 1984
    Search in Google Scholar
  • 16 Pennazio M, Spada C, Eliakim R. et al. Small-bowel capsule endoscopy and device-assisted enteroscopy for diagnosis and treatment of small-bowel disorders: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline. Endoscopy 2015; 47: 352-376
    Thieme ConnectPubMedSearch in Google Scholar
  • 17 Spada C, Hassan C, Galmiche JP. et al. Colon capsule endoscopy: European Society of Gastrointestinal Endoscopy (ESGE) Guideline. Endoscopy 2012; 44: 527-536
    Thieme ConnectPubMedSearch in Google Scholar
  • 18 Korman LY, Delvaux M, Gay G. et al. Capsule endoscopy structured terminology (CEST): proposal of a standardized and structured terminology for reporting capsule endoscopy procedures. Endoscopy 2005; 37: 951-959
    Thieme ConnectPubMedSearch in Google Scholar
  • 19 Albert J, Humbla O, McAlindon ME. et al. A simple evaluation tool (ET-CET) indicates increase of diagnostic skills from small bowel capsule endoscopy training courses – a prospective observational European multicenter study. Medicine 2015; 94: e1941
    CrossrefPubMedSearch in Google Scholar