RSS-Feed abonnieren
PDF herunterladen
DOI: 10.1055/s-0040-1722361
EUS-guided Gastroenterostomy: Assessing the Competence of the Endoscopist
Abstract
Assessing competence is of utmost importance for complex EUS procedures like EUS-guided gastroenterostomy (EUS-GE) that are associated with higher risk of procedural complications. It is a matter of intense debate on what is the training needed to carry out these interventions, how to judge for competence, and who can perform these newer interventions. The procedure has several variations including the methods to identify the jejunal loops on EUS like direct puncture, balloon-assisted, and hybrid rendezvous with ultrathin endoscope. Therefore, there is lack of clarity on the role and ways of assessing the learning curve for EUS-GE. In this news and views, we are discussing two studies that assessed the learning curve for EUS-GE.
Publikationsverlauf
Artikel online veröffentlicht:
31. Dezember 2020
© 2020. Society of Gastrointestinal Endoscopy of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).
Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, Second Floor, Sector -2, NOIDA -201301, India
-
References
- 1 Gonzalez JM, Cohen J, Gromski MA, Saito K, Loundou A, Matthes K. Learning curve for endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) of pancreatic lesions in a novel ex-vivo simulation model. Endosc Int Open 2016; 4 (12) E1286-E1291
- 2 Kim GH, Bang SJ, Hwang JH. Learning models for endoscopic ultrasonography in gastrointestinal endoscopy. World J Gastroenterol 2015; 21 (17) 5176-5182
- 3 Wani S, Coté GA, Keswani R. et al. Learning curves for EUS by using cumulative sum analysis: implications for American Society for Gastrointestinal Endoscopy recommendations for training. Gastrointest Endosc 2013; 77 (04) 558-565
- 4 Sharma V, Rana SS, Bhasin DK. Endoscopic ultrasound guided interventional procedures. World J Gastrointest Endosc 2015; 7 (06) 628-642
- 5 Rana SS, Shah J, Kang M, Gupta R. Complications of endoscopic ultrasound-guided transmural drainage of pancreatic fluid collections and their management. Ann Gastroenterol 2019; 32 (05) 441-450
- 6 Rana SS, Sharma R, Gupta R. EUS-guided transmural pancreatic duct interventions for relief of pain in patients with chronic pancreatitis and failed ERCP. Endosc Ultrasound 2020; 9 (04) 274-275
- 7 Dalsania R, Shah R, Rana S, Chawla S. Endoscopic ultrasound-guided management of chronic pancreatitis. Curr Gastroenterol Rep 2020; 22 (07) 34
- 8 Khashab MA, Bukhari M, Baron TH. et al. International multicenter comparative trial of endoscopic ultrasonography-guided gastroenterostomy versus surgical gastrojejunostomy for the treatment of malignant gastric outlet obstruction. Endosc Int Open 2017; 5 (04) E275-E281
- 9 Tyberg A, Kats D, Choi A, Gaidhane M, Nieto J, Kahaleh M. Endoscopic ultrasound guided gastroenterostomy: what is the learning curve? J Clin Gastroenterol 2020;early online
- 10 Jovani M, Ichkhanian Y, Parsa N, Singh S, Brewer Gutierrez OI, Keane MG, Al Ghamdi SS, Ngamruengphong S, Kumbhari V, Khashab MA. Assessment of the learning curve for EUS-guided gastroenterostomy for a single operator. Gastrointest Endosc 2020; Sep 28
- 11 Valsamis EM, Chouari T, O’Dowd-Booth C, Rogers B, Ricketts D. Learning curves in surgery: variables, analysis and applications. Postgrad Med J 2018; 94 (1115) 525-530