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Endoscopy 2005; 37(6): 552-558
DOI: 10.1055/s-2005-861351
Original Article
© Georg Thieme Verlag KG Stuttgart · New York

Objective Benefit of a 1-day Training Course in Endoscopic Hemostasis Using the “compactEASIE” Endoscopy Simulator

J.  Maiss1 , J.  Wiesnet1 , A.  Proeschel1 , K.  Matthes1 , F.  Prat2 , J.  Cohen3 , S.  Chaussade2 , D.  Sautereau2 , A.  Naegel1 , N.  Krauss1 , A.  Peters4 , E.  G.  Hahn1 , J.  Hochberger5
  • 1Dept. of Medicine I, University of Erlangen-Nuremberg, Erlangen, Germany
  • 2French Society for Gastrointestinal Endoscopy (SFED), Paris, France
  • 3New York University School of Medicine, New York, USA
  • 4Dept. of Medical Computing, Biometry, and Epidemiology, University of Erlangen-Nuremberg, Erlangen, Germany
  • 5Dept. of Medicine III/Gastroenterology, St. Bernward Hospital, Hildesheim, Germany
Further Information

Publication History

Submitted 1 June 2004

Accepted after Revision 16 November 2004

Publication Date:
03 June 2005 (online)

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Background and Study Aims: The Erlangen Active Simulator for Interventional Endoscopy (EASIE) was introduced in 1997 as a training model for interventional endoscopy. Objective evidence of the benefits of training with this model has not previously been published. As part of two long-term projects, the benefits of a 1-day training course with the “compactEASIE” simulator were evaluated.
Materials and Methods: Fourteen American and 18 French gastroenterology fellows were enrolled. These fellows were participants in the intensive groups performing training in endoscopic hemostasis, with a total number of 28 fellows in New York and 36 in France. Gastrointestinal endoscopy faculty members in New York and France evaluated and timed the fellows in four disciplines to establish baseline skills (manual skills; injection and coagulation; Hemoclip application; and variceal ligation) with the compactEASIE simulator. The trainees were reevaluated after an intensive 1-day course (with two or three fellows and one instructor per station), also including preparation and assistance for each procedure. The assessment (overall and parts) was done by expert tutors using an ordinal scale ranging from 1 to 10 (1 = poorest, 10 = best), recording also mistakes and performance time. The compactEASIE simulator, equipped with an upper gastrointestinal organ package and an artificial blood perfusion system, was used as the training tool.
Results: A highly significant improvement (P ≤ 0.001) was observed in the performance of all endoscopic techniques. A significant reduction in performance time was also observed with three of the four endoscopic techniques. Successful hemostasis was significantly improved in two out of three techniques.
Conclusions: A 1-day training course on endoscopic hemostasis using the compactEASIE simulator is capable of improving the performance of hemostasis procedures. Long-term effects of repeated training sessions are currently subject of collaborative studies in New York and France.

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J. Maiss, M. D.

Dept. of Medicine I · University of Erlangen-Nuremberg

Ulmenweg 18 · 91054 Erlangen · Germany

Fax: + 49-9133-602618

Email: juergen.maiss@med1.imed.uni-erlangen.de