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New NOTES Clinical Training and Program Development.

Payal Saxena1, Mouen A Khashab2

  • 1Division of Gastroenterology and Hepatology, Department of Medicine, Royal Prince Alfred Hospital, Missenden Rd, Camperdown, NSW 2050, Australia; Division of Gastroenterology and Hepatology, Department of Medicine, The Johns Hopkins Medical Institutions, 1800 Orleans St, Baltimore, MD 21205, USA.

Gastrointestinal Endoscopy Clinics of North America
|April 3, 2016
PubMed
Summary
This summary is machine-generated.

Natural orifice translumenal endoscopic surgery (NOTES) requires extensive training in advanced endoscopy and device proficiency. Due to limited training resources, trainees may need multi-institutional experience for safe and effective practice.

Keywords:
EndoscopyFellowshipNOTESPOEMPeroral endoscopic myotomyPyloromyotomySTERTraining

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Area of Science:

  • Minimally invasive surgery
  • Gastroenterology
  • Surgical innovation

Background:

  • Natural orifice translumenal endoscopic surgery (NOTES) represents a significant advancement in endoscopic procedures.
  • NOTES necessitates specialized skills beyond traditional endoscopy.

Purpose of the Study:

  • To highlight the comprehensive training requirements for Natural orifice translumenal endoscopic surgery (NOTES).
  • To address the challenges in current NOTES training programs.

Main Methods:

  • Review of advanced endoscopic training components.
  • Analysis of skills required for submucosal dissection and device handling.
  • Assessment of current institutional training capacities.

Main Results:

  • NOTES training is lengthy and requires mastery of advanced endoscopic dexterity.
  • Proficiency in novel closure and hemostatic devices is critical.
  • Few institutions offer complete training for NOTES procedures.

Conclusions:

  • Effective training for Natural orifice translumenal endoscopic surgery (NOTES) is complex and demanding.
  • Trainees may require cross-institutional education to achieve competency.
  • Standardizing NOTES training is essential for widespread adoption and patient safety.