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Device-assisted enteroscopy training. A rapid review.
Federico Soria Gálvez1, Octavio López-Albors2, Pilar Esteban Delgado3
1Endoscopia, Fundación Centro de Cirugía de Mínima Invasión Jesús Usón, ESPAÑA.
Revista Espanola De Enfermedades Digestivas
|March 21, 2020
Summary
Device-assisted enteroscopy requires a validated training model, unlike capsule endoscopy. Training should focus on competency in safe and effective enteroscopy performance, utilizing simulators and expert guidance.
Area of Science:
- Gastroenterology
- Medical Education
- Endoscopic Procedures
Background:
- Device-assisted enteroscopy (DAE) lacks a validated training model, unlike capsule endoscopy.
- DAE is an advanced endoscopic technique requiring specialized skills and equipment.
- Effective training is crucial for safe and efficient DAE performance.
Purpose of the Study:
- To highlight the need for a validated training model for device-assisted enteroscopy.
- To discuss essential components of DAE training, including competency assessment.
- To review current recommendations and limitations in DAE learning curve assessment.
Main Methods:
- Review of existing literature and recommendations on DAE training.
- Analysis of parameters for assessing DAE learning curves.
- Discussion of simulator use and expert guidance in DAE training.
Main Results:
- An experienced endoscopist may achieve proficiency in 5-35 DAE procedures.
- Key training aspects include estimating insertion depth and selecting the examination route (oral/anal).
- Simulator use and expert guidance are recommended for DAE training.
Conclusions:
- A structured training program is essential for device-assisted enteroscopy competence.
- Standardized learning curve parameters and competency-based assessment are needed.
- Further clinical practice is required to reach expert-level DAE proficiency.
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