Related Experiment Video
Updated: Jun 20, 2025
04:35
Author Spotlight: Advancing Biopsy Techniques with Transesophageal Ultrasound
Published on: November 21, 2023
423
Training and quality indicators in interventional endoscopic ultrasound
1Department of Gastroenterology and Hepatology, "Victor Babeş" University of Medicine and Pharmacy, Timisoara, Romania.
Summary
This study assessed interventional endoscopic ultrasound (iEUS) training, revealing varied learning curves and success rates across procedures like pancreatic drainage and gastro-enteric anastomosis. Findings support standardized, procedure-specific training to ensure iEUS competency.
Area of Science:
- Gastroenterology
- Medical Education
- Minimally Invasive Surgery
Background:
- Endoscopic ultrasound (EUS) has advanced minimally invasive gastrointestinal procedures.
- Specialized training is crucial for proficiency in interventional EUS (iEUS).
Purpose of the Study:
- To evaluate the effectiveness of iEUS training by analyzing learning curves, success rates, and risks.
- To recommend practices for standardizing iEUS training and ensuring competency.
Main Methods:
- Analysis of key metrics including procedure type, learning curve for proficiency, success rates, and adverse event risks.
- Benchmarking training program effectiveness across various iEUS interventions.
Main Results:
- Proficiency benchmarks varied: pancreatic fluid collection drainage (20-30 procedures, 100% success), gallbladder drainage (19 cases, 86% success), choledocoduodenostomy (approx. 100 cases), hepaticogastrostomy (33 cases, 93% success), hepaticoenterostomy (>40 cases, 100% success), pancreatic duct drainage (27 cases, 89% technical success), and gastro-enteric anastomosis (25 cases for proficiency).
- Adverse event rates ranged from 1.5% to 80% depending on the procedure.
Conclusions:
- iEUS training outcomes differ significantly based on the specific procedure.
- Structured, procedure-specific training programs are essential for achieving iEUS proficiency.
- Findings can inform the development of universal competency benchmarks for global iEUS training.
Related Concept Videos
01:25Ultrasound II: Endoscopic Ultrasound and FibroScan
95
Endoscopic Ultrasound (EUS) and FibroScan are valuable diagnostic tools in gastroenterology and hepatology, each with specific applications and techniques.
Endoscopic Ultrasound (EUS):
Endoscopic Ultrasound (EUS):
95
01:20Ultrasound I: Abdominal Ultrasonography
203
Introduction:
Abdominal ultrasonography, commonly known as abdominal ultrasound, is a vital, non-invasive medical imaging technique widely used in healthcare.
Procedure:
This diagnostic tool allows the clinician to visually inspect internal structures within the abdomen, including vital organs such as the liver, gallbladder, pancreas, kidneys, and spleen.
The abdominal ultrasound process begins with applying a special gel to the patient's skin over the abdomen. This gel enhances the...
Abdominal ultrasonography, commonly known as abdominal ultrasound, is a vital, non-invasive medical imaging technique widely used in healthcare.
Procedure:
This diagnostic tool allows the clinician to visually inspect internal structures within the abdomen, including vital organs such as the liver, gallbladder, pancreas, kidneys, and spleen.
The abdominal ultrasound process begins with applying a special gel to the patient's skin over the abdomen. This gel enhances the...
203
01:29Endoscopic Procedures I: Esophagogastroduodenoscopy
88
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
During an EGD, the endoscope can be used to:
88
01:17Ultrasonography
4.4K
Ultrasonography is an imaging technique that uses high-frequency sound waves to visualize the body's internal structures. It is a non-invasive and safe procedure that does not involve the use of ionizing radiation, making it widely used in various medical fields. Ultrasonography is used to study heart function, blood flow in the neck or extremities, certain conditions such as gallbladder disease, and fetal growth and development.
During an ultrasonography procedure, a handheld device called...
During an ultrasonography procedure, a handheld device called...
4.4K
01:26Endoscopic Procedures V: ERCP
161
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Patient...
161
01:25Endoscopic Procedures II: Colonoscopy
78
The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
78