美国内镜下粘膜培训的现状
Mike T Wei1, Shai Friedland2,3, Joo Ha Hwang2
1Stanford University, Stanford, CA, United States. mtwei@stanford.edu.
Current gastroenterology reports
|November 7, 2024
概括
内镜下粘膜切割 (ESD) 为胃肠道瘤提供了更高的切割率,但在美国面临着采用挑战. 设备和培训模型的进步正在改善这种先进的内镜手术的可访问性.
科学领域:
- 胃肠病学 胃肠病学
- 内視鏡外科手術 內視鏡外科手術
背景情况:
- 内镜下粘膜切割 (ESD) 改善了块切除,并降低了胃肠道瘤的复发风险.
- 在美国,ESD的采用受到专业培训的需要和培训计划的有限可用性所阻碍.
研究的目的:
- 审查美国内镜下粘膜切割 (ESD) 采用的现状.
- 探索ESD设备和培训方法的进步,以克服采用障碍.
主要方法:
- 关于内镜下粘膜切割 (ESD) 进展的最新文献的综述.
- 分析目前在美国的ESD培训途径,包括奖学金,大师学徒模式和实时课程.
主要成果:
- 新设备的开发提高了ESD的易用性,稳定性,切除和缺陷关闭.
- 虽然传统的"大师-学徒"模式很少,但替代的培训方法,如第三空间内镜奖学金,病例观察和ex vivo模型正在扩大.
- 对于大型粘膜瘤的块切除,ESD仍然是最佳的技术.
结论:
- 尽管存在障碍,但美国在ESD程序和培训方面取得了重大进展.
- 需要进一步的研究来建立ESD从业人员的认证和熟练程度标准.
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