Training in Endoscopy: Esophagogastroduodenoscopy

Kim, Joon Sung; Kim, Byung‐Wook

doi:10.5946/ce.2017.096

Cited by 9 publications

(15 citation statements)

References 31 publications

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“…Existe un alto grado de variabilidad en los enfoques educativos adoptados para enseñarle a los fellows la realización de una EGD (4) . De forma tradicional, la endoscopia se ha enseñado en el escenario clínico y teniendo como eje central el sistema de aprendizaje por imitación; es decir, la experiencia práctica con el paciente se ha considerado como la mejor forma de entrenamiento dado que se realizan procedimientos de forma directa en el "mundo real" con el paciente (1,2) . Este modelo es incompleto, carece de estandarización y puede conllevar a malas decisiones y hábitos inadecuados (1) , además de que tiene otras limitaciones, como una mayor duración del procedimiento, dependencia de la población que acepta la realización del estudio por estudiantes y el potencial incremento de los riesgos para el paciente (1) .…”

Section: Enseñanza Tradicional De La Esofagogastroduodenoscopiaunclassified

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Current Approach to Training and Assessing New Generations of Endoscopists

Figueredo Peña,

Rincón Sánchez

2024

Rev. colomb. Gastroenterol.

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La esofagogastroduodenoscopia (EGD) es un estudio diagnóstico y terapéutico para diferentes enfermedades del tracto gastrointestinal superior, que hace parte fundamental de la formación y el entrenamiento que reciben los fellows en los programas de gastroenterología, y se centra en el desarrollo de capacidades para llevarla a cabo de manera segura, eficaz, eficiente y con un claro dominio de la técnica. Históricamente, se le ha dado un valor fundamental a la cantidad de procedimientos requeridos para la adquisición de las habilidades y existe discrepancia en la recomendación dada por las diferentes sociedades científicas respecto a la cantidad “ideal” para cumplir con las exigencias mínimas y lograr las destrezas necesarias; sin embargo, cada estudiante tiene unas habilidades innatas y desarrolladas diferentes que hacen que ese proceso sea asimétrico en cada caso. La adopción de un enfoque de entrenamiento combinado (observación, práctica clínica y simulación) es el mejor método para aprender EGD diagnóstica, dado que estamos frente a una generación que tiene formas de aprendizaje diferentes a las implementadas tradicionalmente, lo cual implica un proceso de entrenamiento y actualización constante de los endoscopistas que se dedican a la docencia.

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Section: Enseñanza Tradicional De La Esofagogastroduodenoscopiaunclassified

“…zaje en línea, tecnologías digitales y redes sociales (2,6) . Dado lo anterior, se plantea una revisión en la cual se exploran los pilares fundamentales del aprendizaje y se propone una forma integrativa para optimizar los resultados del proceso de formación en EGD.…”

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Current Approach to Training and Assessing New Generations of Endoscopists

Figueredo Peña,

Rincón Sánchez

2024

Rev. colomb. Gastroenterol.

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“…Third, training endoscopies take longer to complete, adding to the already strained availability of the endoscopy suite[5]. Fourth, the feedback given to each trainee depends on the staff endoscopist, and therefore may vary[13,14]. Finally, there is a lack of continuity as the trainees are expected to work with different staff endoscopists, who may not understand the trainee’s level of competence as a whole[8].…”

Section: Endoscopy Trainingmentioning

confidence: 99%

Virtual reality simulation in endoscopy training: Current evidence and future directions

Mahmood

Scaffidi

Khan

et al. 2018

WJG

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Virtual reality simulation is becoming the standard when beginning endoscopic training. It offers various benefits including learning in a low-stakes environment, improvement of patient safety and optimization of valuable endoscopy time. This is a review of the evidence surrounding virtual reality simulation and its efficacy in teaching endoscopic techniques. There have been 21 randomized controlled trials (RCTs) that have investigated virtual reality simulation as a teaching tool in endoscopy. 10 RCTs studied virtual reality in colonoscopy, 3 in flexible sigmoidoscopy, 5 in esophagogastroduodenoscopy, and 3 in endoscopic retrograde cholangiopancreatography. RCTs reported many outcomes including distance advanced in colonoscopy, comprehensive assessment of technical and non-technical skills, and patient comfort. Generally, these RCTs reveal that trainees with virtual reality simulation based learning improve in all of these areas in the beginning of the learning process. Virtual reality simulation was not effective as a replacement of conventional teaching methods. Additionally, feedback was shown to be an essential part of the learning process. Overall, virtual reality endoscopic simulation is emerging as a necessary augment to conventional learning given the ever increasing importance of patient safety and increasingly valuable endoscopy time; although work is still needed to study the nuances surrounding its integration into curriculum.

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“…Double-balloon enteroscopy (DBE) is important for managing small bowel disease [ 1 ]. Different from capsule endoscopy (CE), DBE not only serves as a diagnostic tool but allows for tissue sampling and therapeutic intervention [ 2 , 3 ]. DBE has a real-time image reading mode.…”

Section: Introductionmentioning

confidence: 99%

A newly developed deep learning-based system for automatic detection and classification of small bowel lesions during double-balloon enteroscopy examination

Zhu,

Lyu,

Tao

et al. 2024

BMC Gastroenterol

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Background Double-balloon enteroscopy (DBE) is a standard method for diagnosing and treating small bowel disease. However, DBE may yield false-negative results due to oversight or inexperience. We aim to develop a computer-aided diagnostic (CAD) system for the automatic detection and classification of small bowel abnormalities in DBE. Design and methods A total of 5201 images were collected from Renmin Hospital of Wuhan University to construct a detection model for localizing lesions during DBE, and 3021 images were collected to construct a classification model for classifying lesions into four classes, protruding lesion, diverticulum, erosion & ulcer and angioectasia. The performance of the two models was evaluated using 1318 normal images and 915 abnormal images and 65 videos from independent patients and then compared with that of 8 endoscopists. The standard answer was the expert consensus. Results For the image test set, the detection model achieved a sensitivity of 92% (843/915) and an area under the curve (AUC) of 0.947, and the classification model achieved an accuracy of 86%. For the video test set, the accuracy of the system was significantly better than that of the endoscopists (85% vs. 77 ± 6%, p < 0.01). For the video test set, the proposed system was superior to novices and comparable to experts. Conclusions We established a real-time CAD system for detecting and classifying small bowel lesions in DBE with favourable performance. ENDOANGEL-DBE has the potential to help endoscopists, especially novices, in clinical practice and may reduce the miss rate of small bowel lesions.

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Training in Endoscopy: Esophagogastroduodenoscopy

Cited by 9 publications

References 31 publications

Current Approach to Training and Assessing New Generations of Endoscopists

Current Approach to Training and Assessing New Generations of Endoscopists

Virtual reality simulation in endoscopy training: Current evidence and future directions

A newly developed deep learning-based system for automatic detection and classification of small bowel lesions during double-balloon enteroscopy examination

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