International Session (Panel Discussion)1(JGES)
November 5 (Sat.), 9:20–12:00, Room 8 (Portopia Hotel Main Building Kairaku 2)
Video based supervision for ESD training
- Endoscopy Division, National Cancer Center Hospital
- Department of Gastroenterology and Hepatology, Digestive Disease Institute, Cleveland Clinic
Aims: While porcine model training is commonly used for learning ESD, there are limited Western ESD experts to supervise training. We aimed to assess the value of a video-based remote supervision for ESD training.
Methods: Two Western endoscopists who had no prior experience of ESD performed training procedures in an ex-vivo porcine stomach. A Japanese ESD expert analyzed the training videos, scored them, and gave written feedback for improvement after each training session. Competency was defined as consistent en-bloc resection of 3cm area within 30 minutes, and without perforation.
Results: Endoscopists 1 (attending) and 2 (fellow) reached competency at 23 and 25 procedures, respectively. No difference in skill improvement between the two endoscopists was noted.
Conclusion: Animal training with expert guidance through a remote video-based system is an effective tool for learning ESD in preparation for starting human cases.
As no diagrams are provided here, please refer to each academic journal of structure and member societies.
- Index Term 1: endoscopic submucosal dissection
- Index Term 2: training