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Successful Training in Gastrointestinal Endoscopy provides trainee gastroenterologists with the exact set of skills required to perform endoscopy to the level required by the American Society of Gastrointestinal Endoscopy (ASGE) in order to practice gastroenterology. Gastroenterologists will also find this a useful tool to brush up on their endoscopic skills and to familiarise themselves with new trends in safety and competence while performing endoscopy.With contributions from internationally recognized leaders in endoscopy education, each chapter examines the specific skills sets and procedure related tasks which must be mastered in learning a particular technique. They contain specific descriptions of accessories required, standard training methods for the particular procedure, and optimal utilization of novel learning modalities such as simulators. Quality measures and objective parameters for competency for each procedure are considered, together with available tools for assessing competency once training has been completed.An accompanying DVD includes with the text, annotated high definition video of both actual procedures and ex-vivo animal model simulations to illustrate proper techniques in a step by step fashion and demonstrate common mistakes and improper technique.
Jonathan Cohen, MD, FASGE, is Clinical Professor of Gasteroenterology at New York University Langone Medical Center, and the author of one of the gastroenterology list's most successful books, Comprehensive Atlas of High Definition Endoscopy and Narrowband Imaging.
Table of Contents
List of Contributors, vii
Part I The Evolution of Basic Principles and Practice.
1 Training in Endoscopy: A Historical Background, 3 Jonathan Cohen & David A. Greenwald
2 How Endoscopy is Learned: Deconstructing Skill Sets, 16 Gerald M. Fried & Kevin A. Waschke
3 Training to Become a High-Quality Endoscopist: Mastering the Nonprocedural Aspects, 22 Sahar Ghassemi & Douglas O. Faigel
Part II Training in the Major Endoscopic Procedures.
4 Esophagogastroduodenoscopy (EGD), 31 Lauren B. Gerson & Shai Friedland
5 Colonoscopy, 42 Robert E. Sedlack
6 Endoscopic Ultrasound, 73 Thomas J. Savides & Frank G. Gress
7 ERCP, 85 Joseph Leung & Brian S. Lim
8 Capsule Endoscopy, 97 Felice Schnoll-Sussman & David E. Fleischer
9 Deep Enteroscopy, 109 Patrick I. Okolo & Jonathan M. Buscaglia
10 Choledochoscopy and Pancreatoscopy, 116 Jeffrey H. Lee & Peter Kelsey
11 Principles of Electrosurgery, 125 David L. Carr-Locke & John Day
12 The Use of Fluoroscopy for Gastrointestinal Endoscopy, 135 Douglas G. Adler
13 Pediatric Endoscopy, 143 Michael A. Manfredi & Jenifer R. Lightdale
Part III Training in Specific Techniques.
14 Contrast-Enhanced Endoscopy—Chromo and Optical Contrast Techniques, 159 Anna M. Buchner, Prateek Sharma, & Michael B. Wallace
15 GI Hemostasis, 170 Brian J. Dunkin, Kai Matthes, & Dennis M. Jensen
16 Luminal Dilation Techniques (Strictures, Achalasia, Anastomotic, IBD), 188 Syed M. Abbas Fehmi & Michael L. Kochman
17 Foreign Body Extraction, 197 Gregory A. Cote, Steven A. Edmundowicz, & Sreenivasa S. Jonnalagadda
18 Endoscopic Mucosal Resection and Endoscopic Submucosal Dissection, 204 Juergen Hochberger, Elena Kruse, Detlev Menke, Edris Wedi, SongSa Dammer, Peter Koehler, & Karl-Friedrich Buerrig
19 Mucosal Ablation Techniques, 237 John A. Dumot, Bruce D. Greenwald, & Virender K. Sharma
20 Complicated Polypectomy, 246 Jerome D. Waye & Yasushi Sano
21 Natural Orifice Translumenal Endoscopic Surgery (NOTES R ), 261 Kai Matthes, Mark A. Gromski, & Robert Hawes
22 Bariatric Endoscopy, 270 Sohail N. Shaikh, Marvin Ryou, & Christopher C. Thompson
23 Repair of Mucosal Defects: A Primer on Endoscopic Closure of Gastrointestinal Perforations, 282 Gottumukkla S. Raju
24 Esophageal, Gastroduodenal and Colorectal Stenting, 288 Peter D. Siersema
25 ERCP Management of Complicated Stone Disease of the Bile Duct and Pancreas, 300 Nithin Karanth, Jonathan Cohen, & Gregory B. Haber
26 ERCP Management of Malignancy: Tissue Sampling, Metal Stent Placement and Ampullectomy, 313 Douglas A. Howell
27 Sphincter of Oddi Manometry, 324 Evan L. Fogel, Stuart Sherman, & Glen A. Lehman
28 Pseudocyst Management, 332 Michael J. Levy & Todd H. Baron
29 Enteral Access Techniques: Percutaneous Endoscopic Gastrostomy and Jejunostomy, 341 James A. DiSario
30 The Endoscopic Management of Immediate Complications of Therapeutic Endoscopy, 351 David A. Greenwald & Martin L. Freeman
Part IV Challenges for the Future.
31 Assessing Manpower Needs in Gastroenterology and Digestive Endoscopy: Lessons from the Past and Implications for the Future of Endoscopic Training, 359 Girish Mishra & Alan Barkun
32 Providing Resources and Opportunities for Retraining for Practicing Endoscopists, 367 John L. Petrini
33 Evolving Role of GI Societies and Industry in Training Endoscopists to Perform New Techniques: Supporting the Process and Setting the Standards, 372 John A. Martin & Christopher J. Gostout
34 The Importance of Skills Assessment and Recording Personal Outcomes in the Future of Training, 380 Peter B. Cotton & Roland M. Valori