Development of a novel and simple ex vivo biologic ERCP training model

Velázquez‐Aviña, Jacobo; Sobrino-Cossío, Sergio; Chávez-Vargas, Carlos; Sulbaran, Marianny; Mönkemüller, Klaus

doi:10.1016/j.gie.2014.07.061

Cited by 15 publications

(14 citation statements)

References 15 publications

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“…The ASGE has indicated that until a beginner is able to carry out ERCP alone, training should include approximately 200 ERCP including 40 EST procedures, and 10 stent placements . In addition to hands‐on training with an instructor, various useful models for EST training have recently been developed …”

Section: Indicationsmentioning

confidence: 99%

“…24 In addition to hands-on training with an instructor, various useful models for EST training have recently been developed. [25][26][27] Freemann et al reported that in high-volume centers where staff practitioners carry out EST on average more than once per week each, the incidences of post-EST bleeding (1.1% vs 2.9%, P = 0.002), severe complications (0.9% vs 2.3%, P = 0.01), and overall complications (8.4% vs 11.1%, P = 0.03) were significantly lower than in other institutions. 9 TECHNIQUES Statement 2-1: As has already been used widely, high-frequency devices with automatic control function are recommended for EST in routine clinical practice Strength of recommendation: 1, evidence level: B Delphi scores: median = 9, lowest = 7, highest = 9…”

Section: Introductionmentioning

confidence: 99%

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Japan Gastroenterological Endoscopy Society guidelines for endoscopic sphincterotomy

Ryozawa

Itoi

Katanuma

et al. 2018

Digestive Endoscopy

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The Japan Gastroenterological Endoscopy Society (JGES) has recently compiled guidelines for endoscopic sphincterotomy (EST) using evidence-based methods. Content regarding actual clinical practice, including detailed endoscopic procedures, instruments, device types and usage, has already been published by the JGES postgraduate education committee in May 2015 and, thus, in these guidelines we avoided duplicating such content as much as possible. The guidelines do not address pancreatic sphincterotomy, endoscopic papillary balloon dilation (EPBD), and endoscopic papillary large balloon dilation (EPLBD). The guidelines for EPLBD are planned to be developed separately. The evidence level in this field is often low and, in many instances, strong recommendation has to be determined on the basis of expert consensus. At this point in time, the guidelines are divided into six items including indications, techniques, specific cases, adverse events, outcomes, and postoperative follow up.

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Section: Indicationsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Japan Gastroenterological Endoscopy Society guidelines for endoscopic sphincterotomy

Ryozawa

Itoi

Katanuma

et al. 2018

Digestive Endoscopy

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show abstract

“…ASGE has stated that until a beginner is able to perform ERCP alone, training should include approximately 200 ERCPs including 40 EST procedures and 10 stent placements . In addition to hands‐on training with an instructor, various useful models for EST training have been recently developed …”

Section: Indicationsmentioning

confidence: 99%

“…23 In addition to hands-on training with an instructor, various useful models for EST training have been recently developed. [24][25][26] PROCEDURES Statement 2-1: EPLBD following EST improves the stone removal rate in the first session, and it might reduce the frequency of mechanical lithotripsy usage Strength of recommendation: 2, evidence level: C Delphi scores: median = 9, lowest = 8, highest = 9 E NDOSCOPIC PAPILLARY LARGE balloon dilation was reported in 2003 as a procedure for obtaining a large bile duct aperture using a large balloon following EST. 10 In 2009, a simplified method for the procedure was reported whereby EST is not performed, and the papilla is dilated using a large balloon only.…”

Section: Indicationsmentioning

confidence: 99%

Japan Gastroenterological Endoscopy Society guidelines for endoscopic papillary large balloon dilation

Itoi

Ryozawa

Katanuma

et al. 2018

Digestive Endoscopy

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The Japan Gastroenterological Endoscopy Society has developed the 'EPLBD Clinical Practice Guidelines' as fundamental guidelines based on new scientific techniques. EPLBD is a treatment method that has recently become widely used for choledocolithiasis. The evidence level in this field is usually low, and in many instances, the recommendation grading has to be determined on the basis of expert consensus. At this point, the guidelines are divided into the following six sections according to the 'EST Clinical Practice Guidelines': (i) Indications, (ii) procedures, (iii) special cases, (iv) procedure-related adverse events, (v) treatment outcomes, and (vi) postoperative follow up observation.

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“…Due to these difficulties, some authors have developed models using chicken´s heart to simulate the duodenal papilla (neo papilla) 5 , 6 , 7 . But this model takes a long time to prepare, because the papilla (chicken hearts) is sutured into the porcine stomach 6 .…”

Section: Discussionmentioning

confidence: 99%

An Innovative Ex-Vivo Model for Rapid Change of the Papilla for Teaching Advanced Endoscopic Retrograde Cholangiopancreatography Procedures

Artifon

Nakadomari²,

Kashiwagui³

et al. 2016

ABCD, arq. bras. cir. dig.

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Background: Models for endoscopic retrograde cholangiopancreatography training allow practice with an expert feedback and without risks. A method to rapidly exchange the papilla can be time saving and accelerate the learning curve. Aim: To demonstrate a newly method of rapid exchange papilla in ex-vivo models to teach retrograde cholangiopancreatography advanced procedures. Methods: A new model of ex-vivo papilla was developed in order to resemble live conditions of procedures as cannulation, papilotomy or fistula-papilotomy, papiloplasty, biliary dilatation, plastic and metallic stentings. Results: The ex-vivo model of papilla rapid exchange is feasible and imitates with realism conditions of retrograde cholangiopancreatography procedures. Conclusion: This model allows an innovative method of advanced endoscopic training.

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Development of a novel and simple ex vivo biologic ERCP training model

Cited by 15 publications

References 15 publications

Japan Gastroenterological Endoscopy Society guidelines for endoscopic sphincterotomy

Japan Gastroenterological Endoscopy Society guidelines for endoscopic sphincterotomy

Japan Gastroenterological Endoscopy Society guidelines for endoscopic papillary large balloon dilation

An Innovative Ex-Vivo Model for Rapid Change of the Papilla for Teaching Advanced Endoscopic Retrograde Cholangiopancreatography Procedures

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