Development of a Novel Esophageal Stricture Simulation

Abstract

The novel esophageal stricture simulation had good face validity and has been shown to improve performance when used for training in balloon-dilatation technique. Its use allows practice without risk to patients or the need for animal cadavers.

A Simulation Study to Investigate the Usefulness of a Novel Stricture Tool for Training Wire Guided Balloon Dilation

“…There are only few reports in literature of the use of simulation for training esophageal dilation technique. 7,8 All the trainees had rated excellent in hands-on training on balloon dilation on simulation device. The simulation device is also cheap, reproducible, and does not involve animal tissue.…”

“…There are only few reports in literature of the use of simulation for training esophageal dilation technique. 7 8…”

“…5 Esophageal dilation is associated with overall perforation rate of 2.8% (2% in benign strictures and 4.3% in malignant strictures) with 0.7% of mortality. 6 7…”

“…A tourniquet inflated around the outside of the esophagus on a mechanical model (OGI Phantom AC4, Adam, Rouilly Ltd., Sittingbourne, Kent, United Kingdom) or use of paper cylinder, and foam filler did not produce a realistic simulation due to poor deformability of the stricture. 7 The use of stricture simulation for practicing controlled radial expansion (CRE) balloon can improve the technical skills of the trainee without harm to the patient.…”

Design and validation of a cost-effective physical endoscopic simulator for fundamentals of endoscopic surgery training

“…Relevant research has shown us that simulation training, can increase patient safety [2,3], can establish technical proficiency [4,5], can recreate high-risk and high-stress scenarios such as massive colon bleeding [6][7][8], and can allow trainees a more effective learning experience at the bedside with real procedures [8,9].…”