Clinical Endoscopy

Original Article

Development and preliminary evaluation of a novel low-cost endoscopic retrograde cholangiopancreatography simulator with electrocautery training capability: a proof-of-concept study from India: Avinash Tiwari, Duncan Khanikar; Received November 22, 2025 Accepted January 17, 2026 Published online August 13, 2026; DOI: https://doi.org/10.5946/ce.2025.438 [Epub ahead of print]

Graphical Abstract Abstract PDF Supplementary Material: Background
/Aims: Endoscopic retrograde cholangiopancreatography (ERCP) requires extensive training, with around 350–400 supervised cases being required for proficiency. Existing simulators face costs, limited availability, and limited realism. Therefore, we developed and preliminarily evaluated a minimal ERCP training model that incorporated electrocautery capabilities.
Methods
A five-phase development process was employed, including needs assessment, iterative prototyping with material optimization, technical performance testing across 50 training sessions, comparative analysis against existing simulators, and preliminary expert evaluation by eight experienced endoscopists (mean ERCP experience: 12.3±4.2 years). The primary outcomes included verification of functional capability, cost analysis, durability assessment, and expert ratings on 5-point Likert scales for realism and educational value.
Results
The simulator successfully achieved biliary cannulation in 48/50 sessions (96.0%), supported needle knife precut training with functional electrocautery, and demonstrated compatibility with C-arm fluoroscopy, providing adequate contrast visualization. The total material cost per unit was 47.32 United States dollars (USD), compared to 180,000–250,000 USD for commercial virtual reality simulators. The model withstood 50 sessions without structural failure (onion bulb replacement was required every 8.2±1.4 precut attempts). Expert ratings indicated high scores for anatomical realism (4.1±0.6), tactile feedback (3.9±0.7), and educational value (4.4±0.5).
Conclusion
This novel, low-cost ERCP simulator demonstrated technical feasibility and face validity. This proof-of-concept requires formal prospective validation studies to establish construct validity, concurrent validity, and educational effectiveness through trainee learning outcomes before conclusions regarding the impact on clinical training can be drawn. The innovation addresses significant accessibility barriers but represents preliminary evidence that requires formal educational validation.

263 View
12 Download

Reviews

Current status of gastrointestinal endoscopy in Thailand: Tanyaporn Chantarojanasiri, Wiriyaporn Ridtitid, Nonthalee Pausawasdi; Received July 13, 2025 Accepted October 26, 2025 Published online December 19, 2025; DOI: https://doi.org/10.5946/ce.2025.230 [Epub ahead of print]

Abstract PDF: The Thai Association for Gastrointestinal Endoscopy (TAGE) has played a pivotal role in advancing gastrointestinal (GI) endoscopy in Thailand through its strategic focus on clinical services, education, and research. Since its establishment in 2005, TAGE has united gastroenterologists and surgeons, helping standardize endoscopic practices across the country. Through national training programs, clinical guideline development, hands-on workshops, and international collaborations, TAGE has elevated the quality and accessibility of endoscopic care. Despite challenges such as workforce shortages and the uneven distribution of services, particularly in rural areas, TAGE continues to address these gaps through outreach training, model development, and regional research initiatives. Society leadership in cholangiocarcinoma management, advanced endoscopy, and educational model innovation reflects its commitment to improving outcomes and establishing Thailand as a regional hub for GI endoscopy.

3,541 View
273 Download

Advancing colonoscopy training: tailored strategies and simulation-based models for skill mastery: Nilanga Nishad, Malith Nandasena, Andreas Hadjinicolaou, Mo Hameed Thoufeeq; Clin Endosc 2025;58(6):808-816. Published online June 9, 2025; DOI: https://doi.org/10.5946/ce.2025.019

Abstract PDF: Effective endoscopy training begins by assessing the trainee’s experience and identifying their skill level: beginners, learners, independent practitioners, or experts. Beginners focus on basic tasks, such as cecal intubation, while advanced trainees refine efficiency and complex techniques. Training prioritizes conscious competence through deliberate practice, reflection, and verbalizing actions; this enhances mindfulness and procedural expertise. Clear communication, standardized terminology, and constructive feedback ensure safety, confidence, and skill retention. SMART objectives—specific, measurable, achievable, relevant, and timely—help structure sessions for skill development and mastery. Simulation-based models support training at all the levels. Beginners benefit from cost-effective low-fidelity bench models and virtual reality (VR) simulators, which offer realistic tactile feedback and customizable scenarios. Studies have shown that both low- and high-fidelity models can effectively teach basic skills, although VR is preferred for foundational training. Advanced trainees utilize animal-based models for therapeutic interventions, three-dimensional printed models for pathology-specific practice, and hybrid models that combine VR and physical elements for enhanced realism. Augmented reality and haptic feedback systems refine advanced skills, but face developmental and cost challenges. Mentored live patient models excel in real-world decision-making, but raise ethical concerns. Training is tailored to individual needs, and competency-based training ensures mastery at each stage, from beginners to advanced practitioners.

4,435 View
279 Download

Core curriculum for sedation in gastrointestinal endoscopy with a focus on practice: a proposal from the Korean Society of Gastrointestinal Endoscopy: Hong Sub Lee, Yun Jeong Lim, Jong-Jae Park, Endoscopic Sedation Committee of Korean Society of Gastrointestinal Endoscopy; Clin Endosc 2025;58(2):218-224. Published online March 10, 2025; DOI: https://doi.org/10.5946/ce.2024.215

Abstract PDF

Ideal sedation education for gastrointestinal endoscopy should encompass all medications used in sedation therapy, and facilitate appropriate application in clinical practice by combining theoretical and practical education according to each country’s situation. The educational goals for endoscopic sedation in Korea have already been announced, and theoretical training is regularly conducted by the Korean Society of Gastrointestinal Endoscopy (KSGE). However, no official core curriculum for sedation during gastrointestinal endoscopy exists in Korea. Therefore, a practical curriculum aligned with Korea’s clinical context should be developed. The Endoscopic Sedation Committee of KSGE has identified these challenges and proposed a core curriculum for sedation during endoscopy. Firstly, in terms of theory, it would be beneficial to maintain current education. Secondly, since practical training is still lacking, it would be beneficial to have practical hands-on training. To accomplish this, each simulation center should provide basic practical training such as airway maintenance and advanced teamwork skills. This review presents a detailed curriculum for safe sedation in gastrointestinal endoscopy, developed based on Korea’s specific needs and supported by current literature.

Citations

Citations to this article as recorded by

Risk factors for suspected infectious fever after diagnostic upper endoscopy: propofol overdose in a retrospective study from Korea
Sunmin Lee, Jung-Hwan Lee, Jongbeom Shin, Boram Cha, Ji-Taek Hong, Kye Sook Kwon
Clinical Endoscopy.2025; 58(5): 703. CrossRef

4,743 View
191 Download
1 Web of Science
1 Crossref

Original Articles

Effectiveness of a novel ex vivo training model for gastric endoscopic submucosal dissection training: a prospective observational study conducted at a single center in Japan: Takahito Toba, Tsuyoshi Ishii, Nobuyuki Sato, Akira Nogami, Aya Hojo, Ryo Shimizu, Ai Fujimoto, Takahisa Matsuda; Clin Endosc 2025;58(1):94-101. Published online November 4, 2024; DOI: https://doi.org/10.5946/ce.2024.108

Graphical Abstract Abstract PDF

Background
/Aims: The efficacy of endoscopic submucosal dissection (ESD) for early-stage gastric cancer is well established. However, its acquisition is challenging owing to its complexity. In Japan, G-Master is a novel ex vivo gastric ESD training model. The effectiveness of training using G-Master is unknown. This study evaluated the efficacy of gastric ESD training using the G-Master to evaluate trainees’ learning curves and performance.
Methods
Four trainees completed 30 ESD training sessions using the G-Master, and procedure time, resection area, resection completion, en-bloc resection requirement, and perforation occurrence were measured. Resection speed was the primary endpoint, and learning curves were evaluated using the Cumulative Sum (CUSUM) method.
Results
All trainees completed the resection and en-bloc resection of the lesion without any intraoperative perforations. The learning curves covered three phases: initial growth, plateau, and late growth. The transition from phase 1 to phase 2 required a median of 10 sessions. Each trainee completed 30 training sessions in approximately 4 months.
Conclusions
Gastric ESD training using the G-Master is a simple, fast, and effective method for pre-ESD training in clinical practice. It is recommended that at least 10 training sessions be conducted.

Citations

Citations to this article as recorded by

Efficacy of next-generation endoscopy training simulator in improving international trainee endoscopic submucosal dissection skills
Takeshi Uozumi, Seiichiro Abe, Reona Kawamura, Yasuhiko Mizuguchi, Ryoji Ichijima, Satoru Nonaka, Haruhisa Suzuki, Yutaka Saito
Endoscopy International Open.2026;[Epub] CrossRef
Feasibility of Duodenal Endoscopic Submucosal Dissection Training Using Thiel-Embalmed Cadavers
Keiichi Hashiguchi, Maiko Tabuchi, Yuko Akazawa, Hiroko Inomata-Kawasaki, Junya Shiota, Taro Akashi, Moto Kitayama, Kayoko Matsushima, Naoyuki Yamaguchi, Ken Ohnita, Kazunobu Saiki, Keiko Ogami-Takamura, Hisamitsu Miyaaki
Endoscopy International Open.2026;[Epub] CrossRef
Meaningful progress towards a high-fidelity endoscopic submucosal dissection training simulator model
Gin Hyug Lee, So Young Byun
Clinical Endoscopy.2025; 58(1): 77. CrossRef
Beyond the scope: unveiling the future of digestive endoscopy through experimental models
Federico Soria Gálvez
Revista Española de Enfermedades Digestivas.2025;[Epub] CrossRef

4,875 View
178 Download
4 Web of Science
4 Crossref

Development of colonic stent simulator using three-dimensional printing technique: a simulator development study in Korea: Hyundam Gu, Suyoung Lee, Sol Kim, Hye-Lim Jang, Da-Woon Choi, Kyu Seok Kim, Yu Ri Shin, Dae Young Cheung, Bo-In Lee, Jin Il Kim, Han Hee Lee; Clin Endosc 2024;57(6):790-797. Published online September 23, 2024; DOI: https://doi.org/10.5946/ce.2024.110

Graphical Abstract Abstract PDF Supplementary Material

Background
/Aims: Colonic stenting plays a vital role in the management of acute malignant colonic obstruction. The increasing use of self-expandable metal stents (SEMS) and the diverse challenges posed by colonic obstruction at various locations underscore the importance of effective training for colonic stent placement.
Methods
All the components of the simulator were manufactured using silicone molding techniques in conjunction with three-dimensional (3D) printing. 3D images sourced from computed tomography scans and colonoscopy images were converted into a stereolithography format. Acrylonitrile butadiene styrene copolymers have been used in fused deposition modeling to produce moldings.
Results
The simulator replicated the large intestine from the rectum to the cecum, mimicking the texture and shape of the human colon. It enables training for colonoscopy insertion, cecum intubation, loop reduction, and stenting within stenotic areas. Interchangeable stenotic modules for four sites (rectum, sigmoid colon, descending colon, and ascending colon) were easily assembled for training. These modules integrate tumor contours and blood vessel structures with a translucent center, allowing real-time visualization during stenting. Successful and repeatable demonstrations of stent insertion and expansion using the reusable SEMS were consistently achieved.
Conclusions
This innovative simulator offers a secure colonic stenting practice across various locations, potentially enhancing clinical outcomes by improving operator proficiency during actual procedures.

Citations

Citations to this article as recorded by

3D Printing in Gastroenterology
Jack T. Gardner, Steve P. Bensen
Journal of Clinical Gastroenterology.2026; 60(1): 28. CrossRef
Novel minimally invasive strategies for achieving source control in intra-abdominal infections
Clayton Wyland, Desmond Zeng, Robert G. Sawyer
Current Opinion in Critical Care.2025; 31(2): 228. CrossRef
Comments on ‘Development of colonic stent simulator using three-dimensional printing technique: a simulator development study in Korea’
Dae Jin Jung, Gwang Ha Kim
Clinical Endoscopy.2025; 58(2): 334. CrossRef
Three-Dimensional-Printed Gastrointestinal Tract Models for Surgical Planning and Medical Education: A Systematic Review
Jing Lei, Lisa B. G. Tee, Krish Ragunath, Zhonghua Sun
Applied Sciences.2025; 15(13): 7384. CrossRef

8,388 View
223 Download
4 Web of Science
4 Crossref

Usefulness of a new polyvinyl alcohol hydrogel (PVA-H)-based simulator for endoscopic submucosal dissection training: a pilot study: Dong Seok Lee, Gin Hyug Lee, Sang Gyun Kim, Kook Lae Lee, Ji Won Kim, Ji Bong Jeong, Yong Jin Jung, Hyoun Woo Kang; Clin Endosc 2023;56(5):604-612. Published online May 18, 2023; DOI: https://doi.org/10.5946/ce.2022.163

Graphical Abstract Abstract PDF

Background
/Aims: We developed a new endoscopic submucosal dissection (ESD) simulator and evaluated its efficacy and realism for use training endoscopists.
Methods
An ESD simulator was constructed using polyvinyl alcohol hydrogel sheets and compared to a previous ESD simulator. Between March 1, 2020, and December 30, 2021, eight expert endoscopists from three different centers analyzed the procedure-related factors of the simulator. Five trainees performed gastric ESD exercises under the guidance of these experts.
Results
Although the two ESD simulators provided overall favorable outcomes in terms of ESD-related factors, the new simulator had several benefits, including better marking of the target lesion’s limits (p<0.001) and overall handling (p<0.001). Trainees tested the usefulness of the new ESD simulator. The complete resection rate improved after 3 ESD training sessions (9 procedures), and the perforation rate decreased after 4 sessions (12 procedures).
Conclusions
We have developed a new ESD simulator that can help beginners achieve a high level of technical experience before performing real-time ESD procedures in patients.

Citations

Citations to this article as recorded by

The Current Landscape of Endoscopic Submucosal Training in the United States
Mike T. Wei, Shai Friedland, Joo Ha Hwang
Current Gastroenterology Reports.2025;[Epub] CrossRef
Meaningful progress towards a high-fidelity endoscopic submucosal dissection training simulator model
Gin Hyug Lee, So Young Byun
Clinical Endoscopy.2025; 58(1): 77. CrossRef
Simulators and training models for diagnostic and therapeutic gastrointestinal endoscopy: European Society of Gastrointestinal Endoscopy (ESGE) Technical and Technology Review
Chiara Coluccio, Jérémie Jacques, Istvan Hritz, Ivo Boskoski, Mohamed Abdelrahim, Vincenzo Bove, João A. Cunha Neves, Pieter J. F. de Jonge, Giuseppe Dell’Anna, Gianluca Esposito, Antonio Facciorusso, Rodica Gincul, Paolo Giuffrida, Rakesh Kalapala, Chris
Endoscopy.2025; 57(07): 796. CrossRef
Does development of submucosal dissection models influence quality of training? Comparison of existing models
Clara Yzet, Jérémie Jacques, Pierre Lafeuille, Jérémie Albouys, Jean-Baptiste Chevaux, Emmanuel Coron, Stanislas Chaussade, Sarah Leblanc, Vincent Lepilliez, Thimothee Wallenhorst, Thierry Ponchon, Jérôme Rivory, Romain Legros, Michel Lefranc, Marion Scha
Endoscopy International Open.2025;[Epub] CrossRef
A novel model of dual-network composite hydrogels for application in endoscopic submucosal dissection
Fei Zhao, YunFang Bai, JunJie Wu, ZhiHao Zhu, JinLei Mao, Aikebaier Aili, HongRun Gu, ShiJie Yu, ZhiFei Wang
BMC Gastroenterology.2025;[Epub] CrossRef
There is no royal road: a shortcut for endoscopic submucosal dissection training
Seong Woo Jeon
Clinical Endoscopy.2023; 56(5): 590. CrossRef

6,341 View
149 Download
6 Web of Science
6 Crossref

Reviews

Quality indicators in endoscopic retrograde cholangiopancreatography: a brief review of established guidelines: Zubin Dev Sharma, Rajesh Puri; Clin Endosc 2023;56(3):290-297. Published online April 11, 2023; DOI: https://doi.org/10.5946/ce.2022.210

Abstract PDF

Endoscopic retrograde cholangiopancreatography (ERCP) is an invasive endoscopic technique that has many diagnostic and therapeutic implications. It is a procedure with small but significant life-threatening complications. To ensure the best possible care, minimize complications, and improve the quality of health care, a constant review of the performance of the operator using ideal benchmark standards is needed. Hence, quality indicators are necessary. The American and European Societies of Gastrointestinal Endoscopy have provided guidelines on quality measures for ERCP, which describe the skills to be developed and training to be implemented in performing quality ERCP. These guidelines have divided the indicators into pre-procedure, intraprocedural, and post-procedure measures. The focus of this article was to review the quality indicators of ERCP.

Citations

Citations to this article as recorded by

Safety and efficacy of ERCP using standard duodenoscopes in pediatric patients with choledocholithiasis: A retrospective study
Berk Baş, Ömer Küçükdemirci, Müge Ustaoğlu, Ahmet Bektaş
Medicine.2026; 105(19): e48707. CrossRef
Radiation-based indicators for ERCP quality evaluation
Grecia C. Celis-Valenzuela, Raúl A. Jiménez-Castillo, Luis A. González-Torres, Aldo A. Garza-Galindo, José A. González-González, Héctor J. Maldonado-Garza, Joel O. Jaquez-Quintana
Gastroenterología y Hepatología.2026; : 502770. CrossRef
Quality Control indicators for Endoscopy’s success evaluation
Flávio Ribeiro, Tiago Jesus, Diogo Rodrigues, Mónica Martins, André Ferreira, Mariana Ribeiro, Daniel Sá, Manuel Santos, Alda João Andrade, Luis Lopes, Victor Alves
Procedia Computer Science.2026; 280: 1181. CrossRef
Endoscopic Retrograde Cholangiopancreatography in an Australian Rural Centre: Outcomes and Benchmark‐Comparable Performance
Xiang Yuen Po, Matthew Shears
ANZ Journal of Surgery.2026;[Epub] CrossRef
Endoscopic retrograde cholangiopancreatography training conditions, results from a pan‐European survey: Between vision and reality
Karim Hamesch, Oscar Cahyadi, Stavros Dimitriadis, Marcus Hollenbach, Pilar Acedo, Myriam Ayari, Helena Dauvarte, Egle Dieninyte, Viktor Domislovic, Ana Dugic, Martin Ďuriček, Omar Elshaarawy, Anne Fennessy, Mark Enrik Geissler, Zornitsa Gorcheva, Amer Ha
United European Gastroenterology Journal.2025; 13(3): 474. CrossRef
Endoscopic retrograde cholangiopancreatography training using a silicone simulator fabricated using a 3D printing technique (with videos)
Suk Pyo Shin, Kyong Joo Lee, Min Je Sung, Jong Chan Kim, Guk Bae Kim, Moo Yeop Kim, Sung Yong Han, Sung Ill Jang, Mamoru Takenaka, Chang-Il Kwon
Scientific Reports.2025;[Epub] CrossRef
How to measure quality in ERCP?
Franco Ana Rita, Arvanitakis Marianna, Teles de Campos Sara
Best Practice & Research Clinical Gastroenterology.2025; 76: 101999. CrossRef
Percutaneous transhepatic biliary drainage versus endoscopic ultrasound-guided biliary drainage with intended primary metal stent for malignant distal biliary obstruction: a European prospective controlled multicentre trial (PUMa trial)
D Schmitz, J B Gornals, J J Vila, A Schmidt, T Kleemann, J R Aparicio, A Amanzada, M Dollhopf, E Redondo-Cerezo, J Weigt, T Voigtländer, T von Hahn, J Rudi, C V Tortosa, A Küllmer, M Perez-Miranda
Endoscopy.2025; 57(S 02): S6. CrossRef
Development of a Checklist for Evaluating Pancreatobiliary Endoscopy Training Facilities and Educational Programs
Hyung Ku Chon, Sung-Jo Bang, Eaum Seok Lee, Tae Ju Jeon, Chang Hwan Park
The Korean Journal of Pancreas and Biliary Tract.2025; 30(2): 93. CrossRef
The utility of endoscopic ultrasound in detecting missed common bile duct stones
Mahmoud Farouk, Mona Kaddah, Hussein H. Okasha, Katarzyna M. Pawlak, Gaurav Muktesh, Petko Karagyozov, Michał Żorniak, Mohammed Tag-Adeen, Elsayed Ghoneem, Rasha M.M. Ahmed, Mahmoud Alansary, Khaled Ragab, Ramy El-Hendawy, Adnan A. Mohamed
Al-Azhar Assiut Medical Journal.2025; 23(2): 317. CrossRef
The effect of clinical ERCP experience using a virtual reality simulator and salivary biochemical stress markers
Nikola Boyanov, Konstantinos Georgiou, Tanya Deneva, Katina Shtereva, Katerina Madzharova, Gabriel Sandblom, Lars Enochsson
Scandinavian Journal of Surgery.2025; 114(4): 453. CrossRef
Diagnostic Accuracy of Cholangioscopy in the Investigation of Indeterminate Biliary Strictures: A Retrospective Study of a High Volume Endoscopic Retrograde Cholangiopancreatography Center
Henrique Coelho, Fábio Correia, Mariana Cardoso, Gonçalo Alexandrino, Luís Lourenço, David Horta, Jorge Canena
GE - Portuguese Journal of Gastroenterology.2025; : 1. CrossRef
Advancements in Research on Challenges in Selective Biliary Cannulation during Endoscopic Retrograde Cholangiopancreatography (ERCP)
天雨张
Journal of Clinical Personalized Medicine.2024; 03(01): 100. CrossRef
Development of an Automated Endoscopic Retrograde Cholangiopancreatography Quality Report Card Using an Integrated Analytics Suite
Anmol Singh, Eric Swei, Celestina Tolosa, Matthew Alverson, Todd A. Brenner, Avleen Kaur, Aida Metri, Mohammed Rifat Shaik, Nikhil Bush, Branislav Bujnak, Alexandra T. Strauss, Mouen Khashab, Eun Ji Shin, Vikesh K. Singh, Venkata S. Akshintala
Techniques and Innovations in Gastrointestinal Endoscopy.2024; 26(3): 230. CrossRef
Validity of a virtual reality endoscopic retrograde cholangiopancreatography simulator: can it distinguish experts from novices?
Konstantinos Georgiou, Nikola Boyanov, Pantelis Antonakis, Dimitrios Thanasas, Gabriel Sandblom, Lars Enochsson
Frontiers in Surgery.2023;[Epub] CrossRef

9,311 View
360 Download
10 Web of Science
15 Crossref

Simulator-based training method in gastrointestinal endoscopy training and currently available simulators: Yuri Kim, Jeong Hoon Lee, Gin Hyug Lee, Ga Hee Kim, Gunn Huh, Seung Wook Hong, Hwoon-Yong Jung; Clin Endosc 2023;56(1):1-13. Published online January 6, 2023; DOI: https://doi.org/10.5946/ce.2022.191

Abstract PDF

The apprenticeship-based training method (ABTM) is highly effective for gastrointestinal (GI) endoscopic training. However, the conventional ABTM has significant issues. Although many supplementary training methods (TMs) have been developed and utilized, they cannot entirely replace the ABTM, which remains the major TM strategy. Currently, new TM construction is crucial and necessary due to financial constraints, difficulty of obtaining sufficient training time due to patient safety-related regulations, and catastrophic damage caused by disasters such as the coronavirus disease 2019 pandemic. The simulator-based TM (SBTM) is widely accepted as an alternative to the ABTM, owing to the SBTM’s advantages. Since the 1960s, many GI endoscopy training simulators have been developed and numerous studies have been published on their effectiveness. While previous studies have focused on the simulator’s validity, this review focused on the accessibility of simulators that were introduced by the end of 2021. Although the current SBTM is effective in GI endoscopic education, extensive improvements are needed to replace the ABTM. Incorporating simulator-incorporated TMs into an improved ABTM is an attempt to overcome the incompleteness of the current SBTM. Until a new simulator is developed to replace the ABTM, it is desirable to operate a simulator-integrated and well-coordinated TM that is suitable for each country and institution.

Citations

Citations to this article as recorded by

Effectiveness of Simulation‐based Training on Emergency Response Knowledge Among Inter‐Professional Staff Involved in Gastrointestinal Endoscopic Practice
Mitsuru Otsuka, Tsunetaka Kato, Takuto Hikichi, Jun Nakamura, Takumi Yanagita, Eisuke Kameoka, Daiki Nemoto, Rei Suzuki, Mitsuru Sugimoto, Hiroyuki Asama, Hiroshi Shimizu, Kento Osawa, Rei Ohira, Keisuke Kudo, Masao Kobayakawa, Hiromasa Ohira
DEN Open.2027;[Epub] CrossRef
A Soft-Robotic Biomimetic Benchtop Model for Esophageal Motility Simulation
Seán Kilroy, Neelesh A. Patankar, Walter W. Chan, Giovanni Traverso, Eoin D. O’Cearbhaill
Nature Communications.2026;[Epub] CrossRef
A Pilot Randomized Cross-Over Trial Focused on Colonoscopy Skill Acquisition Using High Fidelity Versus Low Fidelity Simulators in Nigeria
Olusegun Alatise, Alex Doyle, Tajudeen Mohammed, Olujide Arije, Funmilola Wuraola, Oluwaseyi Olanrewaju, Israel Owoade, Matthew O. Bojuwoye, Rivka Kahn, Cristina Olcesse, Jason Esdaille, Sahle Griffith, Gregory Knapp, Richard Spence, Titilayo Ojumu, T. Pe
Journal of Surgical Education.2026; 83(6): 103932. CrossRef
Training in diagnostic and interventional endoscopic ultrasound: a state-of-the-art review
Giulia Palumbo, Gianenrico Rizzatti, Fabrizio Termite, Andrea Tringali, Giulia Tripodi, Ivo Boskoski, Cristiano Spada
Expert Review of Gastroenterology & Hepatology.2026; 20(5): 449. CrossRef
Simulation in Endoscopy
Abraham Z. Cheloff, Seth A. Gross, Suraj Pai, Sheryl A. Pfeil
Gastrointestinal Endoscopy Clinics of North America.2026; 36(3): 537. CrossRef
A Hybrid Sensor-Based Colonoscopy Training System for Real-Time Loop Detection and Force Feedback
Hang-Ling Wu, Isra Elsaadany, Scarlett Miller, Jason Moore
Journal of Medical Devices.2026;[Epub] CrossRef
Meaningful progress towards a high-fidelity endoscopic submucosal dissection training simulator model
Gin Hyug Lee, So Young Byun
Clinical Endoscopy.2025; 58(1): 77. CrossRef
Effects of a training system that tracks the operator’s gaze pattern during endoscopic submucosal dissection on hemostasis
Takao Tonishi, Fumiaki Ishibashi, Kosuke Okusa, Kentaro Mochida, Sho Suzuki
World Journal of Gastrointestinal Endoscopy.2025;[Epub] CrossRef
Comments on ‘Development of colonic stent simulator using three-dimensional printing technique: a simulator development study in Korea’
Dae Jin Jung, Gwang Ha Kim
Clinical Endoscopy.2025; 58(2): 334. CrossRef
Simulators and training models for diagnostic and therapeutic gastrointestinal endoscopy: European Society of Gastrointestinal Endoscopy (ESGE) Technical and Technology Review
Chiara Coluccio, Jérémie Jacques, Istvan Hritz, Ivo Boskoski, Mohamed Abdelrahim, Vincenzo Bove, João A. Cunha Neves, Pieter J. F. de Jonge, Giuseppe Dell’Anna, Gianluca Esposito, Antonio Facciorusso, Rodica Gincul, Paolo Giuffrida, Rakesh Kalapala, Chris
Endoscopy.2025; 57(07): 796. CrossRef
Curriculum for training in peroral endoscopic myotomy (POEM) in Europe (Part I): European Society of Gastrointestinal Endoscopy (ESGE) Position Statement
Enrique Rodríguez de Santiago, David J. Tate, João Santos-Antunes, Sandra Nagl, Zuzana Vacková, Marcel Tantau, Isis K. Araujo, Eduardo Guimarães Hourneaux de Moura, Pietro Familiari, Helmut Messmann, Alanna Ebigbo, Paul Fockens, Raf Bisschops, Henriette H
Endoscopy.2025; 57(07): 778. CrossRef
Artificial intelligence in simulation-based training for Health Professions Education: Navigating the rabbit hole
Rakhi Negi, Deepti Chopra, Komal Maheshwari, Anushi Mahajan, Dinesh Badyal, Padmini Venkataramani
Medical Journal Armed Forces India.2025; 81(6): 637. CrossRef
Digital platforms, virtual reality, and augmented reality in gastrointestinal endoscopy training
Wilfredo Pagani, Tavia Buysse, Kulwinder S. Dua
Clinical Endoscopy.2025; 58(5): 653. CrossRef
Impact and assessment of training models in interventional endoscopic ultrasound
Bogdan Miutescu, Vinay Dhir
Digestive Endoscopy.2024; 36(1): 59. CrossRef
A Multicenter Survey of Percutaneous Endoscopic Gastrostomy in 2019 at Korean Medical Institutions
Jun Woo Park, Tae Gyun Kim, Kwang Bum Cho, Jeong Seok Kim, Jin Woong Cho, Jung Won Jeon, Sun Gyo Lim, Chan Gyoo Kim, Hong Jun Park, Tae Jun Kim, Eun Sun Kim, Su Jin Jeong, Yong Hwan Kwon
Gut and Liver.2024; 18(1): 77. CrossRef
Exploring Endoscopic Competence in Gastroenterology Training: A Simulation-Based Comparative Analysis of GAGES, DOPS, and ACE Assessment Tools
Faisal Wasim Ismail, Azam Afzal, Rafia Durrani, Rayyan Qureshi, Safia Awan, Michelle R Brown
Advances in Medical Education and Practice.2024; Volume 15: 75. CrossRef
Assemblage of a functional and versatile endoscopy trainer reusing medical waste: Step‐by‐step video tutorial
Riccardo Vasapolli, Jörg Schirra, Christian Schulz
Digestive Endoscopy.2024; 36(5): 634. CrossRef
Navigating the learning landscape: Comprehensive training in third space endoscopy - training, techniques, and practical recommendations
D. Roser, S. Nagl, A. Ebigbo
Best Practice & Research Clinical Gastroenterology.2024; 71: 101918. CrossRef
Systematic review of subjective validation methods for computerized colonoscopy simulators
Adrián Lugilde-López, Manuel Caeiro-Rodríguez, Fernando A. Mikic-Fonte, Martín Llamas-Nistal
Health Informatics Journal.2024;[Epub] CrossRef
Development of colonic stent simulator using three-dimensional printing technique: a simulator development study in Korea
Hyundam Gu, Suyoung Lee, Sol Kim, Hye-Lim Jang, Da-Woon Choi, Kyu Seok Kim, Yu Ri Shin, Dae Young Cheung, Bo-In Lee, Jin Il Kim, Han Hee Lee
Clinical Endoscopy.2024; 57(6): 790. CrossRef
EUS and ERCP training in Europe: Time for simulation, optimization, and standardization
Selma J. Lekkerkerker, Rogier P. Voermans
United European Gastroenterology Journal.2023; 11(5): 407. CrossRef
There is no royal road: a shortcut for endoscopic submucosal dissection training
Seong Woo Jeon
Clinical Endoscopy.2023; 56(5): 590. CrossRef
Enhancing the Quality of Upper Gastrointestinal Endoscopy: Current Indicators and Future Trends
Caesar Ferrari, Micheal Tadros
Gastroenterology Insights.2023; 15(1): 1. CrossRef

12,435 View
372 Download
21 Web of Science
23 Crossref

Original Articles

Increased ERCP volume improves cholangiogram interpretation: a new performance measure for ERCP training?: Shyam Vedantam, Sunil Amin, Ben Maher, Saqib Ahmad, Shanil Kadir, Saad Khalid Niaz, Mark Wright, Nadeem Tehami; Clin Endosc 2022;55(3):426-433. Published online February 4, 2022; DOI: https://doi.org/10.5946/ce.2021.239

Abstract PDF Supplementary Material

Background
/Aims: Cholangiogram interpretation is not used as a key performance indicator (KPI) of endoscopic retrograde cholangiopancreatography (ERCP) training, and national societies recommend different minimum numbers per annum to maintain competence. This study aimed to determine the relationship between correct ERCP cholangiogram interpretation and experience.
Methods
One hundred fifty ERCPists were surveyed to appropriately interpret ERCP cholangiographic findings. There were three groups of 50 participants each: “Trainees,” “Consultants group 1” (performed >75 ERCPs per year), and “Consultants group 2” (performed >100 ERCPs per year).
Results
Trainees was inferior to Consultants groups 1 and 2 in identifying all findings except choledocholithiasis outside the intrahepatic duct on the initial or completion/occlusion cholangiogram. Consultants group 1 was inferior to Consultants group 2 in identifying Strasberg type A bile leaks (odds ratio [OR], 0.86; 95% confidence interval [CI], 0.77–0.96), Strasberg type B (OR, 0.84; 95% CI, 0.74–0.95), and Bismuth type 2 hilar strictures (OR, 0.81; 95% CI, 0.69–0.95).
Conclusions
This investigation supports the notion that cholangiogram interpretation improves with increased annual ERCP case volumes. Thus, a higher annual volume of procedures performed may improve the ability to correctly interpret particularly difficult findings. Cholangiogram interpretation, in addition to bile duct cannulation, could be considered as another KPI of ERCP training.

Citations

Citations to this article as recorded by

Multimethod study of Endoscopic Retrograde Cholangio Pancreatography (ERCP) service delivery: stakeholder perspectives on opportunities for quality improvement
Christina Dobson, Simon M Everett, Emily Haworth, Wafaa Ahmed, Kofi W Oppong, Ian D Penman, Beverley Oates, Bettina Kluettgens, Colin Rees, Linda Sharp
Frontline Gastroenterology.2025; : flgastro-2025-103197. CrossRef
UK ERCP sedation practices, patient comfort and endoscopist characteristics: National Endoscopy Database (NED) analysis on behalf of the JAG and BSG
David Beaton, Matt Rutter, Linda Sharp, Kofi W Oppong, Bidour Awadelkarim, Simon M Everett, Vikramjit Mitra
Frontline Gastroenterology.2023; 14(5): 384. CrossRef

9,059 View
273 Download
2 Web of Science
2 Crossref

Impact of COVID-19 on Endoscopy Training: Perspectives from a Global Survey of Program Directors and Endoscopy Trainers: Shivakumar Vignesh, Amna Subhan Butt, Mohamed Alboraie, Bruno Costa Martins, Alejandro Piscoya, Quang Trung Tran, Damien Tan Meng Yew, Shahriyar Ghazanfar, Pezhman Alavinejad, Edna Kamau, Ajay M Verma, Robin B Mendelsohn, Christopher Khor, Alan Moss, David Wei Chih Liao, Christopher S Huang, Franklin C Tsai; Clin Endosc 2021;54(5):678-687. Published online September 30, 2021; DOI: https://doi.org/10.5946/ce.2021.140

Abstract PDF Supplementary Material

Background
/Aims: The coronavirus disease of 2019 (COVID-19) pandemic has impacted the training of medical trainees internationally. The aim of this study was to assess the global impact of COVID-19 on endoscopy training from the perspective of endoscopy trainers and to identify strategies implemented to mitigate the impact on trainee education.
Methods
Teaching faculty of gastroenterology (GI) training programs globally were invited to complete a 36-question web-based survey to report the characteristics of their training programs and the impact of COVID-19 on various aspects of endoscopy training, including what factors decisions were based on.
Results
The survey response rate was 52.6% (305 out of 580 individuals); 92.8% reported a negative impact on endoscopy training, with suspension of elective procedures (77.1%) being the most detrimental factor. Geographic variations were noted, with European programs reporting the lowest percentage of trainee participation in procedures. A higher proportion of trainees in the Americas were allowed to continue performing procedures, and trainers from the Americas reported receiving the greatest support for endoscopy teaching.
Conclusions
This study demonstrated that the COVID-19 pandemic has had a significant negative impact on GI endoscopy training internationally, as reported by endoscopy trainers. Focus-optimizing endoscopy training and assessment of competencies are necessary to ensure adequate endoscopy training.

Citations

Citations to this article as recorded by

Telementoring for endoscopic submucosal dissection in vivo training
Hon Chi Yip, Noriya Uedo, Louis Ho‐Shing Lau, Daizen Hirata, Yasushi Sano, Philip Wai‐yan Chiu
Digestive Endoscopy.2023; 35(1): 140. CrossRef
Gastrointestinal Bleeding in COVID-19-Infected Patients
Mitchell S. Cappell, David M. Friedel
Gastroenterology Clinics of North America.2023; 52(1): 77. CrossRef
Simulator-based training method in gastrointestinal endoscopy training and currently available simulators
Yuri Kim, Jeong Hoon Lee, Gin Hyug Lee, Ga Hee Kim, Gunn Huh, Seung Wook Hong, Hwoon-Yong Jung
Clinical Endoscopy.2023; 56(1): 1. CrossRef
Endoscopy After the COVID-19 Pandemic—What Will Be Different?
Rashid N. Lui, Raymond S. Y. Tang, Philip W. Y. Chiu
Current Treatment Options in Gastroenterology.2022; 20(1): 46. CrossRef
A Simulation Study to Investigate the Usefulness of a Novel Stricture Tool for Training Wire Guided Balloon Dilation
Avinash Bhat Balekuduru, Manoj K. Sahu
Journal of Digestive Endoscopy.2022; 13(03): 141. CrossRef

12,718 View
104 Download
4 Web of Science
5 Crossref

Validation of a Novel Endoscopic Retrograde Cholangiopancreatography Cannulation Simulator: Pichamol Jirapinyo, Andrew C. Thompson, Hiroyuki Aihara, Marvin Ryou, Christopher C. Thompson; Clin Endosc 2020;53(3):346-354. Published online February 17, 2020; DOI: https://doi.org/10.5946/ce.2019.105

Abstract PDF Supplementary Material

Background
/Aims: Endoscopic retrograde cholangiopancreatography (ERCP) requires a unique skill set. Currently, there is no objective methodology to assess and train a professional to perform ERCP. This study aimed to develop and validate a novel ERCP simulator.
Methods
The simulator consists of papillae presenting different anatomy and positioned in varied locations. Deep cannulation of the pancreatic duct, followed by the bile duct, was performed. The time allotted was 5 minutes. The content validity indexes (CVIs) for realism, relevance, and representativeness were calculated. Correlation between ERCP experience and simulator score was determined.
Results
Twenty-three participants completed the simulation. The CVIs for realism were orientation of duodenoscope to papilla (1.00), angulation of papillotome to achieve cannulation (0.71), and haptic feedback during cannulation (0.80). The CVIs for relevance were use of elevator (1.00), wheels to achieve en face orientation (1.00), and papillotome for selective cannulation (1.00). Regarding CVI for representativeness, the results were as follows: basic cannulation (0.83), papilla locations (0.83), and papilla anatomies (0.80). The novice, intermediate, and experienced groups scored 6.7±8.7, 30.0±16.3, and 74.4±43.9, respectively (p<0.0001). There was a strong correlation between the ERCP experience level and the individual’s simulator score (Pearson value of 0.77, R2 of 0.60).
Conclusions
This simulator appears to be realistic, relevant, and representative of ERCP cannulation techniques. Additionally, it is effective at objectively assessing basic ERCP skills by differentiating scores based on clinical experience.

Citations

Citations to this article as recorded by

The effect of clinical ERCP experience using a virtual reality simulator and salivary biochemical stress markers
Nikola Boyanov, Konstantinos Georgiou, Tanya Deneva, Katina Shtereva, Katerina Madzharova, Gabriel Sandblom, Lars Enochsson
Scandinavian Journal of Surgery.2025; 114(4): 453. CrossRef
Morfología de la papila de Vater como factor que influye en el éxito en canulación durante el entrenamiento del Residente en Endoscopia Avanzada. Estudio clínico prospectivo
D.E. Benavides-Salgado, R.A. Jiménez-Castillo, J.E. Cuéllar-Monterrubio, J.O. Jáquez-Quintana, A. Garza-Galindo, C. Cortes-Hernández, H.J. Maldonado-Garza, D. García-Compeán, J.A. González-González
Revista de Gastroenterología de México.2024; 89(2): 237. CrossRef
Papilla of Vater morphology as an influencing factor in successful cannulation during resident training in advanced endoscopy. A prospective clinical study
D.E. Benavides-Salgado, R.A. Jiménez-Castillo, J.E. Cuéllar-Monterrubio, J.O. Jáquez-Quintana, A. Garza-Galindo, C. Cortes-Hernández, H.J. Maldonado-Garza, D. García-Compeán, J.A. González-González
Revista de Gastroenterología de México (English Edition).2024; 89(2): 237. CrossRef
Anatomical endoscopic retrograde cholangiopancreatography simulator using moulded meshed silicone: A novel simulator pilot study
Alen Maximillian Brodaric, Ngar Lok Joshua Wong, Jessica Falon, Jean Wong, Kai Cheng, Sarah Whereat, David Storey
ANZ Journal of Surgery.2023; 93(7-8): 1817. CrossRef
The use of simulators to acquire ERCP skills: a systematic review
Konstantinos Georgiou, Kiril T. Atliev, Ninos Oussi, Nikola Boyanov, Gabriel Sandblom, Lars Enochsson
Annals of Medicine & Surgery.2023; 85(6): 2924. CrossRef
There is no royal road: a shortcut for endoscopic submucosal dissection training
Seong Woo Jeon
Clinical Endoscopy.2023; 56(5): 590. CrossRef
Validity of a virtual reality endoscopic retrograde cholangiopancreatography simulator: can it distinguish experts from novices?
Konstantinos Georgiou, Nikola Boyanov, Pantelis Antonakis, Dimitrios Thanasas, Gabriel Sandblom, Lars Enochsson
Frontiers in Surgery.2023;[Epub] CrossRef
Training in endoscopic retrograde cholangio-pancreatography: a critical assessment of the broad scenario of training programs and models
Camilla Gallo, Ivo Boškoski, Maria Valeria Matteo, Beatrice Orlandini, Guido Costamagna
Expert Review of Gastroenterology & Hepatology.2021; 15(6): 675. CrossRef

8,773 View
157 Download
9 Web of Science
8 Crossref

Focused Review Series: Updates on endoscopic bariatric and metabolic therapies

Training in Bariatric and Metabolic Endoscopic Therapies: Pichamol Jirapinyo, Christopher C. Thompson; Clin Endosc 2018;51(5):430-438. Published online September 30, 2018; DOI: https://doi.org/10.5946/ce.2018.148

Abstract PDF

Bariatric endoscopy is an emerging subspecialty for gastroenterologists encompassing a broad array of procedures including primary endoscopic bariatric and metabolic therapies and the treatment of complications of bariatric surgery. In addition, comprehensive understanding of lifestyle intervention and pharmacotherapy are essential to successful outcomes. This review summarizes goals and steps of training for this emerging field.

Citations

Citations to this article as recorded by

Training and Credentialing in Metabolic and Bariatric Endoscopy
Mark H. Hanscom
Techniques and Innovations in Gastrointestinal Endoscopy.2026; 28(2): 250967. CrossRef
Beyond Endoscopy: A Narrative Review of the Emerging Role of Gastroenterologists in Obesity Medicine, GLP-1 (Glucagon-Like Peptide-1) Therapy, and Metabolic Care
Mohammad Alali, Ahmed Kunwer Naveed, Akram Alnounou, Mohamed Alharami, Bola Nashed
Cureus.2026;[Epub] CrossRef
Establishing standards of practice for endoscopic sleeve gastroplasty: a global expert consensus using a modified Delphi method
Pichamol Jirapinyo, Rashmi Advani, Abdulhameed Al-Sabban, Christopher McGowan, Reem Sharaiha, Aayed Alqahtani, Michael Larsen, Janese Laster, Daniel Maselli, Shailendra Singh, Christopher C. Thompson
Gastrointestinal Endoscopy.2025; 102(2): 285. CrossRef
How to establish an endoscopic bariatric practice
Daniel B Maselli, Lauren L Donnangelo, Brian Coan, Christopher E McGowan
World Journal of Gastrointestinal Endoscopy.2024; 16(4): 178. CrossRef
Transoral Outlet Reduction: Expert Tips, Tricks, and Troubleshooting
Daniel B. Maselli, Lauren L. Donnangelo, Pichamol Jirapinyo, Christopher C. Thompson, Christopher E. McGowan
American Journal of Gastroenterology.2024; 119(6): 1047. CrossRef
The Future of Endobariatrics
Ali Lahooti, Kate E. Johnson, Reem Z. Sharaiha
Gastrointestinal Endoscopy Clinics of North America.2024; 34(4): 805. CrossRef
What We Talk About When We Talk About Training in Endoscopic Sleeve Gastroplasty
Yousaf Hadi, Shailendra Singh
Digestive Diseases and Sciences.2023; 68(6): 2211. CrossRef
Endoscopic sleeve gastroplasty in class III obesity: Efficacy, safety, and durability outcomes in 404 consecutive patients
Daniel Barry Maselli, Anna Carolina Hoff, Ashley Kucera, Emily Weaver, Laura Sebring, Lori Gooch, Kathleen Walton, Daniel Lee, Taylor Cratty, Selena Beal, Srikar Nanduri, Kendall Reese, Christina S Gainey, Laura Eaton, Brian Coan, Christopher E McGowan
World Journal of Gastrointestinal Endoscopy.2023; 15(6): 469. CrossRef
Transoral outlet reduction: Outcomes of endoscopic Roux-en-Y gastric bypass revision in 284 patients at a community practice
Daniel B Maselli, Vibhu Chittajallu, Chase Wooley, Areebah Waseem, Daniel Lee, Michelle Secic, Lauren L Donnangelo, Brian Coan, Christopher E McGowan
World Journal of Gastrointestinal Endoscopy.2023; 15(10): 602. CrossRef
Primary Bariatric Procedures
Pichamol Jirapinyo, Christopher C. Thompson
Digestive Diseases and Sciences.2022; 67(5): 1674. CrossRef
Endobariatric procedures for obesity: clinical indications and available options
Hemant Goyal, Jonathan Kopel, Abhilash Perisetti, Rupinder Mann, Aman Ali, Benjamin Tharian, Shreyas Saligram, Sumant Inamdar
Therapeutic Advances in Gastrointestinal Endoscopy.2021;[Epub] CrossRef
Common and Uncommon Problems During Endoscopic Suturing With Apollo Overstitch: Tips and Tricks for Troubleshooting
Vincenzo Bove, Camilla Gallo, Valerio Pontecorvi, Tommaso Schepis, Guido Costamagna, Ivo Boškoski
Techniques and Innovations in Gastrointestinal Endoscopy.2021; 23(3): 220. CrossRef
How to Incorporate Bariatric Training Into Your Fellowship Program
Pichamol Jirapinyo, Christopher C. Thompson
Gastroenterology.2021; 161(1): 15. CrossRef
Advanced Endoscopy Training in the United States: An Advanced Fellow's Perspective
Ramzi Mulki
ACG Case Reports Journal.2021; 8(5): e00612. CrossRef
Safety and Feasibility of a Novel Endoscopic Suturing Device (EndoZip TM) for Treatment of Obesity: First-in-Human Study
Gontrand Lopez-Nava, Ravishankar Asokkumar, Angel Rull, Fernandez-Corbelle, Inmaculada Bautista, Barham Abu Dayyeh
Obesity Surgery.2020; 30(5): 1696. CrossRef
Endoscopic gastric suturing for weight loss: Techniques and outcomes
Daniel B. Maselli, Ramzi Hani Mulki, Reem Matar, Andrew C. Storm, Barham K. Abu Dayyeh
Techniques and Innovations in Gastrointestinal Endoscopy.2020; 22(3): 136. CrossRef
Endoscopic management of weight regain following Roux-en-Y gastric bypass
Diogo Turiani Hourneaux De Moura, Christopher C. Thompson
Expert Review of Endocrinology & Metabolism.2019; 14(2): 97. CrossRef
Endoscopy training in Korea
Joon Sung Kim, Byung-Wook Kim
The Korean Journal of Internal Medicine.2019; 34(2): 237. CrossRef
Endoscopic bariatric treatments: new toolkit in the armamentarium against obesity
Laxmi N.R. Bondugulapati, Sandeep Ravi, Vamsi Kodumuri, Venkata C. Gourineni
Current Opinion in Lipidology.2019; 30(2): 151. CrossRef
How to Incorporate Bariatric Training Into Your Fellowship Program
Pichamol Jirapinyo, Christopher C. Thompson
Gastroenterology.2019; 157(1): 9. CrossRef
An Approach to Obesity Management for Gastroenterologists and Hepatologists
Jessica Briscoe, Monica Saumoy, Octavia Pickett-Blakely
Current Treatment Options in Gastroenterology.2019; 17(4): 587. CrossRef

14,323 View
181 Download
18 Web of Science
21 Crossref

Review

Education and Training Guidelines for the Board of the Korean Society of Gastrointestinal Endoscopy: Hee Seok Moon, Eun Kwang Choi, Ji Hyun Seo, Jeong Seop Moon, Ho June Song, Kyoung Oh Kim, Jong Jin Hyun, Sung Kwan Shin, Beom Jae Lee, Sang Heon Lee; Clin Endosc 2017;50(4):345-356. Published online July 31, 2017; DOI: https://doi.org/10.5946/ce.2017.106

Abstract PDF

The Korean Society of Gastrointestinal Endoscopy (KSGE) developed a gastrointestinal (GI) endoscopy board in 1995 and related regulations. Although the KSGE has acquired many specialists since then, the education and training aims and guidelines were insufficient. During GI fellowship training, obtaining sufficient exposure to some types of endoscopic procedures is difficult. Fellows should acquire endoscopic skills through supervised endoscopic procedures during GI fellowship training. Thus, the KSGE requires training guidelines for fellowships that allow fellows to perform independent endoscopic procedures without supervision. This document is intended to provide principles that the Committee of Education and Training of the KSGE can use to develop practical guidelines for granting privileges to perform accurate GI endoscopy safely. The KSGE will improve the quality of GI endoscopy by providing guidelines for fellowships and supervisors.

Citations

Citations to this article as recorded by

Core curriculum for sedation in gastrointestinal endoscopy with a focus on practice: a proposal from the Korean Society of Gastrointestinal Endoscopy
Hong Sub Lee, Yun Jeong Lim, Jong-Jae Park
Clinical Endoscopy.2025; 58(2): 218. CrossRef
Endoscopic retrograde cholangiopancreatography training and education
Jiann‐Hwa Chen, Hsiu‐Po Wang
Digestive Endoscopy.2024; 36(1): 74. CrossRef
Training in basic gastrointestinal endoscopic procedures: a European Society of Gastrointestinal Endoscopy (ESGE) and European Society of Gastroenterology and Endoscopy Nurses and Associates (ESGENA) Position Statement
Giulio Antonelli, Andrei M. Voiosu, Katarzyna M. Pawlak, Tiago Cúrdia Gonçalves, Nha Le, Michiel Bronswijk, Marcus Hollenbach, Omar Elshaarawy, Ulrike Beilenhoff, Pietro Mascagni, Theodor Voiosu, Maria Pellisé, Mário Dinis-Ribeiro, Konstantinos Triantafyl
Endoscopy.2024; 56(02): 131. CrossRef
Training in Advanced Endoscopy: Current Status and Future Directions
Sachin Wani, Rishad Khan, Peter V. Draganov, Catharine M. Walsh
Gastroenterology.2024; 167(5): 834. CrossRef
Interval Advanced Gastric Cancer After Negative Endoscopy
Tae Jun Kim, Jeung Hui Pyo, Young Hye Byun, Sung Chul Choi, Jin Pyo Hong, Yang Won Min, Hyuk Lee, Byung-Hoon Min, Poong-Lyul Rhee, Jae J. Kim, Jun Haeng Lee
Clinical Gastroenterology and Hepatology.2023; 21(5): 1205. CrossRef
Global trends in training and credentialing guidelines for gastrointestinal endoscopy: a systematic review
Nasruddin Sabrie, Rishad Khan, Samir Seleq, Hoomam Homsi, Nikko Gimpaya, Rishi Bansal, Michael A. Scaffidi, David Lightfoot, Samir C. Grover
Endoscopy International Open.2023; 11(02): E193. CrossRef
Needs assessment of basic gastrointestinal endoscopy training: A qualitative study in Indonesia
Hasan Maulahela, Nagita G Annisa, Marcellus Simadibrata, Ari F Syam, Ardi Findyartini, Wresti Indriatmi, Roy Soetikno
JGH Open.2023; 7(12): 928. CrossRef
A feasibility study of bending technology of motorized flexible gastroscope
Sukgyu Koh, Sungwan Kim
Journal of Innovative Medical Technology.2023; 1(1): 24. CrossRef
Gastrointestinal and non-gastrointestinal complication rates associated with diagnostic esophagogastroduodenoscopy under sedation
Ji Min Jang, Su Bee Park, Jin Young Yoon, Min Seob Kwak, Jae Myung Cha
Medicine.2022; 101(19): e29266. CrossRef
The First Systematic Gastroscopy Training Program for Surgeons in Korea
Ho Seok Seo, So Jung Kim, Chul Hyo Jeon, Kyo Young Song, Han Hong Lee
Journal of Korean Medical Science.2022;[Epub] CrossRef
Implementation effect of institutional policy of EGD observation time on neoplasm detection
Jae Myung Park, Sang Yoon Kim, Ga-Yeong Shin, Younghee Choe, Hyun Sun Cho, Chul-Hyun Lim, Yu Kyung Cho, Myung-Gyu Choi
Gastrointestinal Endoscopy.2021; 93(5): 1152. CrossRef
Training in endoscopic retrograde cholangio-pancreatography: a critical assessment of the broad scenario of training programs and models
Camilla Gallo, Ivo Boškoski, Maria Valeria Matteo, Beatrice Orlandini, Guido Costamagna
Expert Review of Gastroenterology & Hepatology.2021; 15(6): 675. CrossRef
Colonoscopy quality in community hospitals and nonhospital facilities in Korea
Jae Gon Lee, Dong Soo Han, Young-Eun Joo, Dae-Seong Myung, Dong Il Park, Seul Ki Kim, Yunho Jung, Won Hyun Lee, Eun Soo Kim, Joon Seok Yoon, Chang Soo Eun
The Korean Journal of Internal Medicine.2021; 36(Suppl 1): S35. CrossRef
Guidelines for accreditation of endoscopy units: quality measures from the Korean Society of Coloproctology
Rumi Shin, Seongdae Lee, Kyung-Su Han, Dae Kyung Sohn, Sang Hui Moon, Dong Hyun Choi, Bong-Hyeon Kye, Hae-Jung Son, Sun Il Lee, Sumin Si, Won-Kyung Kang
Annals of Surgical Treatment and Research.2021; 100(3): 154. CrossRef
Why Should We Implement a System of Endoscopic Retrograde Cholangiopancreatography Certification?
Kwang Bum Cho
The Korean Journal of Pancreas and Biliary Tract.2021; 26(4): 211. CrossRef
Process and Renewal of Pancreatobiliary Cerification System
Dong Wook Lee, Byoung Kwan Son
The Korean Journal of Pancreas and Biliary Tract.2020; 25(1): 1. CrossRef
Impact of Hospital Volume and the Experience of Endoscopist on Adverse Events Related to Endoscopic Retrograde Cholangiopancreatography: A Prospective Observational Study
Hyun Jik Lee, Chang Min Cho, Jun Heo, Min Kyu Jung, Tae Nyeun Kim, Kook Hyun Kim, Hyunsoo Kim, Kwang Bum Cho, Ho Gak Kim, Jimin Han, Dong Wook Lee, Yoon Suk Lee
Gut and Liver.2020; 14(2): 257. CrossRef
Quality indicators in diagnostic upper gastrointestinal endoscopy
Wladyslaw Januszewicz, Michal F. Kaminski
Therapeutic Advances in Gastroenterology.2020;[Epub] CrossRef
Optimized diagnosis ofHelicobacter pyloriand tailored eradication therapy for preventing gastric cancer: a proposal for SHAKE strategy
Jun-Hyung Cho, So-Young Jin
Expert Review of Gastroenterology & Hepatology.2020; 14(7): 553. CrossRef
Endoscopy training in Korea
Joon Sung Kim, Byung-Wook Kim
The Korean Journal of Internal Medicine.2019; 34(2): 237. CrossRef
Current Korean Medical Specialty and Subspecialty System for Preparation of Privileging and Credentialing of ERCP Subspecialty
Eun Kwang Choi
The Korean Journal of Pancreas and Biliary Tract.2019; 24(2): 47. CrossRef
Accredited Endoscopy Unit Program of Korea: Overview and Qualification
Jung-Wook Kim, Yu Kyung Cho, Jin-Oh Kim, Jae-Young Jang
Clinical Endoscopy.2019; 52(5): 426. CrossRef
ERCP practice beyond the training period – bridging the gap between guidelines and real-life practice: a single operator experience of 679 procedures
Theodor Voiosu, Andrei Voiosu, Andreea Benguş, Bogdan Mateescu
Romanian Journal of Internal Medicine.2019; 57(2): 151. CrossRef
Basic training in digestive endoscopy for resident physicians in gastroenterology. Recommendations by the Sociedad Española de Endoscopia Digestiva (SEED)
Álvaro Brotons, Angels Vilella, Cristina Sánchez-Montes, Catalina Garau, Albert Vila, Vicente Pons Beltrán, Carlos Dolz Abadía
Revista Española de Enfermedades Digestivas.2018;[Epub] CrossRef

13,794 View
276 Download
23 Web of Science
24 Crossref

Focused Review Series: Training in Endoscopy

Training in Endoscopy: Endoscopic Ultrasound: Chang Min Cho; Clin Endosc 2017;50(4):340-344. Published online July 31, 2017; DOI: https://doi.org/10.5946/ce.2017.067

Abstract PDF

Endoscopic ultrasound (EUS) has been recently established as an indispensable modality for the diagnosis and management of pancreatobiliary and gastrointestinal (GI) disorders. EUS proficiency requires both cognitive and technical abilities, including an understanding of the appropriate indications, the performance of appropriate evaluations before and after the procedure, and the management of procedure-related complications. An increasing demand for skills to handle a growing range of interventional EUS procedures and a continual shortage of EUS training programs are two major obstacles for EUS training. Acquiring the skills necessary to comprehend and conduct EUS often requires training beyond the scope of a standard GI fellowship program. In addition to traditional formal EUS training and preceptorships, regular short-term intensive EUS training programs that provide training at various levels may help EUS practitioners improve and maintain EUS-related knowledges and skills. Theoretical knowledge can be acquired from lectures, textbooks, atlases, slides, videotapes, digital video discs, interactive compact discs, and websites. Informal EUS training is generally based on 1- or 2-day intensive seminars, including didactic lectures, skills demonstrated by expert practitioners through live video-streaming of procedures, and hands-on learning using animal or phantom models.

Citations

Citations to this article as recorded by

Training in diagnostic and interventional endoscopic ultrasound: a state-of-the-art review
Giulia Palumbo, Gianenrico Rizzatti, Fabrizio Termite, Andrea Tringali, Giulia Tripodi, Ivo Boskoski, Cristiano Spada
Expert Review of Gastroenterology & Hepatology.2026; 20(5): 449. CrossRef
Clinical value of the nomogram model based on endoscopic ultrasonography radiomics and clinical indicators in identifying benign and malignant lesions of the pancreas
Xiaofei Fan, Jia Huang, Xiaohan Cai, Ayixie Maihemuti, Shu Li, Weili Fang, Bangmao Wang, Wentian Liu
Frontiers in Oncology.2025;[Epub] CrossRef
How to achieve the long-term goals of EUS training——survey on the performance of diagnostic EUS by newly trained endosonographers and analysis of the influencing factors
Song Zhang, Congqiang Shen, Shanshan Shen, Yonghua Shen, Lei Wang, Ying Lv
BMC Medical Education.2025;[Epub] CrossRef
An optimal curriculum for training in endoscopic ultrasound: a summarized evidence-based literature systematic review
Julieta Montanelli, Ariosto Honorio Hernandez Lara, Ana Karla Uribe Rivera, Juan Manuel Verde, Eike Burmester, Mohammad A. Al-Haddad, Stephan Hollerbach, Peter Vilmann, Monder Abu-Suboh Abadia, Abdenor Badaoui, Paolo Giorgio Arcidiacono, Christoph Schlag,
Surgical Endoscopy.2025; 39(7): 4076. CrossRef
Development and validation of a SOTA-based system for biliopancreatic segmentation and station recognition system in EUS
Jingjie Zhang, Jun Zhang, Hongsuo Chen, Feilong Tian, Yu Zhang, Yi Zhou, Zhenyu Jiang
Surgical Endoscopy.2025; 39(8): 4881. CrossRef
UK and Ireland Joint Advisory Group (JAG) consensus statements for training and certification in diagnostic endoscopic ultrasound (EUS)
Tareq El Menabawey, Raymond McCrudden, Dushyant Shetty, Andrew D Hopper, Matthew T Huggett, Noor Bekkali, Nicholas R Carroll, Elaine Henry, Gavin J Johnson, Margaret G Keane, Mark Love, Colin J McKay, Sally Norton, Kofi Oppong, Ian Penman, Jayapal Ramesh,
Gut.2024; 73(1): 118. CrossRef
Curriculum for diagnostic endoscopic ultrasound training in Europe: European Society of Gastrointestinal Endoscopy (ESGE) Position Statement
Abdenor Badaoui, Sara Teles de Campos, Pietro Fusaroli, Rodica Gincul, Michel Kahaleh, Jan-Werner Poley, Leonardo Sosa Valencia, Laszlo Czako, Angels Gines, Tomas Hucl, Evangelos Kalaitzakis, Maria Chiara Petrone, Riadh Sadik, Lydi van Driel, Lieven Vande
Endoscopy.2024; 56(03): 222. CrossRef
Development of convolutional neural network models that recognize normal anatomic structures during real-time radial-array and linear-array EUS (with videos)
Carlos Robles-Medranda, Jorge Baquerizo-Burgos, Miguel Puga-Tejada, Raquel Del Valle, Juan C. Mendez, Maria Egas-Izquierdo, Martha Arevalo-Mora, Domenica Cunto, Juan Alcívar-Vasquez, Hannah Pitanga-Lukashok, Daniela Tabacelia
Gastrointestinal Endoscopy.2024; 99(2): 271. CrossRef
Construction and validation of an endoscopic ultrasonography-based ultrasomics nomogram for differentiating pancreatic neuroendocrine tumors from pancreatic cancer
Shuangyang Mo, Cheng Huang, Yingwei Wang, Huaying Zhao, Haixiao Wei, Haiyan Qin, Haixing Jiang, Shanyu Qin
Frontiers in Oncology.2024;[Epub] CrossRef
Analysis of the variation in learning curves for achieving competency in convex EUS training: a prospective cohort study using a standardized assessment tool
Masafumi Chiba, Masayuki Kato, Yuji Kinoshita, Takafumi Akasu, Hiroaki Matsui, Nana Shimamoto, Youichi Tomita, Takahiro Abe, Keisuke Kanazawa, Shintaro Tsukinaga, Masanori Nakano, Yuichi Torisu, Hirobumi Toyoizumi, Machi Suka, Kazuki Sumiyama
Gastrointestinal Endoscopy.2023; 97(4): 722. CrossRef
Endoscopic ultrasound diagnosis system based on deep learning in images capture and segmentation training of solid pancreatic masses
Anliu Tang, Pan Gong, Ning Fang, Mingmei Ye, Shan Hu, Jinzhu Liu, Wujun Wang, Kui Gao, Xiaoyan Wang, Li Tian
Medical Physics.2023; 50(7): 4197. CrossRef
A core curriculum for basic EUS skills
John Gásdal Karstensen, Leizl Joy Nayahangan, Lars Konge, Peter Vilmann
Endoscopic Ultrasound.2022; 11(2): 122. CrossRef
A core curriculum for basic EUS skills: An international consensus using the Delphi methodology
JohnGásdal Karstensen, LeizlJoy Nayahangan, Lars Konge, Peter Vilmann
Endoscopic Ultrasound.2022; 11(2): 122. CrossRef
Training in advanced bilio-pancreatic endoscopy
Claudio G. DE ANGELIS, Stefano RIZZA, Felice RIZZI, Wilma DEBERNARDI VENON, Stefania CARONNA, Silvia GAIA, Mauro BRUNO
Minerva Gastroenterology.2022;[Epub] CrossRef
Advances in Pediatric Diagnostic Endoscopy
Diana G. Lerner, Ali Mencin, Inna Novak, Clifton Huang, Kenneth Ng, Richard A. Lirio, Julie Khlevner, Elizabeth C. Utterson, Brendan R. Harris, Ryan T. Pitman, Sabina Mir, Roberto Gugig, Catharine M. Walsh, Doug Fishman
JPGN Reports.2022;[Epub] CrossRef
Ingestible Sensors and Sensing Systems for Minimally Invasive Diagnosis and Monitoring: The Next Frontier in Minimally Invasive Screening
Luke A. Beardslee, George E. Banis, Sangwook Chu, Sanwei Liu, Ashley A. Chapin, Justin M. Stine, Pankaj Jay Pasricha, Reza Ghodssi
ACS Sensors.2020; 5(4): 891. CrossRef
Deep learning–based pancreas segmentation and station recognition system in EUS: development and validation of a useful training tool (with video)
Jun Zhang, Liangru Zhu, Liwen Yao, Xiangwu Ding, Di Chen, Huiling Wu, Zihua Lu, Wei Zhou, Lihui Zhang, Ping An, Bo Xu, Wei Tan, Shan Hu, Fan Cheng, Honggang Yu
Gastrointestinal Endoscopy.2020; 92(4): 874. CrossRef
Exploration of an effective training system for the diagnosis of pancreatobiliary diseases with EUS: A prospective study
Chaoqun Han, Chi Nie, Xiaoping Shen, Tao Xu, Jun Liu, Zhen Ding, Xiaohua Hou
Endoscopic Ultrasound.2020; 9(5): 308. CrossRef
EUS anatomy of the pancreatobiliary system in a swine model: The WISE experience
Dario Ligresti, Yu-Ting Kuo, Stefano Baraldo, Radhika Chavan, MargaretGeri Keane, Shaimaa Seleem, Dong-Wan Seo
Endoscopic Ultrasound.2019; 8(4): 249. CrossRef

11,980 View
280 Download
19 Web of Science
19 Crossref

Focused Review Series: Globalization and Universalizations of ESD

ESD Hands-on Course Using Ex Vivo and In Vivo Models in South Korea: Gene Hyun Bok, Joo Young Cho; Clin Endosc 2012;45(4):358-361. Published online November 30, 2012; DOI: https://doi.org/10.5946/ce.2012.45.4.358

Abstract PDF

Endoscopic submucosal dissection (ESD) is an established treatment for gastric neoplasias especially in regions with a high volume of gastric cancer. Although ESD has many advantages over endoscopic mucosal resection, ESD is technically more difficult and can result in severe complications. Therefore establishment of an effective training system is required to help endoscopists climb the ESD learning curve. Although a standard training system for ESD remains to be established, some centers are incorporating ex vivo and/or in vivo animal models to provide a safe and effective means of ESD training. However, it is unknown if these animal models are more effective than other programs. Moreover the efficacy of the animal model may vary according to socio-economic status and the volume of gastric cancer. In this article we introduce the basic and advanced ESD training model using the ex vivo and in vivo animal model from South Korea and review the associated literature from other regions.

Citations

Citations to this article as recorded by

National Statistics of Endoscopic Submucosal Dissection for Early Gastric Cancer in Korea
Sang Hoon Lee, Hyunseok Cho, Myoung-Nam Lim, Seung-Joo Nam
Journal of Gastric Cancer.2024; 24(4): 464. CrossRef
Performance of novices in Endoscopic Submucosal Dissection starting directly in human patients under direct supervision of an expert endoscopist
J Bekaert, S Van Langendonck, N Van Heddegem, J Haringsma, P Dewint
Acta Gastro Enterologica Belgica.2024; 87(4): 478. CrossRef
A Steep Early Learning Curve for Endoscopic Submucosal Dissection in the Live Porcine Model
Ricardo Küttner-Magalhães, Mário Dinis-Ribeiro, Marco J. Bruno, Ricardo Marcos-Pinto, Carla Rolanda, Arjun D. Koch
Digestive Diseases.2022; 40(6): 816. CrossRef
Risk Factors Indicating Difficulty During Gastric Endoscopic Submucosal Dissection for Inexperienced Endoscopists: A Retrospective Study
Kensuke Higuchi, Atsushi Katagiri, Shinya Nakatani, Kazuo Kikuchi, Takahisa Fujiwara, Toshihiko Gocho, Kazuya Inoki, Kenichi Konda, Fuyuhiko Yamamura, Hitoshi Yoshida
Cureus.2022;[Epub] CrossRef
Clinical practice guideline for endoscopic resection of early gastrointestinal cancer
Chan Hyuk Park, Dong-Hoon Yang, Jong Wook Kim, Jie-Hyun Kim, Ji Hyun Kim, Yang Won Min, Si Hyung Lee, Jung Ho Bae, Hyunsoo Chung, Kee Don Choi, Jun Chul Park, Hyuk Lee, Min-Seob Kwak, Bun Kim, Hyun Jung Lee, Hye Seung Lee, Miyoung Choi, Dong-Ah Park, Jong
Intestinal Research.2021; 19(2): 127. CrossRef
Clinical Practice Guideline for Endoscopic Resection of Early Gastrointestinal Cancer
Chan Hyuk Park, Dong-Hoon Yang, Jong Wook Kim, Jie-Hyun Kim, Ji Hyun Kim, Yang Won Min, Si Hyung Lee, Jung Ho Bae, Hyunsoo Chung, Kee Don Choi, Jun Chul Park, Hyuk Lee, Min-Seob Kwak, Bun Kim, Hyun Jung Lee, Hye Seung Lee, Miyoung Choi, Dong-Ah Park, Jong
Clinical Endoscopy.2020; 53(2): 142. CrossRef
Clinical Practice Guideline for Endoscopic Resection of Early Gastrointestinal Cancer
Chan Hyuk Park, Dong-Hoon Yang, Jong Wook Kim, Jie-Hyun Kim, Ji Hyun Kim, Yang Won Min, Si Hyung Lee, Jung Ho Bae, Hyunsoo Chung, Kee Don Choi, Jun Chul Park, Hyuk Lee, Min-Seob Kwak, Bun Kim, Hyun Jung Lee, Hye Seung Lee, Miyoung Choi, Dong-Ah Park, Jong
The Korean Journal of Gastroenterology.2020; 75(5): 264. CrossRef
Current status and trend in training for endoscopic submucosal dissection: A nationwide survey in Korea
Jae Gon Lee, Chan Hyuk Park, Hyunsoo Chung, Jun Chul Park, Do Hoon Kim, Bo-In Lee, Jeong-Sik Byeon, Hwoon-Yong Jung, Richard Bruce Mink
PLOS ONE.2020; 15(5): e0232691. CrossRef
Clinical Practice Guideline for Endoscopic Resection of Early Gastrointestinal Cancer
Chan Hyuk Park, Dong-Hoon Yang, Jong Wook Kim, Jie-Hyun Kim, Ji Hyun Kim, Yang Won Min, Si Hyung Lee, Jung Ho Bae, Hyunsoo Chung, Kee Don Choi, Jun Chul Park, Hyuk Lee, Min-Seob Kwak, Bun Kim, Hyun Jung Lee, Hye Seung Lee, Miyoung Choi, Dong-Ah Park, Jong
The Korean Journal of Helicobacter and Upper Gastrointestinal Research.2020; 20(2): 117. CrossRef
A Template for Curriculum Development to Teach Complex Surgical or Endoscopic Techniques With Logistical Challenges
Karen J Dickinson, Brian J Dunkin, Barbara L Bass, Aman B Ali, J. Joseph Nguyen-Lee, Stephanie Zajac
Journal of Surgical Education.2020; 77(6): 1511. CrossRef
Training in endoscopic mucosal resection and endoscopic submucosal dissection: Face, content and expert validity of the live porcine model
Ricardo Küttner-Magalhães, Mário Dinis-Ribeiro, Marco J Bruno, Ricardo Marcos-Pinto, Carla Rolanda, Arjun D Koch
United European Gastroenterology Journal.2018; 6(4): 547. CrossRef
Endoscopic Submucosal Dissection (ESD) and Related Techniques as Precursors of “New Notes” Resection Methods for Gastric Neoplasms
Osamu Goto, Hiroya Takeuchi, Yuko Kitagawa, Naohisa Yahagi
Gastrointestinal Endoscopy Clinics of North America.2016; 26(2): 313. CrossRef
Simulator training in gastrointestinal endoscopy – From basic training to advanced endoscopic procedures
S.E. van der Wiel, R. Küttner Magalhães, Carla Rolanda Rocha Gonçalves, M. Dinis-Ribeiro, M.J. Bruno, A.D. Koch
Best Practice & Research Clinical Gastroenterology.2016; 30(3): 375. CrossRef
Short-Term Outcomes of Endoscopic Submucosal Dissection in Patients with Early Gastric Cancer: A Prospective Multicenter Cohort Study
ll Ju Choi, Na Rae Lee, Sang Gyun Kim, Wan Sik Lee, Seun Ja Park, Jae J. Kim, Jun Haeng Lee, Jin-Won Kwon, Seung-Hee Park, Ji Hye You, Ji Hyun Kim, Chul-Hyun Lim, Joo Young Cho, Gwang Ha Kim, Yong Chan Lee, Hwoon-Yong Jung, Ji Young Kim, Hoon Jai Chun, Sa
Gut and Liver.2016; 10(5): 739. CrossRef
ENDOSCOPIC GASTRIC SUBMUCOSAL DISSECTION: experimental comparative protocol between standard technique and Hybrid-Knife(r)
Ernesto Quaresma MENDONÇA, Lucas Snioka ZURETTI, Thiago PANZANI, Marianny SULBARAN, Christiano Makoto SAKAI, Paulo SAKAI
Arquivos de Gastroenterologia.2016; 53(3): 192. CrossRef
Disección endoscópica submucosa: curva de aprendizaje en modelos porcinos
Victor Efrén Gallardo Cabrera, Oscar Hernández Mondragón, Dulce María Rascón Martínez, Gerardo Blanco Velasco, Roberto Ramos González, Amina Evelyn Tun Abraham, Juan Manuel Blancas Valencia
Endoscopia.2015; 27(3): 109. CrossRef
Endoscopic submucosal dissection training with ex vivo human gastric remnants
David V. Pham, Anand Shah, Frank J. Borao, Steven Gorcey
Surgical Endoscopy.2014; 28(1): 222. CrossRef
International Digestive Endoscopy Network 2014: Turnpike to the Future
Eun Young Kim, Kwang An Kwon, Il Ju Choi, Ji Kon Ryu, Ki Baik Hahm
Clinical Endoscopy.2014; 47(5): 371. CrossRef
ESD training: A challenging path to excellence
Alberto Herreros de Tejada
World Journal of Gastrointestinal Endoscopy.2014; 6(4): 112. CrossRef

9,534 View
87 Download
19 Crossref

Ex Vivo and In Vivo Models for Endoscopic Submucosal Dissection Training: Adolfo Parra-Blanco, Nicolas Gonzalez, Maria Rosa Arnau; Clin Endosc 2012;45(4):350-357. Published online November 30, 2012; DOI: https://doi.org/10.5946/ce.2012.45.4.350

Abstract PDF

Endoscopic submucosal dissection is a technically challenging but highly effective technique for the treatment of well selected early neoplasms in the digestive tract. Although it is frequently performed in East Asian countries, the Western world has not adopted this technique yet, probably due in part to the difficulty to learn it. Ex vivo and in vivo animal models are invaluable tools to overcome at least the beginning of the learning curve, although the initial step is the acquisition of basic knowledge about early diagnosis of neoplasias, and observing real procedures in expert centers. The practical issues, advantages, and disadvantages of the ex vivo and in vivo models are discussed.

Citations

Citations to this article as recorded by

Robotic-assisted endoscopic submucosal dissection: a scoping review of preclinical and early clinical evidence
Said Alyacoubi, Kunal Rajput, Mark Runciman, Ara Darzi, Christopher J. Peters, George Mylonas
Surgical Endoscopy.2026; 40(8): 6409. CrossRef
A low-cost ex vivo simulator for training in endoscopic hemostasis and perforation management
Samer Al-Dury, Sinan Sharba, Yahya Al Hammada, Naif Al-Hakmani, Al-Shueili Halima, Rima Taifour
VideoGIE.2026;[Epub] CrossRef
Training in endoscopic submucosal dissection: Current models and future needs
Pieter Jan Poortmans, David James Tate
Best Practice & Research Clinical Gastroenterology.2026; : 102128. CrossRef
A Pilot Study for Establishing DSS-Induced Colitis Model in Minipigs
Hye Won Park, Woon Kyu Lee
Tissue Engineering and Regenerative Medicine.2026;[Epub] CrossRef
Novel quantitative assessment indicators for efficiency and precision of endoscopic submucosal dissection in animal training models by analyzing an electrical surgical unit
Teppei Masunaga, Motohiko Kato, Motoki Sasaki, Kentaro Iwata, Kurato Miyazaki, Yoko Kubosawa, Mari Mizutani, Yusaku Takatori, Noriko Matsuura, Atsushi Nakayama, Kaoru Takabayashi, Naohisa Yahagi
Digestive Endoscopy.2024; 36(1): 19. CrossRef
Intraoperative bleeding model for swine gastric endoscopic submucosal dissection via heparinization
Teppei Masunaga, Motoki Sasaki, Moe Sato, Daisuke Minezaki, Kohei Morioka, Anna Tojo, Hinako Sakurai, Kentaro Iwata, Kurato Miyazaki, Yoko Kubosawa, Mari Mizutani, Teppei Akimoto, Yusaku Takatori, Shintaro Kawasaki, Noriko Matsuura, Atsushi Nakayama, Tomo
Endoscopy International Open.2024; 12(11): E1360. CrossRef
Simulator-based training method in gastrointestinal endoscopy training and currently available simulators
Yuri Kim, Jeong Hoon Lee, Gin Hyug Lee, Ga Hee Kim, Gunn Huh, Seung Wook Hong, Hwoon-Yong Jung
Clinical Endoscopy.2023; 56(1): 1. CrossRef
Usefulness of a new polyvinyl alcohol hydrogel (PVA-H)-based simulator for endoscopic submucosal dissection training: a pilot study
Dong Seok Lee, Gin Hyug Lee, Sang Gyun Kim, Kook Lae Lee, Ji Won Kim, Ji Bong Jeong, Yong Jin Jung, Hyoun Woo Kang
Clinical Endoscopy.2023; 56(5): 604. CrossRef
A survey of physician training and credentialing in endoscopic submucosal dissection in the United States
Sohi Mistry, Omar Alaber, Apoorva Krishna Chandar, Lady Katherine Mejia Perez, John Dumot, Amit Bhatt, Amitabh Chak
Surgical Endoscopy.2022; 36(5): 2794. CrossRef
The colonoscopic vacuum model–simulating biomechanical restrictions to provide a realistic colonoscopy training environment
Jana Steger, Christina Kwade, Maximilian Berlet, Roman Krumpholz, Stefanie Ficht, Dirk Wilhelm, Petra Mela
International Journal of Computer Assisted Radiology and Surgery.2022; 18(1): 105. CrossRef
An innovative next-generation endoscopic submucosal injection material with a 2-step injection system (with video)
Ryohei Hirose, Takaaki Nakaya, Yuji Naito, Takuma Yoshida, Risa Bandou, Tomo Daidoji, Ken Inoue, Osamu Dohi, Naohisa Yoshida, Yoshito Itoh
Gastrointestinal Endoscopy.2021; 93(2): 503. CrossRef
Differences between two sodium hyaluronate-based submucosal injection materials currently used in Japan based on viscosity analysis
Ryohei Hirose, Takuma Yoshida, Yuji Naito, Naoto Watanabe, Hikaru Hashimoto, Satoshi Sugino, Risa Bandou, Tomo Daidoji, Ken Inoue, Osamu Dohi, Naohisa Yoshida, Takaaki Nakaya, Yoshito Itoh
Scientific Reports.2021;[Epub] CrossRef
Performance comparison between next-generation and shear-thinning hydrogel-based submucosal injection materials
Ryohei Hirose, Takaaki Nakaya, Yuji Naito, Naohisa Yoshida, Yoshito Itoh
Gastrointestinal Endoscopy.2021; 93(3): 777. CrossRef
Comparison of sodium alginate-based and sodium hyaluronate-based submucosal injection materials based on rheological analysis
Ryohei Hirose, Naoto Watanabe, Yuji Naito, Hikaru Hashimoto, Satoshi Sugino, Takuma Yoshida, Risa Bandou, Tomo Daidoji, Ken Inoue, Osamu Dohi, Naohisa Yoshida, Takaaki Nakaya, Yoshito Itoh
Journal of the Mechanical Behavior of Biomedical Materials.2021; 124: 104816. CrossRef
Enhancement of the safety and efficacy of colorectal endoscopic submucosal dissection using a CO2 laser
Takuma Noguchi, Hisanao Hazama, Takahiro Nishimura, Yoshinori Morita, Kunio Awazu
Lasers in Medical Science.2020; 35(2): 421. CrossRef
Current state of education and training for endoscopic submucosal dissection: Translating strategy and success to the USA
Thomas R. McCarty, Hiroyuki Aihara
Digestive Endoscopy.2020; 32(6): 851. CrossRef
How to master endoscopic submucosal dissection in the USA
Andrey Iskrenov Kotzev, Dennis Yang, Peter V. Draganov
Digestive Endoscopy.2019; 31(1): 94. CrossRef
Development of Sodium Polyacrylate-Based High-Performance Submucosal Injection Material with Pseudoplastic Fluid Characteristics
Ryohei Hirose, Naohisa Yoshida, Yuji Naito, Takuma Yoshida, Risa Bandou, Tomo Daidoji, Ken Inoue, Osamu Dohi, Hideyuki Konishi, Takaaki Nakaya, Yoshito Itoh
ACS Biomaterials Science & Engineering.2019; 5(12): 6794. CrossRef
A local structured training program with live pigs allows performing ESD along the gastrointestinal tract with results close to those of Japanese experts
Jérémie Jacques, Romain Legros, Aurélie Charissoux, Laura Mesturoux, Claude-Yves Couquet, Paul Carrier, Tessa Tabouret, Virginie Valgueblasse, Marilyne Debette-Gratien, Anne Le-Sidaner, Veronique Loustaud-Ratti, Denis Sautereau
Digestive and Liver Disease.2016; 48(12): 1457. CrossRef
Endoscopic submucosal dissection
John T. Maple, Barham K. Abu Dayyeh, Shailendra S. Chauhan, Joo Ha Hwang, Sri Komanduri, Michael Manfredi, Vani Konda, Faris M. Murad, Uzma D. Siddiqui, Subhas Banerjee
Gastrointestinal Endoscopy.2015; 81(6): 1311. CrossRef
New isolated bovine colon model dedicated to colonic ESD hands-on training: development and first evaluation
Mathieu Pioche, Jérôme Rivory, Guillermo Aguero-Garcete, Olivier Guillaud, Marc O’Brien, Cyril Lafon, Nicolas Reversat, Toshio Uraoka, Naohisa Yahagi, Thierry Ponchon
Surgical Endoscopy.2015; 29(11): 3209. CrossRef
The Ideal Experimental Training Session for Minimally Invasive Endoluminal Techniques
Sakai P
Gastroenterology & Hepatology: Open Access.2015;[Epub] CrossRef
ESD Around the World: United States
Norio Fukami
Gastrointestinal Endoscopy Clinics of North America.2014; 24(2): 313. CrossRef
Colorectal ESD
Yutaka Saito, Taku Sakamoto, Takeshi Nakajima, Takahisa Matsuda
Gastrointestinal Endoscopy Clinics of North America.2014; 24(2): 245. CrossRef
Endoscopic submucosal dissection training with ex vivo human gastric remnants
David V. Pham, Anand Shah, Frank J. Borao, Steven Gorcey
Surgical Endoscopy.2014; 28(1): 222. CrossRef
Training Methods and Models for Colonoscopic Insertion, Endoscopic Mucosal Resection, and Endoscopic Submucosal Dissection
Naohisa Yoshida, Nilesh Fernandopulle, Yutaka Inada, Yuji Naito, Yoshito Itoh
Digestive Diseases and Sciences.2014; 59(9): 2081. CrossRef
Gastric ESD
Takuji Gotoda, Khek-Yu Ho, Roy Soetikno, Tonya Kaltenbach, Peter Draganov
Gastrointestinal Endoscopy Clinics of North America.2014; 24(2): 213. CrossRef
ESD training: A challenging path to excellence
Alberto Herreros de Tejada
World Journal of Gastrointestinal Endoscopy.2014; 6(4): 112. CrossRef

11,679 View
122 Download
28 Crossref

Endoscopic Submucosal Dissection (ESD) Training and Performing ESD with Accurate and Safe Techniques: Chang-Il Kwon; Clin Endosc 2012;45(4):347-349. Published online November 30, 2012; DOI: https://doi.org/10.5946/ce.2012.45.4.347

Abstract PDF

Introduction of endoscopic submucosal dissection (ESD) has brought about a renaissance in therapeutic endoscopy. For the globalization and universalization of ESD, the number of physicians who can perform ESD has rapidly increased with general ex vivo and in vivo training using animal models and hand-on courses. In this focused review series, world-renowned ESD experts described the published studies or their own precious experiences about ESD training and performing ESD with accurate and safe techniques. First, Dr. Adolfo Parra-Blanco reviewed on ex vivo and in vivo models for ESD training. Next, Dr. Joo Young Cho described detailed practical settings and current status of hands-on courses using ex vivo and in vivo models in Korea. Dr. Takashi Toyonaga described quality controlled ESD and basic techniques to prevent complications. Dr. Tsuneo Oyama reviewed recently published methods to facilitate ESD. Dr. Jae-Young Jang reviewed the usefulness of magnifying and narrow band imaging to measure the depth of invasion before ESD.

Citations

Citations to this article as recorded by

Performance of novices in Endoscopic Submucosal Dissection starting directly in human patients under direct supervision of an expert endoscopist
J Bekaert, S Van Langendonck, N Van Heddegem, J Haringsma, P Dewint
Acta Gastro Enterologica Belgica.2024; 87(4): 478. CrossRef
Endoscopic submucosal dissection training: evaluation of an ex vivo training model with continuous perfusion (ETM-CP) for hands-on teaching and training in China
Jun Huang, Bing-ran Du, Wei-guang Qiao, Si-lin Huang, Lan-feng Xue, Liang Deng, Jun-ming Liang, Jun Wang, Jian-yi Li, Yu Chen
Surgical Endoscopy.2023; 37(6): 4774. CrossRef
Disección endoscópica submucosa: curva de aprendizaje en modelos porcinos
Victor Efrén Gallardo Cabrera, Oscar Hernández Mondragón, Dulce María Rascón Martínez, Gerardo Blanco Velasco, Roberto Ramos González, Amina Evelyn Tun Abraham, Juan Manuel Blancas Valencia
Endoscopia.2015; 27(3): 109. CrossRef
Training in endoscopic submucosal dissection
Roxana M Coman
World Journal of Gastrointestinal Endoscopy.2013; 5(8): 369. CrossRef

8,164 View
78 Download
4 Crossref

Education and Training Guidelines for the Board of the Korean Society of Gastrointestinal Endoscopy: Kee Myung Lee, M.D., Seok Reyol Choi, M.D.*, Byung Ik Jang, M.D.^†, Seong Hwan Kim, M.D.^‡, Chang Don Kang, M.D.^§, Young Dae Kim, M.D.^∥, Jeong Youp Park, M.D.^¶ and Il-Kwun Ch; Korean J Gastrointest Endosc 2011;42(4):207-214. Published online April 28, 2011

Abstract PDF: The Korean Society of Gastrointestinal Endoscopy (KSGE) developed regulations and a gastrointestinal endoscopy board in 1995. Although the KSGE has acquired many specialists since then, the education and training aims and guidelines were insufficient. Although endoscopic examinations are supervised by a specialist during a GI fellowship, some types of GI endoscopic examinations and treatments are difficult to obtain exposure. Fellows should acquire endoscopic skills through repeated independent endoscopic examinations after a GI fellowship. Thus, the KSGE requires training guidelines for fellowships that allow fellows to perform endoscopic examinations without a supervisor. This document is intended to provide the principles that the Committee of Education and Training of KSGE can use to develop practical guidelines for granting privileges to perform accurate GI endoscopy safely. KSGE will contribute to improving the quality of GI endoscopy by providing guidelines for fellowships and supervisors. (Korean J Gastrointest Endosc 2011;42:207-214)

3,752 View
66 Download

First
Prev
Page of 1
Next
Last

Search