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Successful Training in Gastrointestinal Endoscopy


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role of adult endoscopists in pediatrics Defining and assessing procedural competency Assessing competency Simulation in pediatric endoscopy Advanced procedures Endoscopic retrograde cholangiopancreatography (ERCP) Endoscopic ultrasound Wireless video capsule endoscopy References

      11  III: Training in Specific Techniques 15 Contrast‐Enhanced Endoscopy Introduction Overview of contrast (image)‐enhancement techniques: chromoendoscopy and other optical techniques Chromoendoscopy FICE, BLI, BLI‐Bright, LCI, and iScan Evidence for effect of training Summary Videos References 16 Training in GI Hemostasis Introduction Prerequisite cognitive knowledge required prior to learning GI endoscopic hemostatic techniques Prerequisite technical knowledge and skills required to learn endoscopic hemostasis Required technical knowledge and skills to be proficient in endoscopic hemostasis Common knowledge and skills for all hemostatic strategies Specific hemostatic strategies Thermal Mechanical Simulators to learn and practice endoscopic hemostasis Available models of endoscopic hemostasis Teaching in endoscopic hemostasis Data supporting the role of hemostasis training on simulators Learning progress in endoscopic hemostasis Concept of integrating simulator work into standard endoscopy training Maintaining skills in endoscopic hemostasis Additional teaching aides for learning GI hemostasis Limitations of GI endoscopy for diagnosis and hemostasis of GI bleeding: teaching pearls for troubleshooting and challenges for the future Definition of minimal thresholds for determining competency in endoscopic hemostasis Requirements to maintain endoscopic hemostasis skills Ongoing challenges in learning new GI hemostasis techniques or improving skills Summary Acknowledgment Videos References 17 Luminal Dilation Techniques (Strictures, Achalasia, Anastomotic, IBD) Introduction Equipment Ancillary devices Endoscope key points to remember Fluoroscopy Mechanism of dilation Technique of dilation Goal Ancillary techniques Contraindications Some key points Achalasia Endoscopy and performance of pneumatic balloon dilation in achalasia Suggested skill set to master and potential outcome measures to assess proficiency in performing luminal dilation Suggested skill level to perform dilation Videos References 18 Management of Foreign Body Ingestion and Esophageal Food Bolus Obstruction Introduction Training in FB extraction Pre‐procedure assessment Identify devices Anticipate the endoscopy Endoscopic removal Further evaluation Conclusions Videos References 19 Endoscopic Mucosal Resection, Submucosal Dissection, and Full Thickness Resection Techniques