iGIE最新文献

{"title":"Effect of prophylactic biliary stent in reducing recurrence of adverse events among patients awaiting cholecystectomy: an analysis of the Nationwide Readmissions Database","authors":"Saurabh Chandan MD ,&nbsp;Bhanu Pinnam MD ,&nbsp;Dushyant Singh Dahiya MD ,&nbsp;Babu P. Mohan MD ,&nbsp;Daryl Ramai MD ,&nbsp;Antonio Facciorusso MD, PhD ,&nbsp;Justin Paul Canakis DO ,&nbsp;Mohammad Bilal MD ,&nbsp;Harshal Mandavdhare MBBS, MD, DM ,&nbsp;Douglas G. Adler MD","doi":"10.1016/j.igie.2024.04.007","DOIUrl":"10.1016/j.igie.2024.04.007","url":null,"abstract":"<div><h3>Background and Aims</h3><p>In patients awaiting cholecystectomy, the role of endoscopic biliary sphincterotomy (EST) with biliary stenting is controversial. We aimed to assess the impact of biliary stenting in these patients.</p></div><div><h3>Methods</h3><p>The Nationwide Readmissions Database (2016-2020) was queried to identify adult hospitalizations with cholelithiasis and choledocholithiasis that underwent ERCP with EST without biliary stenting (group 1) and biliary stenting (group 2). Readmission characteristics, post-ERCP pancreatitis (PEP), mean length of hospital stay (LOS), and mean total hospitalization charge (THC) were analyzed.</p></div><div><h3>Results</h3><p>For all biliary events, the risks of 30-day (1.18% vs .67%; adjusted hazard ratio [aHR], 1.78, 95% confidence interval [CI], 1.55-2.04; <em>P</em> &lt; .001), 60-day (2.12% vs 1.04%; aHR, 2.0; 95% CI, 1.82-2.28; <em>P</em> &lt; .001), and 90-day (2.66% vs 1.27%; aHR, 2.07; 95% CI, 1.86-2.30; <em>P</em> &lt; .001) readmissions were higher in group 2 than in group 1. Similarly, the risks of 30-, 60-, and 90-day readmissions for choledocholithiasis, cholecystitis, cholangitis, and gallstone pancreatitis, and mean LOS and THC were higher in group 2 than in group 1. After adjusting for confounders, group 2 had higher rates of readmission for PEP within 48 hours after hospital discharge (.05% vs .03%; adjusted odds ratio, 1.93; 95% CI, 1.05-3.52; <em>P</em> = .032) compared with group 1, whereas there was no statistical difference in the rates of PEP from 48 hours to 7 days after hospital discharge between the groups.</p></div><div><h3>Conclusions</h3><p>For biliary events, patients with biliary stenting had higher readmission risk, LOS, THC, and PEP within 48 hours after discharge compared with nonstented patients.</p></div>","PeriodicalId":100652,"journal":{"name":"iGIE","volume":"3 2","pages":"Pages 254-260"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949708624000402/pdfft?md5=add0d93bcb621d9644d6793c3fe1d256&pid=1-s2.0-S2949708624000402-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140758072","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Simulation-based training of endoscopic hemostasis for Japanese pediatric endoscopy learners: a pilot program","authors":"Takeshi Kanno MD, PhD ,&nbsp;Itaru Iwama MD ,&nbsp;Yutaka Hatayama MD, PhD ,&nbsp;Suguo Suzuki MD ,&nbsp;Yutaro Arata MSc ,&nbsp;Tomoyuki Koike MD, PhD ,&nbsp;Atsushi Masamune MD, PhD","doi":"10.1016/j.igie.2024.04.003","DOIUrl":"10.1016/j.igie.2024.04.003","url":null,"abstract":"<div><h3>Background and Aims</h3><p>Endoscopic hemostasis training, often in emergencies, can be challenging for pediatric endoscopists. This study aimed to establish hands-on seminar sessions using the novel clip hemostasis simulator and to explore the underlying concerns about endoscopic hemostasis among pediatric endoscopists and the potential of simulator-based training (SBT).</p></div><div><h3>Methods</h3><p>An SBT course was incorporated into seminars by the Japanese Society for Pediatric Gastroenterology, Hepatology, and Nutrition. Surveys using the visual analog scale (VAS; 0-100) completed by consenting pediatricians during 4 seminars from October 2021 to March 2023 were compared with responses of adult GI residents and junior residents.</p></div><div><h3>Results</h3><p>Fifty-two pediatric endoscopists (median age, 31 year; postgraduate year 7) were enrolled. A median VAS score of 47 (interquartile range [IQR], 23.5-65) for understanding endoscopic hemostasis was significantly lower than that of adult GI residents (median, 76; IQR, 58-82; <em>P</em> &lt; .001) and comparable with junior residents (median, 54; IQR, 50-65). Pediatric endoscopists' confidence in independently performing hemostasis was low, with a median score of 0 (IQR, 0-16.5), which was below adult GI residents (median, 67; IQR, 49-77; <em>P</em> &lt; .001) and junior residents (median, 11.5; IQR, 10-39; <em>P</em> = .014). Regarding skill enhancement by SBT, a median score of 94.5 showed high and no significant difference from junior residents and adult GI residents, respectively. All pediatric endoscopists expressed an interest in repeated SBT sessions.</p></div><div><h3>Conclusions</h3><p>Pediatric endoscopists were concerned about their competence in endoscopic hemostasis. The simplified SBT programs with the simulator may potentially improve their skills and confidence. (Clinical trial registration number: UMIN000035735.)</p></div>","PeriodicalId":100652,"journal":{"name":"iGIE","volume":"3 2","pages":"Pages 230-236"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949708624000360/pdfft?md5=7f12be75834b01ec8d1501196e7361bb&pid=1-s2.0-S2949708624000360-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140760893","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adoption of a gastroenterology hospitalist model and the impact on inpatient endoscopic practice volume: a controlled interrupted time-series analysis","authors":"Dennis Shung MD, PhD ,&nbsp;Darrick K. Li MD, PhD ,&nbsp;Kisung You PhD ,&nbsp;Kenneth W. Hung MD, MS ,&nbsp;Loren Laine MD ,&nbsp;Michelle L. Hughes MD","doi":"10.1016/j.igie.2024.04.008","DOIUrl":"10.1016/j.igie.2024.04.008","url":null,"abstract":"<div><h3>Background and Aims</h3><p>The gastroenterology (GE) hospitalist staffing model has multiple potential benefits for the inpatient and outpatient care of GE patients. The GE hospitalist model may improve inpatient endoscopy efficiency via better provider familiarity with management of GE emergencies, hospital systems, and workflow, and may also increase outpatient endoscopy capacity by decreasing the need for inpatient coverage by outpatient providers. However, the real-world impact of this model on inpatient and outpatient endoscopic volume remains uncertain.</p></div><div><h3>Methods</h3><p>We conducted a controlled interrupted time-series analysis from September 2018 to March 2020 comparing inpatient endoscopy volume at 2 high-acuity hospitals within the same academic health system, one of which adopted a 2-physician GE hospitalist model in July 2019. We also performed a single interrupted time-series analysis of outpatient endoscopic volume of the practice employing GE hospitalists.</p></div><div><h3>Results</h3><p>After implementation of the GE hospitalist model, weekly volume of inpatient endoscopic procedures increased by 10.9 (95% CI, .6-21.2; <em>P</em> = .024) compared with a hospital using traditional staffing. Outpatient endoscopic procedure volume also increased by 39.8 per week (95% CI, −5.78 to 85.44; <em>P</em> = .09), with no change in the number of physicians performing endoscopy.</p></div><div><h3>Conclusions</h3><p>Our findings demonstrate that introduction of a GE hospitalist model increased inpatient and outpatient endoscopic volume in a large academic center.</p></div>","PeriodicalId":100652,"journal":{"name":"iGIE","volume":"3 2","pages":"Pages 329-332.e2"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949708624000414/pdfft?md5=de1c0f66b55c7ca8516a2f3281c47ac8&pid=1-s2.0-S2949708624000414-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140772582","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Novel application of single-use video pancreaticobiliary scope for removing obstructive appendiceal foreign body and multiple fecalith","authors":"Liying Tao MM,&nbsp;Hongguang Wang MBBS,&nbsp;Qingmei Guo MBBS,&nbsp;Xiang Guo MM,&nbsp;SiJie Guo MM","doi":"10.1016/j.igie.2024.02.006","DOIUrl":"10.1016/j.igie.2024.02.006","url":null,"abstract":"","PeriodicalId":100652,"journal":{"name":"iGIE","volume":"3 2","pages":"Pages 180-181"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949708624000189/pdfft?md5=12d0bcc585e1e6ae6e67c3fbb45a5713&pid=1-s2.0-S2949708624000189-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139825873","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perfect pairing: use of a radiofrequency-blocking Faraday bag for video capsule deployment","authors":"Trent Walradt MD ,&nbsp;Daniel J. Stein MD, MPH","doi":"10.1016/j.igie.2024.04.009","DOIUrl":"10.1016/j.igie.2024.04.009","url":null,"abstract":"<div><h3>Background and Aims</h3><p>Video capsule endoscopy (VCE) is a valuable tool for evaluation of small-bowel pathology. Video capsule pairing timing is a source of inefficiency. A potential etiology of delayed pairing is interference from external devices. We evaluated the impact of using a commercially available radio signal–blocking Faraday bag on VCE pairing time.</p></div><div><h3>Methods</h3><p>VCE pairing time was measured for 20 cases with (bag group) and without (control group) the use of a Faraday bag. If cases that started without the Faraday bag did not pair after 10 minutes, they were crossed over to the Faraday bag group. Ambient radiofrequency levels were measured in both groups.</p></div><div><h3>Results</h3><p>Pairing time was 49.3 ± 33.3 seconds in the Faraday bag group versus 384.2 ± 225.6 seconds in the control group (<em>P</em> &lt; .001). Among the 4 control cases that crossed over to the Faraday bag group, pairing time after the switch was 23.5 ± 19.5 seconds. The average radiofrequency level was 0.004 ± 0.006 mW/m² in the bag group and 40.7 ± 48.2 mW/m² in the control group (<em>P</em> &lt; .001).</p></div><div><h3>Conclusions</h3><p>Use of a Faraday bag shortens VCE pairing time, possibly by decreasing radiofrequency interference. This intervention may augment efficiency in the endoscopy suite/clinic.</p></div>","PeriodicalId":100652,"journal":{"name":"iGIE","volume":"3 2","pages":"Pages 261-263"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949708624000426/pdfft?md5=0d2a300cfdc2b361dbdf16b7529d2840&pid=1-s2.0-S2949708624000426-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141037696","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Application of a novel swallowable telemetric device for real-time luminal blood detection to guide timing of enteroscopy in a patient with occult GI bleeding: a case report","authors":"Joachim Rainer MD,&nbsp;Paolo Biancheri MD, PhD,&nbsp;Giuliano Francesco Bonura MD,&nbsp;Simona Deiana MD,&nbsp;Tommaso Gabbani MD,&nbsp;Noemi Gualandi MD,&nbsp;Roberta Pileggi MD,&nbsp;Paola Soriani MD,&nbsp;Mauro Manno MD","doi":"10.1016/j.igie.2023.11.009","DOIUrl":"https://doi.org/10.1016/j.igie.2023.11.009","url":null,"abstract":"","PeriodicalId":100652,"journal":{"name":"iGIE","volume":"3 2","pages":"Pages 171-173"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949708623001395/pdfft?md5=73de24bc5199213c3c0c03745af2150e&pid=1-s2.0-S2949708623001395-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141486435","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"General anesthesia and/or deep hypnotic state in propofol-based conscious sedation for endoscopy","authors":"Halim Bou Daher MD ,&nbsp;Ali El Mokahal MD ,&nbsp;Mohamad Ali Ibrahim MD ,&nbsp;Rana Yamout MD ,&nbsp;Nour Hochaimi MD ,&nbsp;Chakib Ayoub MD ,&nbsp;Yasser H. Shaib MD ,&nbsp;Ala I. Sharara MD","doi":"10.1016/j.igie.2024.04.017","DOIUrl":"10.1016/j.igie.2024.04.017","url":null,"abstract":"<div><h3>Background and Aims</h3><p>Although moderate sedation (defined as a depression of consciousness with the retention of the ability to respond purposefully to verbal commands) is the goal in endoscopy, the exact depth of sedation reached in practice has not been well described.</p></div><div><h3>Methods</h3><p>In this prospective cohort study using bispectral index (BIS) monitoring to assess the depth of propofol-based sedation for same-day bidirectional endoscopy, we measured the incidence and time spent with a BIS score &lt;60, corresponding to general anesthesia (GA) with a low probability of consciousness, and &lt;40, corresponding to a deep hypnotic state, as defined by the American Society of Anesthesiologists.</p></div><div><h3>Results</h3><p>Of 95 consecutive patients enrolled, 84 patients (88%) had a BIS score &lt;60 and 12 patients (12.6%) a BIS score &lt;40. The mean time patients spent under GA and in a deep hypnotic state was 9.1 ± 6.9 and 3.0 ± 2.0 minutes, respectively, representing 38% and 12.6%, respectively, of the total sedation time. Significant alcohol use (defined as &gt;7 drinks per week) was the only predictor for dips in the BIS score &lt;40 (16.7% of those who experienced dips were heavy alcohol users compared with 2.4% of those who did not experience dips, <em>P</em> = .045). A BIS score &lt;60 was more common in younger patients (mean age, 53.8 years vs 62.6 years, <em>P</em> = .040). Patients who experienced a BIS score &lt;40 had a higher incidence of postprocedural dizziness, which was assessed at discharge and at 24 hours (25% vs 7.2%, <em>P</em> = .028). Younger age was the only predictor for a BIS score &lt;60 in the multivariate analysis, with an odds ratio of .921 (95% confidence interval, .863-.983; <em>P</em> = .013). No significant predictors were identified for a BIS score &lt;40 in the multivariate analysis.</p></div><div><h3>Conclusions</h3><p>An important proportion of patients experience periods of GA and/or a deep hypnotic state during endoscopy. However, no predictive factors could be identified. Further studies are required to identify predictors and consequences of deep sedation and improved methods of monitoring.</p></div>","PeriodicalId":100652,"journal":{"name":"iGIE","volume":"3 2","pages":"Pages 286-292"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949708624000505/pdfft?md5=4d4ff75d67e03e564f56a0095fad16f8&pid=1-s2.0-S2949708624000505-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141043194","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparative analysis of early versus late feeding after an EGD-based intervention: meta-analysis","authors":"Priyadarshini Loganathan MD ,&nbsp;Babu P. Mohan MD ,&nbsp;Mahesh Gajendran MD ,&nbsp;Shreyas Saligram MD ,&nbsp;David Alderman MS ,&nbsp;Vishali Moond MD ,&nbsp;Saurabh Chandan MD ,&nbsp;Douglas G. Adler MD","doi":"10.1016/j.igie.2024.02.003","DOIUrl":"10.1016/j.igie.2024.02.003","url":null,"abstract":"<div><h3>Background and Aims</h3><p>The right time to restart feeding after EGD-based interventions is not well established. However, impaired nutrition from prolonged fasting may lead to unfavorable clinical outcomes. Herein, we performed a systematic review and meta-analysis to study the impact of early feeding (within 24 hours) versus late feeding (&gt;24 hours) in patients undergoing acute therapeutic EGD-based interventions.</p></div><div><h3>Methods</h3><p>Multiple databases, including MEDLINE, Scopus, and Embase, were searched (in May 2022) using specific terms for studies evaluating the outcomes of early versus late feeding after EGD-based interventions. Outcomes of interest were early recurrent bleed (&lt;7 days), late recurrent bleed (&gt;7 days), mortality rates, length of hospital stay, and rate of blood transfusion. Standard meta-analysis methods were used using the random-effects model. <em>I</em>²% heterogeneity was used to assess the heterogeneity. The Grading of Recommendations Assessment, Development and Evaluation Working Group approach was used to assess the certainty of evidence.</p></div><div><h3>Results</h3><p>Eight studies (813 patients) were included in the final analysis. The “early feeding” cohort included 411 patients (31% women) with a mean age of 58 years, and the “late feeding” cohort included 402 patients (26.4% women) with a mean age of 57 years. Four studies (283 patients) evaluated patients with band ligation/sclerotherapy in acute variceal bleeding (224 patients), 2 studies (309 patients) with endoscopic treatment of peptic ulcer bleeding, and 2 studies in endoscopic mucosal dissection for gastric mucosal epithelial neoplasia. The pooled risk ratio (RR) of early recurrent bleeding in early feeding versus late feeding was 1.6 (95% confidence interval [CI], .7-3.7; <em>I</em>² = 0%, <em>P</em> = .2). Similarly, the RR of late recurrent bleeding was .9 (95% CI, .4-2.3; <em>I</em>² = 0%, <em>P</em> = .9). The pooled RR of total recurrent bleeding was 1.2 (95% CI, .7-2.2; <em>I</em>² = 0%, <em>P</em> =.3). The pooled RR of mortality between the early feeding and late feeding groups was .6 (95% CI, .3-1.2; <em>I</em>² = 0%, <em>P</em> = .16). The pooled rate of the standard difference of the mean length of hospital stay was –1.184 (95% CI, –1.5 to –.81; <em>I</em>² = 92%, <em>P</em> = .00) between the early and late feeding groups. The pooled rate of the mean difference in blood transfusion between early and late feeding groups was .1 (95% CI, –.4 to .41; <em>I</em>² = 77.6%, <em>P</em> = .96).</p></div><div><h3>Conclusions</h3><p>Our meta-analysis demonstrates early enteral feeding within 24 hours does not appear to have a higher risk of recurrent bleeding and mortality than delayed enteral feeding in patients undergoing EGD-based therapeutic interventions. However, early feeding is associated with a shorter length of hospital stay compared","PeriodicalId":100652,"journal":{"name":"iGIE","volume":"3 2","pages":"Pages 193-201.e12"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949708624000153/pdfft?md5=c938f1df9fde4a9b8e993541dc498a2a&pid=1-s2.0-S2949708624000153-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139821118","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Minimally invasive management of a difficult bile leak after deroofing of hydatid cyst: it’s all about pressures","authors":"Sahaj Rathi MD, DM, MRCP ,&nbsp;Bhavin K. Davra MD, DrNB ,&nbsp;Lileswar Kaman MS, MRCS, PhD","doi":"10.1016/j.igie.2024.02.002","DOIUrl":"10.1016/j.igie.2024.02.002","url":null,"abstract":"<div><h3>Background and Aims</h3><p>Surgery for hepatic hydatid cyst is often complicated by bile leak. In most cases, abolishing the gradient across the ampulla by a sphincterotomy or placing a stent heals the leak. Occasionally, surgical intervention may be required for repair. We share a case of a high-grade bile leak after hepatic hydatid deroofing in which surgical repair was prevented by applying basic principles of hydrostatics.</p></div><div><h3>Methods</h3><p>A 32-year-old man developed a high-grade bile leak after hydatid cyst surgery, with persistent bilious output from the surgical drain. We describe the basic principles, decision-making, and troubleshooting in this complex case that led to a successful outcome with minimally invasive techniques.</p></div><div><h3>Results</h3><p>The patient had an inadequate response to standard endoscopic biliary drainage techniques, including sphincterotomy, plastic stent placement, and external nasobiliary drainage. We created a pressure gradient to drive the bile away from the percutaneous drain by positioning the nasobiliary drain at a lower height. Complete resolution of bile leak was achieved.</p></div><div><h3>Conclusions</h3><p>Differential positioning of drains may be used to alter pressure gradients in patients with bile leak. This technique can be used for minimally invasive management of persistent and/or high-output bile leaks not responsive to standard endoscopic management.</p></div>","PeriodicalId":100652,"journal":{"name":"iGIE","volume":"3 2","pages":"Pages 163-165"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949708624000141/pdfft?md5=b725882acfe8211c3b3f66ceba888be3&pid=1-s2.0-S2949708624000141-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139874011","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development of an endoscopy technician training certificate program in a community college","authors":"Gottumukkala S. Raju MD ,&nbsp;Kalpesh Patel MD ,&nbsp;Sanjivini Suresh MEd ,&nbsp;Hao Chi Zhang MD ,&nbsp;Angela Diehl MA ,&nbsp;Laura G. Romero MBA ,&nbsp;Liben D. Mahometano MBA ,&nbsp;Sophia Reyes BSN ,&nbsp;Marcela Benitez-Romero BSN, MBA ,&nbsp;Tom Slocum BA ,&nbsp;Roy M. Soetikno MD, MS ,&nbsp;Jean M. Verdeyen BS ,&nbsp;Joanne M. Rach BA ,&nbsp;Edwin L. Dellert BSN, MBA ,&nbsp;Ramon Villegas EdD, MA ,&nbsp;Melissa Bruton BSHCA ,&nbsp;Jeffrey Gricar EdD ,&nbsp;Phillip Nicotera MD, MEd","doi":"10.1016/j.igie.2023.11.013","DOIUrl":"https://doi.org/10.1016/j.igie.2023.11.013","url":null,"abstract":"<div><h3>Background and Aims</h3><p>Surgical operating room technicians require 2 years of formal training and certification before they can assist a surgeon, whereas endoscopy units recruit and train personnel. This discrepancy is because community colleges and other educational venues lack formal endoscopy training programs. We report the development of a training program for endoscopy technicians (ETs) at the Houston Community College (HCC).</p></div><div><h3>Methods</h3><p>We took the following steps to create and validate the ET training program at HCC. We proposed developing an ET training program to the chancellor of the HCC. Based on input from the Development of a Curriculum Conference, we recruited an advisory board of educators who developed a 1-year ET certificate program. The Southern Association of Colleges and Schools Commission on Colleges (SACSOC) approved the program. An endoscopist, a medical illustrator, and an educator developed the learning material. Practical training for the students at various endoscopy centers was arranged. Students took the American Society for Gastrointestinal Endoscopy (ASGE) Endoscopy Technician Training Certificate of Completion Assessment Examination at the end of their course.</p></div><div><h3>Results</h3><p>Successful development of the ET training certificate level II program at the community college required 6 years. Thirteen students enrolled in 2021, and 12 graduated in 2022. All 6 students enrolled in 2022 graduated from the program. All except 1 found employment soon after graduation. The first class obtained a mean score of 58% (range, 38%-77%), and the second class 80% (range, 75%-87%) on the ASGE Endoscopy Technician Training Certificate of Completion Assessment Examination.</p></div><div><h3>Conclusions</h3><p>A multidisciplinary collaborative approach between medical institutions, industry partners, and a community college led to the development of an ET training program, with the successful graduation of enrolled students and clearance of the ASGE certification. This program could be a blueprint for other community colleges to start a similar program.</p></div>","PeriodicalId":100652,"journal":{"name":"iGIE","volume":"3 2","pages":"Pages 153-162"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949708623001437/pdfft?md5=64289db33f4ee1d3b2175828e63b4f27&pid=1-s2.0-S2949708623001437-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141486436","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}