Endoscopy training of surgical residents: results of an university hospital

Abstract

Purpose: The aim of this study is to evaluate the efficacy of endoscopy training at an university hospital surgery clinic and to find an answer to the question; when and how surgical endoscopy training should be.

Materials and Methods: At the surgery clinic of our university gastrointestinal endoscopies were performed by residents under supervision and the success rates, complications and duration were recorded. An endoscopy was accepted to be succesfull if the caecum or duodenum was entubated.

Results: When the residents files were examined the success rate for the first 50 gastroscopies was 58%. With an increasing experience the time of the procedure and the success rates increased. For an 100% success rate an experience of 100 gastroscopies was enough. Altough colonoscopy success rate also increased by experience, even after performing 200 colonoscopies still caecum entubation rate was not sufficient.

Conclusion: Our study showes that colonoscopy is a harder procedure compared with gastroscopy and should be performed under supervision . İn our country the courses designed by The Turkish Society of Surgery is a good choice to learn endoscopy for residents. But stil endoscopy training should spread along the 5 years of residency and maybe endoscopy rotation should be mandatory every year.