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.
Keywords:
Endoscopy, general surgeon, training, success rate
References
1A.I. Morris, Guidelines for the training, appraisal and assessment of trainees in gastrointestinal endoscopy. Joint Advisory Group, Royal College of Physicians of the UK, British Society of Gastroenterology 2004.
2D.O. Faigel, T.H. Baron and B. Lewis et al., Ensuring competence in endoscopy - prepared by the ASGE Taskforce on Ensuring Competence in Endoscopy, Oak Brook, IL: American Society for Gastrointestinal Endoscopy: 2006, pp. 1–31.
3H.M. MacSween, Canadian Association of Gastroenterology practice guideline for granting of privileges to perform gastrointestinal endoscopy. Can J Gastroenterol 1997; 11:429–432.
4A.D. Beattie, M. Greff and V. Lamy et al., The European Diploma of Gastroenterology: progress towards harmonization of standards, Eur J Gastroenterol Hepatol 1996;8:403–406.
5Cameron D, Craig P, Masson J, et al. Conjoint Committee for the Recognition of Training in Gastrointestinal Endoscopy. Gastroenterological Society of Australia (GESA), Royal Australasian College of Physicians (RACP), Royal Australasian College of Surgeons RACS. 2006.
6Marguiles DK, Shabot MM (1993) Fiberoptic imaging and measurement. İn: Hunter JG, Sackier JM. Minimal invasive surgery McGraw-Hill, New York, pp7-14
7Kornstra JJ, Corporaal S, Giezen-Bientema W et al. Colonoscopy training for nurse endoscopists: a feasibility study. Gastrointest Endoscopy 2009;69:688-695.
8Ikenberry SO, Anderson MA, Banerjee S, et al. Endoscopy by non physicians. Gastrointest Endosc 2009;69:767-770.
9Wexner SD, Forde KA, Sellers G, Geron N, Lopes A, Weiss EG. How well can surgeons perform colonoscopy? Surg Endosc 1988;12:1410-1414.
10Asfaha S, Alqahtani S, Hilsden R. Assesment of endoscopic training of general surgery residents in a North America health region. Gastrointest Endoscopy 2008;68:1056-1062.
11Adamsen S, Funch-Jensen M, Drewes M, Rosenberg J,Grantcharov P. A comparative study of skills in virtual laparoscopy and endoscopy. Surg Endosc 2005;19:229-