Saturday abstract
Sa1237 Development and Initial Validation of a New Endoscopic Training Model for Advanced Endoscopic Procedures - The HEAT International Endoscopy Study

https://doi.org/10.1016/j.gie.2016.03.396Get rights and content

Introduction

Hands-on training of advanced endoscopic procedures is of paramount importance. To date, training is mostly performed with animal models. However, due to the thickened mucosa and the diverging anatomical situation of the animal model, advanced endoscopic procedures are somehow difficult to teach and learn.

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Aims

Primary objective was to develop and validate a new endoscopic training model designed for hands-on training of advanced and complex endoscopic procedures.

Material & Methods

In the first phase, human cadaver models were specially prepared for upper and lower gastrointestinal endoscopy. In the second phase, twelve endoscopists with different experience from seven different countries were trained in advanced endoscopic procedures, including ESD, POEM, sealing of perforations by using different types of hemoclips and the over-the-scope-clip (OTSC) and in endoscopic full thickness resection. Outcomes of endoscopic procedures performed during the study period were

Results

A new interventional endoscopy training model for advanced endoscopic procedures with specially prepared human cadaver models was developed and validated in an international study. A significant improvement of the endoscopic skills was noted for all procedures performed, especially for ESD and POEM. Of note, perforations occurring during the study showed a real-life appearance and could be managed endoscopically therefore allowing completion of procedures in all cases. In addition, endoscopic

Conclusion

The HEAT international endoscopy study was initiated to develop and validate a new endoscopic training model for advanced endoscopic procedures. Technical skills of the attending endoscopists improved rapidly and training was rated as more effective as traditional hands-on training with animal models. Based on the study results we now recommend to include the HEAT model in endoscopy training programs before advanced endoscopic procedures should be performed in living patients.

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