Motion training on a validated mechanical ERCP simulator improves novice endoscopist performance of selective cannulation: a multicenter trial.

Autor:	Voiosu T; Gastroenterology Department, Colentina Clinical, Hospital, Bucharest, Romania.; Internal Medicine Department, Carol Davila School of Medicine, Bucharest, Romania., Puscasu C; Gastroenterology Department, Colentina Clinical, Hospital, Bucharest, Romania., Orlandini B; Fondazione Policlinico Universitario Agostino Gemelli, IRCCS, Rome, Italy., Cavlina M; Department of Gastroenterology and hepatology University Hospital Centre, Zagreb, Croatia., Bekkali N; Oxford University Hospitals NHS Foundation Trust, Oxford, UK., Eusebi LH; Gastroenterology Unit, DIMEC, S. Orsola-Malpighi Hospital, Bologna, Italy., Pizzicannella M; Department of Surgery, IRCAD, Strasbourg, France., Blero D; Department of Gastroenterology, Hepatopancreatology and Digestive Oncology, Erasme Hospital, Brussels, Belgium., Balanescu P; Internal Medicine Department, Carol Davila School of Medicine, Bucharest, Romania.; Clinical Immunology Department, Colentina Clinical Hospital, Bucharest, Romania., Voiosu A; Gastroenterology Department, Colentina Clinical, Hospital, Bucharest, Romania., Perretta S; Department of Surgery, IRCAD, Strasbourg, France., Rustemovic N; Department of Gastroenterology and hepatology University Hospital Centre, Zagreb, Croatia., Fuccio L; Gastroenterology Unit, DIMEC, S. Orsola-Malpighi Hospital, Bologna, Italy., Mateescu RB; Gastroenterology Department, Colentina Clinical, Hospital, Bucharest, Romania.; Internal Medicine Department, Carol Davila School of Medicine, Bucharest, Romania., Hassan C; Endoscopy Unit, Nuovo Regina Margherita Hospital, Rome, Italy., Wani S; University of Colorado Anschutz Medical Campus, Aurora, Colorado, United States., Costamagna G; Fondazione Policlinico Universitario Agostino Gemelli, IRCCS, Rome, Italy.; Centre for Endoscopic Research Therapeutics and Training (CERTT), Università Cattolica del Sacro Cuore, Rome, Italy., Boskoski I; Fondazione Policlinico Universitario Agostino Gemelli, IRCCS, Rome, Italy.; Centre for Endoscopic Research Therapeutics and Training (CERTT), Università Cattolica del Sacro Cuore, Rome, Italy.
Jazyk:	angličtina
Zdroj:	Endoscopy international open [Endosc Int Open] 2021 Feb; Vol. 9 (2), pp. E145-E151. Date of Electronic Publication: 2021 Jan 25.
DOI:	10.1055/a-1315-1994
Abstrakt:	Background and study aims  Current data show that traditional training methods in endoscopic retrograde cholangiopancreatography (ERCP) fall short of producing competent trainees. We aimed to evaluate whether a novel approach to simulator-based training might improve the learning curve for novice endoscopists training in ERCP. Methods  We conducted a multicenter, randomized controlled trial using a validated mechanical simulator (the Boškoski-Costamagna trainer). Trainees with no experience in ERCP received either standard cannulation training or motion training before undergoing standard cannulation training on the mechanical simulator. Trainees were timed and graded on their performance in selective cannulation of four different papilla configurations. Results  Thirty-six trainees (16 in the motion training group, 20 in the standard group) performed 720 timed attempts at cannulating the bile duct on the simulator. Successful cannulation was achieved in 698 of 720 attempts (96.9 %), with no significant difference between the two study groups ( P  = 0.37). Trainees in the motion training group had significantly lower median cannulation times compared to the standard group (36 vs. 48 seconds, P  = 0.001) and better technical performance on the first papilla type ( P  = 0.013). Conclusions  Our findings suggest that motion training could be an innovative method aimed at accelerating the learning curve of novice trainees in the early phase of their training. Future studies are needed to establish its role in ERCP training programs. Competing Interests: Competing interests Dr. Costamagna is a consultant for Cook Medical, Boston Scientific and Olympus. Dr. Boskoski is a consultant for Cook Medical, Boston Scientific and Apollo Endosurgery, a holder of a research grant from Apollo Endosurgery and a Scientific Board Member for Endo Tools. (The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).)
Databáze:	MEDLINE
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