Three-year evaluation of a novel, nonfluoroscopic, all-artificial model for EUS-guided biliary drainage training for the impact to practice: A prospective observational study (with videos)
1
Issued Date
2023-01-01
Resource Type
ISSN
23039027
eISSN
22267190
Scopus ID
2-s2.0-85149879993
Journal Title
Endoscopic Ultrasound
Volume
12
Issue
1
Start Page
96
End Page
103
Rights Holder(s)
SCOPUS
Bibliographic Citation
Endoscopic Ultrasound Vol.12 No.1 (2023) , 96-103
Suggested Citation
Chantarojanasiri T., Siripun A., Kongkam P., Pausawasdi N., Ratanachu-Ek T. Three-year evaluation of a novel, nonfluoroscopic, all-artificial model for EUS-guided biliary drainage training for the impact to practice: A prospective observational study (with videos). Endoscopic Ultrasound Vol.12 No.1 (2023) , 96-103. 103. doi:10.4103/EUS-D-21-00229 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/82564
Title
Three-year evaluation of a novel, nonfluoroscopic, all-artificial model for EUS-guided biliary drainage training for the impact to practice: A prospective observational study (with videos)
Other Contributor(s)
Abstract
Background and Objectives: EUS-guided biliary drainage (EUS-BD) required a dedicated training. We developed and evaluated a nonfluoroscopic, all-artificial training model known as Thai Association for Gastrointestinal Endoscopy Model 2 (TAGE-2) for the training of EUS-guided hepaticogastrostomy (EUS-HGS) and EUS-guided choledochoduodenostomy (EUS-CDS). We hypothesize that trainers and trainees would appreciate the ease of the nonfluoroscopy model and increase their confidence to start their real procedures in humans. Materials and Methods: We prospectively evaluated the TAGE-2 launched in two international EUS hands-on workshops and have followed trainees for 3 years to see long-term outcomes. After completing the training procedure, the participants answered questionnaires to assess their immediate satisfaction of the models in and also the impact of these models on their clinical practice 3 years after the workshop. Results: A total of 28 participants used the EUS-HGS model and 45 participants used the EUS-CDS model. The EUS-HGS model was rated as excellent by 60% of beginners and 40% by experienced and the EUS-CDS model was rated as excellent by 62.5% of beginners and 57.2% of experienced. The majority of trainees (85.7%) have started the EUS-BD procedure in humans without additional training in other models. Conclusion: Our nonfluoroscopic, all-artificial model for EUS-BD training is convenient to be used with good-to-excellent satisfaction scored by the participants in most aspects. It can help the majority of trainees start their procedures in humans without additional training in other models.