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Evaluation of the ex-vivo porcine simulator on EUS-guided cystogastrostomy using lumen-apposing metal stent training
BCKGROUND AND OBJECTIVES: EUS-guided cystogastrostomy is a well-established advanced endoscopic technique with a steep-learning curve which necessitates an ex-vivo simulator that would allow for adequate training. The aim of this study is to evaluate the feasibility of the model in allowing training...
Autores principales: | , , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9258017/ https://www.ncbi.nlm.nih.gov/pubmed/35708369 http://dx.doi.org/10.4103/EUS-D-21-00109 |
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author | Ibrahim, Mostafa Roshdy, Noran Taleb, Amerah Alfadda, Abdulrahman Al-Lehibi, Abed Altonbary, Ahmed Galal, Ahmed El-Fouly, Amr Kozlowska, Anna Khor, Christopher Isayama, Hiroyuki Okasha, Hussein Barthet, Marc Giovannini, Marc Pausawasdi, Nonthalee Eisendrath, Pierre Kongkam, Pradermchai Ratanachu-ek, Thawee Nakai, Yousuke |
author_facet | Ibrahim, Mostafa Roshdy, Noran Taleb, Amerah Alfadda, Abdulrahman Al-Lehibi, Abed Altonbary, Ahmed Galal, Ahmed El-Fouly, Amr Kozlowska, Anna Khor, Christopher Isayama, Hiroyuki Okasha, Hussein Barthet, Marc Giovannini, Marc Pausawasdi, Nonthalee Eisendrath, Pierre Kongkam, Pradermchai Ratanachu-ek, Thawee Nakai, Yousuke |
author_sort | Ibrahim, Mostafa |
collection | PubMed |
description | BCKGROUND AND OBJECTIVES: EUS-guided cystogastrostomy is a well-established advanced endoscopic technique with a steep-learning curve which necessitates an ex-vivo simulator that would allow for adequate training. The aim of this study is to evaluate the feasibility of the model in allowing training for EUS-guided cystogastrostomy using lumen-apposing metal stent (LAMS). SUBJECTS AND METHODS: The model was created by ROEYA Training Center, Egypt, using native porcine tissue to create fluid collections simulating both cystic and solid lesions. It was designed and tested in advance while the hydrogel was added on-site. The simulator was evaluated prospectively in five training sessions involving 17 international experts. The task was to successfully deploy the LAMS to drain the created cyst. After using the simulator, the experts were asked to fill a questionnaire to assess their experience. The primary endpoint was overall satisfaction with the model as a training tool. RESULTS: All of the experts were satisfied with the model as a tool to train endoscopists for the technique. 76.5% (n = 11) of the experts thought the model to be moderately realistic. Proper visualization was reported by 94.1% of the experts. All experts believed the lesions to be either slightly like or very similar to real lesions. The model was graded “easy” in difficulty by 11 of the experts. CONCLUSIONS: In all parameters assessed, the experts thought the model to be a useful tool for future training. This preliminary study suggests that the aforementioned simulator can be used to train endoscopists on using LAMS in a risk-free environment. |
format | Online Article Text |
id | pubmed-9258017 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-92580172022-07-07 Evaluation of the ex-vivo porcine simulator on EUS-guided cystogastrostomy using lumen-apposing metal stent training Ibrahim, Mostafa Roshdy, Noran Taleb, Amerah Alfadda, Abdulrahman Al-Lehibi, Abed Altonbary, Ahmed Galal, Ahmed El-Fouly, Amr Kozlowska, Anna Khor, Christopher Isayama, Hiroyuki Okasha, Hussein Barthet, Marc Giovannini, Marc Pausawasdi, Nonthalee Eisendrath, Pierre Kongkam, Pradermchai Ratanachu-ek, Thawee Nakai, Yousuke Endosc Ultrasound Original Article BCKGROUND AND OBJECTIVES: EUS-guided cystogastrostomy is a well-established advanced endoscopic technique with a steep-learning curve which necessitates an ex-vivo simulator that would allow for adequate training. The aim of this study is to evaluate the feasibility of the model in allowing training for EUS-guided cystogastrostomy using lumen-apposing metal stent (LAMS). SUBJECTS AND METHODS: The model was created by ROEYA Training Center, Egypt, using native porcine tissue to create fluid collections simulating both cystic and solid lesions. It was designed and tested in advance while the hydrogel was added on-site. The simulator was evaluated prospectively in five training sessions involving 17 international experts. The task was to successfully deploy the LAMS to drain the created cyst. After using the simulator, the experts were asked to fill a questionnaire to assess their experience. The primary endpoint was overall satisfaction with the model as a training tool. RESULTS: All of the experts were satisfied with the model as a tool to train endoscopists for the technique. 76.5% (n = 11) of the experts thought the model to be moderately realistic. Proper visualization was reported by 94.1% of the experts. All experts believed the lesions to be either slightly like or very similar to real lesions. The model was graded “easy” in difficulty by 11 of the experts. CONCLUSIONS: In all parameters assessed, the experts thought the model to be a useful tool for future training. This preliminary study suggests that the aforementioned simulator can be used to train endoscopists on using LAMS in a risk-free environment. Wolters Kluwer - Medknow 2022-05-02 /pmc/articles/PMC9258017/ /pubmed/35708369 http://dx.doi.org/10.4103/EUS-D-21-00109 Text en Copyright: © 2022 SPRING MEDIA PUBLISHING CO. LTD https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Original Article Ibrahim, Mostafa Roshdy, Noran Taleb, Amerah Alfadda, Abdulrahman Al-Lehibi, Abed Altonbary, Ahmed Galal, Ahmed El-Fouly, Amr Kozlowska, Anna Khor, Christopher Isayama, Hiroyuki Okasha, Hussein Barthet, Marc Giovannini, Marc Pausawasdi, Nonthalee Eisendrath, Pierre Kongkam, Pradermchai Ratanachu-ek, Thawee Nakai, Yousuke Evaluation of the ex-vivo porcine simulator on EUS-guided cystogastrostomy using lumen-apposing metal stent training |
title | Evaluation of the ex-vivo porcine simulator on EUS-guided cystogastrostomy using lumen-apposing metal stent training |
title_full | Evaluation of the ex-vivo porcine simulator on EUS-guided cystogastrostomy using lumen-apposing metal stent training |
title_fullStr | Evaluation of the ex-vivo porcine simulator on EUS-guided cystogastrostomy using lumen-apposing metal stent training |
title_full_unstemmed | Evaluation of the ex-vivo porcine simulator on EUS-guided cystogastrostomy using lumen-apposing metal stent training |
title_short | Evaluation of the ex-vivo porcine simulator on EUS-guided cystogastrostomy using lumen-apposing metal stent training |
title_sort | evaluation of the ex-vivo porcine simulator on eus-guided cystogastrostomy using lumen-apposing metal stent training |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9258017/ https://www.ncbi.nlm.nih.gov/pubmed/35708369 http://dx.doi.org/10.4103/EUS-D-21-00109 |
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