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ORIGINAL ARTICLE
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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 Thai Association for Gastrointestinal Endoscopy; Department of Internal Medicine, Division of Gastroenterology, Rajavithi Hospital, Bangkok, Thailand
2 Thai Association for Gastrointestinal Endoscopy; Department of Gastroenterology, Bangkok Hospital, Bangkok, Thailand
3 Thai Association for Gastrointestinal Endoscopy; Department of Medicine, Division of Gastroenterology, Excellence Center for Gastrointestinal Endoscopy, Faculty of Medicine, King Chulalongkorn Memorial Hospital, Chulalongkorn University, Thai Red Cross Society; Division of Hospital and Ambulatory Medicine, Department of Medicine, Faculty of Medicine, Pancreas Research Unit, and Tropical Medicine Cluster, Chulalongkorn University, Bangkok, Thailand
4 Thai Association for Gastrointestinal Endoscopy; Department of Medicine, Division of Gastroenterology, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand
5 Thai Association for Gastrointestinal Endoscopy; Digestive Endoscopy Training Center, Rajavithi Hospital, Bangkok, Thailand

Correspondence Address:
Pradermchai Kongkam,
1873, GI Endoscopy Unit, 10th Floor Bhumisirimunkalanusorn Building, King Chulalongkorn Memorial Hospital, Rama 4 Road, Patumwan - 10500, Bangkok
Thailand
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/EUS-D-21-00229

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.


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    -  Chantarojanasiri T
    -  Siripun A
    -  Kongkam P
    -  Pausawasdi N
    -  Ratanachu-ek T
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