Successful Training in Gastrointestinal Endoscopy

Jonathan Cohen, MD, FASGE, is Clinical Professor of Medicine at New York University Grossman School of Medicine.

List of Contributors, viii

Foreword, xii

Preface, xiii

Acknowledgments, xv

About the Companion Website, xvi

Part I The Evolution of Basic Principles and Practice, 1

1 Training in Endoscopy: A Historical Background, 3
Jonathan Cohen and David A. Greenwald

2 How Endoscopy is Learned: Deconstructing Skill Sets, 20
Kevin A. Waschke, Catharine M. Walsh, and Gerald M. Fried

3 Training to Become a High‐Quality Endoscopist: Mastering the Nonprocedural Aspects, 27
Sahar Ghassemi and Douglas O. Faigel


4 Training the Endoscopic Trainer, 33
Catharine M. Walsh and Kevin A. Waschke

Part II Training in the Major Endoscopic Procedures, 43

5 Esophagogastroduodenoscopy (EGD), 45
Susan Y. Quan, Lauren B. Gerson, Thomas E. Kowalski, and Shai Friedland

6 Colonoscopy, 57
Robert E. Sedlack

7 Endoscopic Ultrasound, 88
Thomas J. Savides and Frank G. Gress

8 ERCP, 99
Brian S. Lim, Joseph Leung, and Wei‐Chih Liao

9 Capsule Endoscopy, 113
Mindy W. Lee and Felice Schnoll‐Sussman

10 Deep Enteroscopy, 125
Jorge D. Machicado, Jonathan M. Buscaglia, and Patrick I. Okolo

11 Cholangioscopy and Pancreatoscopy, 133
Amrita Sethi and Raj J. Shah

12 Principles of Electrosurgery, 143
David L. Carr‐Locke and John Day

13 Training in the Use of Fluoroscopy for Gastrointestinal Endoscopy, 153
Douglas G. Adler and Gandhi Lanke

14 Training in Pediatric Endoscopy, 164
Michael A. Manfredi and Jenifer R. Lightdale

Part III Training in Specific Techniques, 177

15 Contrast‐Enhanced Endoscopy: Chromo and Optical Contrast Techniques, 179
Anna M. Buchner, Prateek Sharma, and Michael B. Wallace

16 Training in GI Hemostasis, 195
Dennis M. Jensen

17 Luminal Dilation Techniques (Strictures, Achalasia, Anastomotic, IBD), 215
Yi Jia, Syed M. Abbas Fehmi, and Michael L. Kochman

18 Management of Foreign Body Ingestion and Esophageal Food Bolus Obstruction, 224
Michael S. Green, Wendell K. Clarkston, and Sreenivasa S. Jonnalagadda

19 Endoscopic Mucosal Resection, Submucosal Dissection, and Full Thickness Resection Techniques, 233
Juergen Hochberger, Edris Wedi, Peter Koehler, SongSa Dammer, and Thomas Brunk

20 Mucosal Ablation Techniques, 273
Fariha H. Ramay, Bruce D. Greenwald, Virender K. Sharma, and John A. Dumot

21 Complicated Polypectomy, 284
Neal Shahidi, Michael J. Bourke, Yasushi Sano, and Jerome D. Waye

22 Training and Credentialing in Natural Orifice Transluminal Endoscopic Surgery (NOTES), 303
David J. Desilets

23 Training in Bariatric Endoscopy, 306
Diogo Turiani Hourneaux de Moura, Pichamol Jirapinyo, and Christopher C. Thompson

24 Repair of Mucosal Defects: A Primer on Endoscopic Closure of Gastrointestinal Perforations, 323
Sergey V. Kantsevoy and Gottumukkala S. Raju

25 Esophageal, Gastroduodenal, and Colorectal Stenting, 331
Peter D. Siersema

26 ERCP Management of Complicated Stone Disease of the Bile Duct and Pancreas, 343
Nithin Karanth, Ashley A. Vareedayah, Jonathan Cohen, and Gregory B. Haber

27 ERCP Management of Malignancy: Tissue Sampling, Metal Stent Placement, and Ampullectomy, 356
Douglas A. Howell

28 Sphincter of Oddi Manometry, 366
Mark A. Gromski, Stuart Sherman, Glen A. Lehman, and Evan L. Fogel

29 Training for Pseudocyst Management, 375
Todd H. Baron

30 Enteral Access Techniques: Percutaneous Endoscopic Gastrostomy and Jejunostomy, 384
Lauren K. Schwartz and James A. DiSario

31 Training in GI Upper Motility Techniques, 395
Anthony Lembo and Raxitkumar Patel

32 Training in the Endoscopic Management of Anorectal Disorders, 410
Waqar Qureshi

33 The Endoscopic Management of Immediate Complications of Therapeutic Endoscopy, 417
David A. Greenwald and Martin L. Freeman

Part IV Challenges for the Future, 423

34 Assessing Manpower Needs in Gastroenterology and Digestive Endoscopy: Lessons from the Past and Implications for the Future of Endoscopic Training, 425
Mihir S. Wagh and Alan Barkun

35 International Opportunities for Obtaining Endoscopy Training, 434
Mostafa Ibrahim, Fabian Emura, Amerah Taleb, Noran Roshdy, Ryan Law, and Todd H. Baron

36 Virtual Tools for Training: The Spectrum of Apps and Virtual Aids for Learning GastrointestinalEndoscopy, 440
Gene Ma, Alejandra Domínguez, Roque Saenz, and Sarah McGill

37 Providing Resources and Opportunities for Retraining for Practicing Endoscopists, 443
John Petrini and Klaus Mergener

38 Evolving Role of GI Societies and Industry in Training Endoscopists to Perform New Techniques: Supporting the Process and Setting the Standards, 449
John A. Martin and Christopher J. Gostout

39 The Importance of Skills Assessment and Recording Personal Outcomes in the Future of Training, 460
Peter B. Cotton, Sachin Wani, Roland M. Valori, and Jonathan Cohen

Index, 470