Hands-On Training

What it's about

• Lesion delineation and lifting
• Cap selection and fixation
• Positioning of the crescent snare in the cap
• Perpendicular and centered lesion approach for suction and snare closure
• Hemostasis during EMR

You should have experience with

• Endoscope tip and space control
• Polypectomy and rubber band ligation techniques
• Hemostasis and endoclipping techniques (be able to manage complications)

What it's about

• EUS machine operation and set-up, use of tip balloon and luminal water
• Radial EUS of epigastrium
• Linear EUS of epigastrium
• Staging luminal cancer and subepithelial lesions
• Extraluminal mass identification

You should have experience with

• Insertion and manipulation of side-viewing scope
• Basic indications of EUS
• Basic knowledge of anatomy of epigastrium and rectum

What it's about

• Biliary cannulation
• Sphincterotomy
• Guide-wire accessory exchange
• Stone extraction with Dormia basket and balloon
• Biliary plastic and metal stenting
• Retrial of stents

You should have experience with

• Insertion and advancement of side-viewing scope
• Use of scope tip control and torque technique
• Use of elevator, Vater papilla identification

What it's about

• Lesion recognition, delineation/marking
• Knife selection and power unit settings
• Approach to lesion and position changes
• Submucosal injection and dissection
• Complication management (bleeding, perforation)

You should have experience with

• Indications for ESD in the GI tract
• Endoscopic polypectomy and musosectomy techniques

What it's about

• Injection therapy
• Mechanical hemostasis (clipping, ligation, endoloops)
• Ligation of varices
• Thermo coagulation
• Argon plasma coagulation

You should have experience with

• Insertion and advancement of front-viewing scope
• Use of scope tip control and torque technique
• Lumen identification

What it's about

• Submucosal injection in esophagus
• Mucosal incision
• Submucosal dissection to produce a tunnel
• Myotomy
• Mucosal incision site closure

You should have experience with

• Indications of endoscopic myotomy
• Knowledge of alternative techniques
• Submucosal injection
• Use of knife for submucosal dissection
• Use of endoclips

What it's about

• Techniques with respect to polyp size
• Positioning of the polyp
• Use of cold and hot biopsy forceps and cold snare
• Electro cautery and snare designs
• Use of pre-snare injections and endoloops
• Lifting techniques and non-lifting sign
• Use of polypectomy snares
• Tissue retrieval techniques

You should have experience with

• Insertion and advancement of front-viewing scope
• Use of scope tip control and torque technique
• Lumen identification

What it's about

• Subepithelial or extraluminal lesion identification
• Endoscope positioning
• Selection of appropriate needle
• Techniques of needle aspiration/biopsy
• Sample handling

You should have experience with

• Insertion and advancement of EUS scope
• Indications for EUS-FNA

What it's about

• Indications / contraindications
• Aseptic technique
• Gastrostomy and evaluation of gastric anatomy
• Percutaneous access
• Ponsky-Gauderer push-pull methodology of PEG placement

You should have experience with

• Gastroscopy
• Use of polyp snare and/or foreign body forceps
• Use of percutaneous needle

What it's about

• Treatment of Barrett’s related dysplasia or early adenocarcinoma
• Balloon-based or focal radiofrequency ablation procedure

You should have experience with

• Gastroscopy
• Endoscopic diagnosis of Barrett’s esophagus
• EMR techniques of esophagus

What it's about

single operation technique and handling:

• Insertion of an ultraslim endoscope directly into the bile duct for visualization of the biliary mucosa
• Endoscopic identification of biliary strictures
• Biopsy of indeterminate biliary stricture

You should have experience with

• ERCP
• Biliary cannulation techniques
• intraductal indirect sampling

What it's about

single operation technique and handling:

• Insertion of an ultraslim endoscope directly into the bile duct for visualization of the intraductal stones

• targeted lithotripsy of CBD stones

You should have experience with

• ERCP
• Biliary cannulation techniques
• CBD stone extraction and lithotripsy methods

What it's about

• Safe needle transfer from esophagus to stomach

• Assessing defects for closure suitability
• Optimal endoscope positioning for suturing
• Handling and manipulating needles with suturing device, using various suturing patterns
• Accurate defect edge approximation for complete closure

You should have experience with

• Understanding ESD defect closure indications, including different defect types
• Knowledge of alternative closure methods
• Proficiency in advanced endoscopic maneuvers
• Familiarity with various suture types and patterns

What it's about

Treat esophageal leakages with the combination of metal stent placement and sponge vacuum therapy: (Seal the leakage and drain wound secretion)

• Anastomotic leakage

• Esophageal perforation
• Fistulas

You should have experience with

• Self-expandable Metal Stent placement
• Sponge Vacuum Therapy

What it's about

• Fluid collections in the peripancreatic tissue associated with acute or chronic pancreatitis

• Transmural drainage of pancreatic fluid collections associated with symptoms (epigastric pain, obstructive jaundice, vomiting due to gastric outlet obstruction, sepsis, etc.)

• EUS-guide transmural placement of stent(s) for drainage

You should have experience with

• EUS
• ERCP

• Guide-wire manipulation

• Enteral / biliary stent placement

What it's about

• EUS-guided transmural drainage of a bile ducts

• Alternative to percutaneous transhepatic biliary drainage (PTBD) if ERCP fails

• Intrahepatic approach (hepatogastric anastomosis or antegrade stent placement)

• Extrahepatic approach (choledochoduodenostomy or transgallbladder)

You should have experience with

• ERCP
• EUS-guided drainage of pancreatic fluid collections

• Guide-wire manipulation

• Enteral / biliary stent placement