Gastrointestinal endoscopy
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Gastrointest. Endosc. · Feb 2010
Comment Letter Comparative StudyEUS-guided celiac plexus block for chronic pancreatitis: a placebo-controlled trial should be the first priority.
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Gastrointest. Endosc. · Feb 2010
Randomized Controlled Trial Multicenter Study Comparative StudyTraining and transfer of colonoscopy skills: a multinational, randomized, blinded, controlled trial of simulator versus bedside training.
The Olympus colonoscopy simulator provides a high-fidelity training platform designed to develop knowledge and skills in colonoscopy. It has the potential to shorten the learning process to competency. ⋯ Performance of novices trained on the colonoscopy simulator matched the performance of those with standard patient-based colonoscopy training, and novices in the simulator group demonstrated superior technical skills on simulated cases. The simulator should be considered as a tool for developing knowledge and skills prior to clinical practice.
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Gastrointest. Endosc. · Feb 2010
Comparative StudyFace and construct validity of a computer-based virtual reality simulator for ERCP.
Currently, little evidence supports computer-based simulation for ERCP training. ⋯ The GI Mentor II demonstrated construct validity for ERCP based on select metrics. Most subjects thought that the simulated graphics, procedural accuracy, and overall realism exhibit face validity. Subjects deemed it a useful training tool. Study repetition involving more participants and cases may help confirm results and establish the simulator's ability to differentiate skill levels based on ERCP-specific metrics.
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Gastrointest. Endosc. · Feb 2010
Percutaneous transesophageal gastrostomy tube placement: an alternative to percutaneous endoscopic gastrostomy in patients with intra-abdominal metastasis.
PEG/jejunostomy (PEG/J) is often placed in patients with metastatic gastric cancer for palliating bowel obstruction or for feeding. However, PEG/J placement may not always be possible for many reasons. ⋯ PTEG/J is a safe and effective alternative to standard percutaneous gastrostomy/jejunostomy tube placement for decompression of bowel obstruction or feeding in appropriately selected patients.