| Theme | Management for the risk of colonoscopy | |
|---|---|---|
| Title | Skill training and education for colonoscopic treatment | |
| Publish Date | 2005/09 | |
| Author | Yutaka Saito | Division of Endoscopy, National Cancer Center Hospital |
| Author | Takahiro Fujii | Takahiro Fujii Clinic |
| Author | Takahisa Matsuda | Division of Endoscopy, National Cancer Center Hospital |
| Author | Toshio Uraoka | Division of Endoscopy, National Cancer Center Hospital |
| Author | Takeshi Nakajima | Division of Endoscopy, National Cancer Center Hospital |
| Author | Hisatomo Ikehara | Division of Endoscopy, National Cancer Center Hospital |
| Author | Yumi Mashimo | Division of Endoscopy, National Cancer Center Hospital |
| Author | Teruo Nakaya | Division of Endoscopy, National Cancer Center Hospital |
| Author | Tsuyoshi Kikuchi | Division of Endoscopy, National Cancer Center Hospital |
| Author | Daizo Saito | Division of Endoscopy, National Cancer Center Hospital |
| [ Summary ] | Appropriate insertion techniques and colonoscopic control are necessary for endoscopic treatment of colorectal lesions. For beginners, skill training using colon models, is useful for technical improvements. Maintaining the axis technique is necessary to further observe and treat colonic lesions. In relation to diagnosis, we emphasize education by reviewing many early colorectal cancers at weekly conferences. Not until trainees master insertion techniques and colonoscopic observation can they begin endoscopic treatment for small lesions. Endoscopic piecemeal mucosal resection (EPMR) for large flat lesions should be performed by skilled doctors who have mastered hot biopsies, polypectomies, and conventional EMR techniques because EPMR requires a correct diagnosis and precise skills such as clipping. Colorectal endoscopic submucosal dissection (ESD) should be performed after performing over 20 gastric ESD procedures. Furthermore, ESD training, using a resected pig stomachs, is very useful for beginners. In the near future, establishment of training centers is greatly anticipated for all new endoscopists. |
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