Training in video capsule endoscopy: Current status and unmet needs
Since its introduction to clinical practice nearly 20 years ago, wireless capsule endoscopy has revolutionized the landscape in the diagnosis and management of small bowel diseases. Over the past 10 years, capsule endoscopy has evolved beyond the small intestine and a range of capsules are now avail...
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Published in | World journal of gastrointestinal endoscopy Vol. 11; no. 6; pp. 395 - 402 |
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Main Authors | , , |
Format | Journal Article |
Language | English |
Published |
United States
Baishideng Publishing Group Inc
16.06.2019
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Subjects | |
Online Access | Get full text |
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Summary: | Since its introduction to clinical practice nearly 20 years ago, wireless capsule endoscopy has revolutionized the landscape in the diagnosis and management of small bowel diseases. Over the past 10 years, capsule endoscopy has evolved beyond the small intestine and a range of capsules are now available to examine the esophagus, stomach and colon. Because of its ease of use, tolerability, paucity of complications and ability to visualize the entire gastrointestinal tract, capsule endoscopy has entered the mainstream of clinical practice. This review of the literature summarizes the current state of capsule training and highlights the limited data available to assess reader competence and standards expected of an independent practitioner. There are neither standardized teaching strategies nor national or international metrics for accreditation of physicians and non-physicians interested in mastering this examination. Summating the few publications, there appears to be consensus that diagnostic expertise improves with experience, and that trainees should be fully supervised for at least 20 full case studies. Formative and summative assessment is advisable and the number of taught cases should not be the sole determinant of competence. The review also highlights differences in recommendations from major national gastroenterology societies. Finally, the authors discuss areas of unmet needs in teaching and learning for capsule endoscopy. |
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Bibliography: | ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-3 content type line 23 ObjectType-Review-1 Telephone: +44-20-78302867 Corresponding author: Faidon-Marios Laskaratos, MD, MRCP, MSc, Doctor, Research Fellow, Centre for Gastroenterology, Royal Free Hospital, Pond St, London NW3 2QG, United Kingdom. flaskaratos@nhs.net Author contributions: Koffas A, Laskaratos FM made the conception and design of the study, manuscript preparation; Epstein O made the critical revision and final approval of the manuscript. |
ISSN: | 1948-5190 1948-5190 |
DOI: | 10.4253/wjge.v11.i6.395 |