Development and evaluation of a 3D printed endoscopic ampullectomy training model (with video)
Endoscopic ampullectomy is a technically challenging, high-risk procedure with limited training opportunities. Although simulation models can assist with endoscopic skill acquisition, an ampullectomy model does not currently exist. To develop a training model that can be used to improve technical sk...
Saved in:
| Published in | Gastrointestinal endoscopy Vol. 81; no. 6; pp. 1470 - 1475.e5 |
|---|---|
| Main Authors | , , , , |
| Format | Journal Article |
| Language | English |
| Published |
United States
Elsevier Inc
01.06.2015
|
| Subjects | |
| Online Access | Get full text |
| ISSN | 0016-5107 1097-6779 1097-6779 |
| DOI | 10.1016/j.gie.2015.03.1916 |
Cover
Loading…
| Abstract | Endoscopic ampullectomy is a technically challenging, high-risk procedure with limited training opportunities. Although simulation models can assist with endoscopic skill acquisition, an ampullectomy model does not currently exist.
To develop a training model that can be used to improve technical skills, knowledge, and confidence in performing endoscopic ampullectomy.
Experimental study.
Tertiary hospital innovation laboratory.
Twenty-one endoscopists attending an endoscopic resection workshop.
A prototype for endoscopic ampullectomy was created by computer-aided design and 3-dimensional printing of an ampullary mount and base to which a chicken heart was attached and inserted into a silicone stomach-duodenum model. Study participants performed an ampullectomy and evaluated the prototype with a pre- and postampullectomy questionnaire by using a scale of 1 to 5 (very low to very high).
Evaluation of core procedural steps, technical and visual realism, and proceduralist technical knowledge and confidence.
Sixteen endoscopists participated in the study. All core procedural steps were completed by 14 participants. The mean overall technical and visual realism scores were 3.1 (standard deviation [SD], 0.9) and 3.2 (SD, 0.9), respectively. Ten participants (10/15, 66.7%) thought that their technical knowledge had improved, and 11 thought that it would increase further with additional sessions (11/15, 73.3%). Mean confidence score before and after using the model was 2.2 (SD, 1.2) and 2.9 (SD, 1.1), respectively (P = .132).
Pilot study, lack of follow-up of participants’ endoscopic practice after model experience.
Although further studies are necessary for validation, this novel prototype appears useful for endoscopic ampullectomy training. |
|---|---|
| AbstractList | Endoscopic ampullectomy is a technically challenging, high-risk procedure with limited training opportunities. Although simulation models can assist with endoscopic skill acquisition, an ampullectomy model does not currently exist.
To develop a training model that can be used to improve technical skills, knowledge, and confidence in performing endoscopic ampullectomy.
Experimental study.
Tertiary hospital innovation laboratory.
Twenty-one endoscopists attending an endoscopic resection workshop.
A prototype for endoscopic ampullectomy was created by computer-aided design and 3-dimensional printing of an ampullary mount and base to which a chicken heart was attached and inserted into a silicone stomach-duodenum model. Study participants performed an ampullectomy and evaluated the prototype with a pre- and postampullectomy questionnaire by using a scale of 1 to 5 (very low to very high).
Evaluation of core procedural steps, technical and visual realism, and proceduralist technical knowledge and confidence.
Sixteen endoscopists participated in the study. All core procedural steps were completed by 14 participants. The mean overall technical and visual realism scores were 3.1 (standard deviation [SD], 0.9) and 3.2 (SD, 0.9), respectively. Ten participants (10/15, 66.7%) thought that their technical knowledge had improved, and 11 thought that it would increase further with additional sessions (11/15, 73.3%). Mean confidence score before and after using the model was 2.2 (SD, 1.2) and 2.9 (SD, 1.1), respectively (P = .132).
Pilot study, lack of follow-up of participants’ endoscopic practice after model experience.
Although further studies are necessary for validation, this novel prototype appears useful for endoscopic ampullectomy training. Endoscopic ampullectomy is a technically challenging, high-risk procedure with limited training opportunities. Although simulation models can assist with endoscopic skill acquisition, an ampullectomy model does not currently exist.BACKGROUNDEndoscopic ampullectomy is a technically challenging, high-risk procedure with limited training opportunities. Although simulation models can assist with endoscopic skill acquisition, an ampullectomy model does not currently exist.To develop a training model that can be used to improve technical skills, knowledge, and confidence in performing endoscopic ampullectomy.OBJECTIVETo develop a training model that can be used to improve technical skills, knowledge, and confidence in performing endoscopic ampullectomy.Experimental study.DESIGNExperimental study.Tertiary hospital innovation laboratory.SETTINGTertiary hospital innovation laboratory.Twenty-one endoscopists attending an endoscopic resection workshop.SUBJECTSTwenty-one endoscopists attending an endoscopic resection workshop.A prototype for endoscopic ampullectomy was created by computer-aided design and 3-dimensional printing of an ampullary mount and base to which a chicken heart was attached and inserted into a silicone stomach-duodenum model. Study participants performed an ampullectomy and evaluated the prototype with a pre- and postampullectomy questionnaire by using a scale of 1 to 5 (very low to very high).INTERVENTIONSA prototype for endoscopic ampullectomy was created by computer-aided design and 3-dimensional printing of an ampullary mount and base to which a chicken heart was attached and inserted into a silicone stomach-duodenum model. Study participants performed an ampullectomy and evaluated the prototype with a pre- and postampullectomy questionnaire by using a scale of 1 to 5 (very low to very high).Evaluation of core procedural steps, technical and visual realism, and proceduralist technical knowledge and confidence.MAIN OUTCOME MEASUREMENTSEvaluation of core procedural steps, technical and visual realism, and proceduralist technical knowledge and confidence.Sixteen endoscopists participated in the study. All core procedural steps were completed by 14 participants. The mean overall technical and visual realism scores were 3.1 (standard deviation [SD], 0.9) and 3.2 (SD, 0.9), respectively. Ten participants (10/15, 66.7%) thought that their technical knowledge had improved, and 11 thought that it would increase further with additional sessions (11/15, 73.3%). Mean confidence score before and after using the model was 2.2 (SD, 1.2) and 2.9 (SD, 1.1), respectively (P=.132).RESULTSSixteen endoscopists participated in the study. All core procedural steps were completed by 14 participants. The mean overall technical and visual realism scores were 3.1 (standard deviation [SD], 0.9) and 3.2 (SD, 0.9), respectively. Ten participants (10/15, 66.7%) thought that their technical knowledge had improved, and 11 thought that it would increase further with additional sessions (11/15, 73.3%). Mean confidence score before and after using the model was 2.2 (SD, 1.2) and 2.9 (SD, 1.1), respectively (P=.132).Pilot study, lack of follow-up of participants' endoscopic practice after model experience.LIMITATIONSPilot study, lack of follow-up of participants' endoscopic practice after model experience.Although further studies are necessary for validation, this novel prototype appears useful for endoscopic ampullectomy training.CONCLUSIONAlthough further studies are necessary for validation, this novel prototype appears useful for endoscopic ampullectomy training. Endoscopic ampullectomy is a technically challenging, high-risk procedure with limited training opportunities. Although simulation models can assist with endoscopic skill acquisition, an ampullectomy model does not currently exist. To develop a training model that can be used to improve technical skills, knowledge, and confidence in performing endoscopic ampullectomy. Experimental study. Tertiary hospital innovation laboratory. Twenty-one endoscopists attending an endoscopic resection workshop. A prototype for endoscopic ampullectomy was created by computer-aided design and 3-dimensional printing of an ampullary mount and base to which a chicken heart was attached and inserted into a silicone stomach-duodenum model. Study participants performed an ampullectomy and evaluated the prototype with a pre- and postampullectomy questionnaire by using a scale of 1 to 5 (very low to very high). Evaluation of core procedural steps, technical and visual realism, and proceduralist technical knowledge and confidence. Sixteen endoscopists participated in the study. All core procedural steps were completed by 14 participants. The mean overall technical and visual realism scores were 3.1 (standard deviation [SD], 0.9) and 3.2 (SD, 0.9), respectively. Ten participants (10/15, 66.7%) thought that their technical knowledge had improved, and 11 thought that it would increase further with additional sessions (11/15, 73.3%). Mean confidence score before and after using the model was 2.2 (SD, 1.2) and 2.9 (SD, 1.1), respectively (P=.132). Pilot study, lack of follow-up of participants' endoscopic practice after model experience. Although further studies are necessary for validation, this novel prototype appears useful for endoscopic ampullectomy training. Background Endoscopic ampullectomy is a technically challenging, high-risk procedure with limited training opportunities. Although simulation models can assist with endoscopic skill acquisition, an ampullectomy model does not currently exist. Objective To develop a training model that can be used to improve technical skills, knowledge, and confidence in performing endoscopic ampullectomy. Design Experimental study. Setting Tertiary hospital innovation laboratory. Subjects Twenty-one endoscopists attending an endoscopic resection workshop. Interventions A prototype for endoscopic ampullectomy was created by computer-aided design and 3-dimensional printing of an ampullary mount and base to which a chicken heart was attached and inserted into a silicone stomach-duodenum model. Study participants performed an ampullectomy and evaluated the prototype with a pre- and postampullectomy questionnaire by using a scale of 1 to 5 (very low to very high). Main Outcome Measurements Evaluation of core procedural steps, technical and visual realism, and proceduralist technical knowledge and confidence. Results Sixteen endoscopists participated in the study. All core procedural steps were completed by 14 participants. The mean overall technical and visual realism scores were 3.1 (standard deviation [SD], 0.9) and 3.2 (SD, 0.9), respectively. Ten participants (10/15, 66.7%) thought that their technical knowledge had improved, and 11 thought that it would increase further with additional sessions (11/15, 73.3%). Mean confidence score before and after using the model was 2.2 (SD, 1.2) and 2.9 (SD, 1.1), respectively ( P = .132). Limitations Pilot study, lack of follow-up of participants’ endoscopic practice after model experience. Conclusion Although further studies are necessary for validation, this novel prototype appears useful for endoscopic ampullectomy training. |
| Author | Hawes, Robert Tharian, Benjamin Holt, Bronte A. Varadarajulu, Shyam Hearn, Gareth |
| Author_xml | – sequence: 1 givenname: Bronte A. orcidid: 0000-0002-1387-6525 surname: Holt fullname: Holt, Bronte A. organization: Center for Interventional Endoscopy, Florida Hospital, Orlando, Florida, USA – sequence: 2 givenname: Gareth surname: Hearn fullname: Hearn, Gareth organization: Florida Hospital Institute for Minimally Invasive Therapy, Orlando, Florida, USA – sequence: 3 givenname: Robert surname: Hawes fullname: Hawes, Robert organization: Center for Interventional Endoscopy, Florida Hospital, Orlando, Florida, USA – sequence: 4 givenname: Benjamin surname: Tharian fullname: Tharian, Benjamin organization: Center for Interventional Endoscopy, Florida Hospital, Orlando, Florida, USA – sequence: 5 givenname: Shyam surname: Varadarajulu fullname: Varadarajulu, Shyam organization: Center for Interventional Endoscopy, Florida Hospital, Orlando, Florida, USA |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/25986114$$D View this record in MEDLINE/PubMed |
| BookMark | eNqFks1u1DAURi1URKeFF2CBvCyLBF87iROEkFBbfqRKLIAtlse-KR4cexong-bt6zCFRSXKypJ9vs_y8T0hRyEGJOQ5sBIYNK825bXDkjOoSyZK6KB5RFbAOlk0UnZHZMUyVdTA5DE5SWnDGGu5gCfkmNdd2wBUK_L9Anfo43bAMFEdLMWd9rOeXAw09lRTcUG3owsT5qNgYzJx6wzVw3b2Hs0Uhz2dRu2CC9d0iBY9Pfvlph905yzGl0_J4177hM_u1lPy7f3l1_OPxdXnD5_O310Vpmr4VFQSUa-xb2zdt03dapBGVutWtAaENYYJYaWBXti-07JG3eYdqe3aoqwEoDglZ4fe7RhvZkyTGlwy6L0OGOekoGk5Z7LrIKMv7tB5PaBV-XWDHvfqj5MM8ANgxpjSiP1fBJhaxKuNyuLVIl4xoRbxOdTeCxk3_da42PEPR98copgF7RyOKhmHwaB1YzasbHQPx9_eixufv8No_xP3mDZxHkNWr0Alrpj6sgzFMhNQMw6i47ng9b8L_nf7Lecmxj8 |
| CitedBy_id | crossref_primary_10_1111_den_14233 crossref_primary_10_3389_fvets_2020_587524 crossref_primary_10_3904_kjim_2019_028 crossref_primary_10_1067_j_cpradiol_2018_08_004 crossref_primary_10_1007_s00268_018_4731_6 crossref_primary_10_1155_2022_6797745 crossref_primary_10_1186_s41205_020_00065_6 crossref_primary_10_3389_fmed_2024_1443024 crossref_primary_10_1016_j_jsurg_2017_06_033 crossref_primary_10_1053_j_gastro_2017_11_293 crossref_primary_10_1186_s12876_020_01295_y |
| Cites_doi | 10.1016/j.gie.2006.02.004 10.1097/SLA.0b013e318269d010 10.1007/s11605-014-2543-z 10.1016/j.gie.2009.11.021 10.1016/j.gie.2005.04.020 10.1016/j.gie.2006.02.046 10.1097/MCG.0b013e318233a844 10.1055/s-0034-1364875 10.1016/j.gie.2006.11.018 10.1016/S1052-5157(03)00101-6 10.1016/S0016-5107(03)70025-X 10.1016/j.giec.2012.10.004 10.1016/j.tgie.2011.03.002 10.1111/j.1572-0241.2005.00332.x 10.1055/s-0033-1344224 10.1016/S0016-5107(02)70184-3 |
| ContentType | Journal Article |
| Copyright | 2015 American Society for Gastrointestinal Endoscopy American Society for Gastrointestinal Endoscopy Copyright © 2015 American Society for Gastrointestinal Endoscopy. Published by Elsevier Inc. All rights reserved. |
| Copyright_xml | – notice: 2015 American Society for Gastrointestinal Endoscopy – notice: American Society for Gastrointestinal Endoscopy – notice: Copyright © 2015 American Society for Gastrointestinal Endoscopy. Published by Elsevier Inc. All rights reserved. |
| DBID | AAYXX CITATION CGR CUY CVF ECM EIF NPM 7X8 |
| DOI | 10.1016/j.gie.2015.03.1916 |
| DatabaseName | CrossRef Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed MEDLINE - Academic |
| DatabaseTitle | CrossRef MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) MEDLINE - Academic |
| DatabaseTitleList | MEDLINE - Academic MEDLINE |
| Database_xml | – sequence: 1 dbid: NPM name: PubMed url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 2 dbid: EIF name: MEDLINE url: https://proxy.k.utb.cz/login?url=https://www.webofscience.com/wos/medline/basic-search sourceTypes: Index Database |
| DeliveryMethod | fulltext_linktorsrc |
| Discipline | Medicine |
| EISSN | 1097-6779 |
| EndPage | 1475.e5 |
| ExternalDocumentID | 25986114 10_1016_j_gie_2015_03_1916 S0016510715021392 1_s2_0_S0016510715021392 |
| Genre | Video-Audio Media Journal Article |
| GroupedDBID | --- --K --M .1- .55 .FO .GJ .~1 0R~ 1B1 1P~ 1RT 1~. 1~5 3O- 4.4 457 4G. 53G 5GY 5RE 5VS 7-5 71M 8P~ 9JM AABNK AAEDT AAEDW AAIKJ AAKOC AALRI AAOAW AAQFI AAQQT AAQXK AATTM AAWTL AAXKI AAXUO AAYWO ABBQC ABFNM ABFRF ABJNI ABMAC ABMZM ABWVN ABXDB ACDAQ ACGFO ACGFS ACIEU ACRLP ACRPL ACVFH ADBBV ADCNI ADEZE ADMUD ADNMO ADVLN AEBSH AEFWE AEIPS AEKER AENEX AEUPX AEVXI AFFNX AFJKZ AFPUW AFRHN AFTJW AFXIZ AGCQF AGHFR AGQPQ AGUBO AGYEJ AHHHB AIEXJ AIGII AIIUN AIKHN AITUG AJRQY AJUYK AKBMS AKRWK AKYEP ALMA_UNASSIGNED_HOLDINGS AMRAJ ANKPU ANZVX APXCP ASPBG AVWKF AXJTR AZFZN BKOJK BLXMC BNPGV CS3 DU5 EBS EFJIC EFKBS EJD EO8 EO9 EP2 EP3 EX3 F5P FD8 FDB FEDTE FGOYB FIRID FNPLU FYGXN G-2 G-Q GBLVA HDZ HMK HMO HVGLF HZ~ IHE J1W K-O KOM L7B LZ1 M28 M41 MO0 N4W N9A O-L O9- OAUVE OC. ON0 OZT P-8 P-9 P2P PC. Q38 R2- ROL RPZ SAE SDF SDG SEL SES SEW SJN SPCBC SSH SSZ T5K UNMZH UV1 WH7 WOW X7M Z5R ZGI ZXP ~G- AACTN AFCTW AFKWA AJOXV AMFUW RIG AAIAV ABLVK ABYKQ AHPSJ AJBFU EFLBG LCYCR AAYXX AGRNS CITATION CGR CUY CVF ECM EIF NPM 7X8 |
| ID | FETCH-LOGICAL-c462t-47eeabef6d5f8658a17c74b838c13dcc033d7c1f3df9a75ea80337adbde7431e3 |
| IEDL.DBID | .~1 |
| ISSN | 0016-5107 1097-6779 |
| IngestDate | Thu Sep 04 19:59:05 EDT 2025 Wed Feb 19 01:58:30 EST 2025 Thu Apr 24 23:03:13 EDT 2025 Tue Jul 01 02:24:16 EDT 2025 Fri Feb 23 02:27:22 EST 2024 Sun Feb 23 10:18:43 EST 2025 Tue Aug 26 16:33:00 EDT 2025 |
| IsPeerReviewed | true |
| IsScholarly | true |
| Issue | 6 |
| Language | English |
| License | https://www.elsevier.com/tdm/userlicense/1.0 Copyright © 2015 American Society for Gastrointestinal Endoscopy. Published by Elsevier Inc. All rights reserved. |
| LinkModel | DirectLink |
| MergedId | FETCHMERGED-LOGICAL-c462t-47eeabef6d5f8658a17c74b838c13dcc033d7c1f3df9a75ea80337adbde7431e3 |
| Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 ObjectType-Undefined-3 |
| ORCID | 0000-0002-1387-6525 |
| PMID | 25986114 |
| PQID | 1682207991 |
| PQPubID | 23479 |
| ParticipantIDs | proquest_miscellaneous_1682207991 pubmed_primary_25986114 crossref_primary_10_1016_j_gie_2015_03_1916 crossref_citationtrail_10_1016_j_gie_2015_03_1916 elsevier_sciencedirect_doi_10_1016_j_gie_2015_03_1916 elsevier_clinicalkeyesjournals_1_s2_0_S0016510715021392 elsevier_clinicalkey_doi_10_1016_j_gie_2015_03_1916 |
| ProviderPackageCode | CITATION AAYXX |
| PublicationCentury | 2000 |
| PublicationDate | 2015-06-01 |
| PublicationDateYYYYMMDD | 2015-06-01 |
| PublicationDate_xml | – month: 06 year: 2015 text: 2015-06-01 day: 01 |
| PublicationDecade | 2010 |
| PublicationPlace | United States |
| PublicationPlace_xml | – name: United States |
| PublicationTitle | Gastrointestinal endoscopy |
| PublicationTitleAlternate | Gastrointest Endosc |
| PublicationYear | 2015 |
| Publisher | Elsevier Inc |
| Publisher_xml | – name: Elsevier Inc |
| References | Hirota, Zuckerman, Adler (bib2) 2006; 63 Norton, Gostout, Baron (bib4) 2002; 56 Onkendi, Naik, Rosedahl (bib11) 2014; 18 Matthes, Cohen (bib16) 2006; 64 Berzin, Pleskow (bib17) 2011; 13 Hopper, Bourke, Williams (bib5) 2010; 71 Ceppa, Burbridge, Pappas (bib10) 2013; 257 Sedlack, Petersen, Binmoeller (bib13) 2003; 57 Baillie (bib3) 2005; 100 Harewood, Pochron, Gostout (bib6) 2005; 62 Patel, Varadarajulu, Wilcox (bib9) 2012; 46 Scarpa, Capelli, Zamboni (bib1) 1993; 142 El Hajj, Cote (bib7) 2013; 23 Napoleon, Gincul, Ponchon (bib8) 2014; 46 Leung, Lee, Rojany (bib14) 2007; 65 Martin, Haber (bib12) 2003; 13 Liao, Leung, Wang (bib15) 2013; 45 El Hajj (10.1016/j.gie.2015.03.1916_bib7) 2013; 23 Martin (10.1016/j.gie.2015.03.1916_bib12) 2003; 13 Matthes (10.1016/j.gie.2015.03.1916_bib16) 2006; 64 Hopper (10.1016/j.gie.2015.03.1916_bib5) 2010; 71 Scarpa (10.1016/j.gie.2015.03.1916_bib1) 1993; 142 Baillie (10.1016/j.gie.2015.03.1916_bib3) 2005; 100 Napoleon (10.1016/j.gie.2015.03.1916_bib8) 2014; 46 Patel (10.1016/j.gie.2015.03.1916_bib9) 2012; 46 Hirota (10.1016/j.gie.2015.03.1916_bib2) 2006; 63 Norton (10.1016/j.gie.2015.03.1916_bib4) 2002; 56 Sedlack (10.1016/j.gie.2015.03.1916_bib13) 2003; 57 Berzin (10.1016/j.gie.2015.03.1916_bib17) 2011; 13 Liao (10.1016/j.gie.2015.03.1916_bib15) 2013; 45 Onkendi (10.1016/j.gie.2015.03.1916_bib11) 2014; 18 Leung (10.1016/j.gie.2015.03.1916_bib14) 2007; 65 Harewood (10.1016/j.gie.2015.03.1916_bib6) 2005; 62 Ceppa (10.1016/j.gie.2015.03.1916_bib10) 2013; 257 |
| References_xml | – volume: 56 start-page: 239 year: 2002 end-page: 243 ident: bib4 article-title: Safety and outcome of endoscopic snare excision of the major duodenal papilla publication-title: Gastrointest Endosc – volume: 45 start-page: 799 year: 2013 end-page: 805 ident: bib15 article-title: Coached practice using ERCP mechanical simulator improved trainees’ ERCP performance: a randomized controlled trial publication-title: Endoscopy – volume: 64 start-page: 570 year: 2006 end-page: 576 ident: bib16 article-title: The neo-papilla: a new modification of porcine ex vivo simulators for ERCP training (with videos) publication-title: Gastrointest Endosc – volume: 46 start-page: 127 year: 2014 end-page: 134 ident: bib8 article-title: Endoscopic papillectomy for early ampullary tumors: long-term results from a large multicenter prospective study publication-title: Endoscopy – volume: 13 start-page: 649 year: 2003 end-page: 669 ident: bib12 article-title: Ampullary adenoma: clinical manifestations, diagnosis and treatment publication-title: Gastrointest Endosc Clin N Am – volume: 57 start-page: 886 year: 2003 end-page: 890 ident: bib13 article-title: A direct comparison of ERCP teaching models publication-title: Gastrointest Endosc – volume: 65 start-page: 1056 year: 2007 end-page: 1061 ident: bib14 article-title: Development of a novel ERCP mechanical simulator publication-title: Gastrointest Endosc – volume: 257 start-page: 315 year: 2013 end-page: 322 ident: bib10 article-title: Endoscopic versus surgical ampullectomy: an algorithm to treat disease of the ampulla of Vater publication-title: Ann Surg – volume: 18 start-page: 1588 year: 2014 end-page: 1596 ident: bib11 article-title: Adenomas of the ampulla of Vater: a comparison of outcomes of operative and endoscopic resections publication-title: J Gastrointest Endosc – volume: 63 start-page: 570 year: 2006 end-page: 580 ident: bib2 article-title: ASGE guideline: the role of endoscopy I the surveillance of premalignant conditions of the upper GI tract publication-title: Gastrointest Endosc – volume: 100 start-page: 2379 year: 2005 end-page: 2381 ident: bib3 article-title: Endoscopic ampullectomy publication-title: Am J Gastroenterol – volume: 46 start-page: 8 year: 2012 end-page: 15 ident: bib9 article-title: Endoscopic ampullectomy: techniques and outcomes publication-title: J Clin Gastroenterol – volume: 23 start-page: 95 year: 2013 end-page: 109 ident: bib7 article-title: Endoscopic diagnosis and management of ampullary lesions publication-title: Gastrointest Endosc Clin N Am – volume: 71 start-page: 967 year: 2010 end-page: 975 ident: bib5 article-title: Giant laterally spreading tumors of the papilla: endoscopic features, resection technique, and outcome (with videos) publication-title: Gastrointest Endosc – volume: 62 start-page: 367 year: 2005 end-page: 370 ident: bib6 article-title: Prospective, randomized, controlled trial of prophylactic pancreatic stent placement for endoscopic snare excision of the duodenal ampulla publication-title: Gastrointest Endosc – volume: 142 start-page: 1163 year: 1993 end-page: 1172 ident: bib1 article-title: Neoplasia of the ampulla of Vater. Ki-ras and p53 mutations publication-title: Am J Pathol – volume: 13 start-page: 146 year: 2011 end-page: 150 ident: bib17 article-title: Beyond simulation: can adjunctive technologies accelerate learning in gastrointestinal endoscopy? publication-title: Tech Gastrointest Endosc – volume: 63 start-page: 570 year: 2006 ident: 10.1016/j.gie.2015.03.1916_bib2 article-title: ASGE guideline: the role of endoscopy I the surveillance of premalignant conditions of the upper GI tract publication-title: Gastrointest Endosc doi: 10.1016/j.gie.2006.02.004 – volume: 257 start-page: 315 year: 2013 ident: 10.1016/j.gie.2015.03.1916_bib10 article-title: Endoscopic versus surgical ampullectomy: an algorithm to treat disease of the ampulla of Vater publication-title: Ann Surg doi: 10.1097/SLA.0b013e318269d010 – volume: 18 start-page: 1588 year: 2014 ident: 10.1016/j.gie.2015.03.1916_bib11 article-title: Adenomas of the ampulla of Vater: a comparison of outcomes of operative and endoscopic resections publication-title: J Gastrointest Endosc doi: 10.1007/s11605-014-2543-z – volume: 71 start-page: 967 year: 2010 ident: 10.1016/j.gie.2015.03.1916_bib5 article-title: Giant laterally spreading tumors of the papilla: endoscopic features, resection technique, and outcome (with videos) publication-title: Gastrointest Endosc doi: 10.1016/j.gie.2009.11.021 – volume: 62 start-page: 367 year: 2005 ident: 10.1016/j.gie.2015.03.1916_bib6 article-title: Prospective, randomized, controlled trial of prophylactic pancreatic stent placement for endoscopic snare excision of the duodenal ampulla publication-title: Gastrointest Endosc doi: 10.1016/j.gie.2005.04.020 – volume: 64 start-page: 570 year: 2006 ident: 10.1016/j.gie.2015.03.1916_bib16 article-title: The neo-papilla: a new modification of porcine ex vivo simulators for ERCP training (with videos) publication-title: Gastrointest Endosc doi: 10.1016/j.gie.2006.02.046 – volume: 142 start-page: 1163 year: 1993 ident: 10.1016/j.gie.2015.03.1916_bib1 article-title: Neoplasia of the ampulla of Vater. Ki-ras and p53 mutations publication-title: Am J Pathol – volume: 46 start-page: 8 year: 2012 ident: 10.1016/j.gie.2015.03.1916_bib9 article-title: Endoscopic ampullectomy: techniques and outcomes publication-title: J Clin Gastroenterol doi: 10.1097/MCG.0b013e318233a844 – volume: 46 start-page: 127 year: 2014 ident: 10.1016/j.gie.2015.03.1916_bib8 article-title: Endoscopic papillectomy for early ampullary tumors: long-term results from a large multicenter prospective study publication-title: Endoscopy doi: 10.1055/s-0034-1364875 – volume: 65 start-page: 1056 year: 2007 ident: 10.1016/j.gie.2015.03.1916_bib14 article-title: Development of a novel ERCP mechanical simulator publication-title: Gastrointest Endosc doi: 10.1016/j.gie.2006.11.018 – volume: 13 start-page: 649 year: 2003 ident: 10.1016/j.gie.2015.03.1916_bib12 article-title: Ampullary adenoma: clinical manifestations, diagnosis and treatment publication-title: Gastrointest Endosc Clin N Am doi: 10.1016/S1052-5157(03)00101-6 – volume: 57 start-page: 886 year: 2003 ident: 10.1016/j.gie.2015.03.1916_bib13 article-title: A direct comparison of ERCP teaching models publication-title: Gastrointest Endosc doi: 10.1016/S0016-5107(03)70025-X – volume: 23 start-page: 95 year: 2013 ident: 10.1016/j.gie.2015.03.1916_bib7 article-title: Endoscopic diagnosis and management of ampullary lesions publication-title: Gastrointest Endosc Clin N Am doi: 10.1016/j.giec.2012.10.004 – volume: 13 start-page: 146 year: 2011 ident: 10.1016/j.gie.2015.03.1916_bib17 article-title: Beyond simulation: can adjunctive technologies accelerate learning in gastrointestinal endoscopy? publication-title: Tech Gastrointest Endosc doi: 10.1016/j.tgie.2011.03.002 – volume: 100 start-page: 2379 year: 2005 ident: 10.1016/j.gie.2015.03.1916_bib3 article-title: Endoscopic ampullectomy publication-title: Am J Gastroenterol doi: 10.1111/j.1572-0241.2005.00332.x – volume: 45 start-page: 799 year: 2013 ident: 10.1016/j.gie.2015.03.1916_bib15 article-title: Coached practice using ERCP mechanical simulator improved trainees’ ERCP performance: a randomized controlled trial publication-title: Endoscopy doi: 10.1055/s-0033-1344224 – volume: 56 start-page: 239 year: 2002 ident: 10.1016/j.gie.2015.03.1916_bib4 article-title: Safety and outcome of endoscopic snare excision of the major duodenal papilla publication-title: Gastrointest Endosc doi: 10.1016/S0016-5107(02)70184-3 |
| SSID | ssj0008231 |
| Score | 2.2311108 |
| Snippet | Endoscopic ampullectomy is a technically challenging, high-risk procedure with limited training opportunities. Although simulation models can assist with... Background Endoscopic ampullectomy is a technically challenging, high-risk procedure with limited training opportunities. Although simulation models can assist... |
| SourceID | proquest pubmed crossref elsevier |
| SourceType | Aggregation Database Index Database Enrichment Source Publisher |
| StartPage | 1470 |
| SubjectTerms | Ampulla of Vater - surgery Animals Chickens Endoscopy - education Endoscopy - instrumentation Endoscopy - methods Gastroenterology - education Gastroenterology and Hepatology Humans Models, Educational Printing, Three-Dimensional |
| Title | Development and evaluation of a 3D printed endoscopic ampullectomy training model (with video) |
| URI | https://www.clinicalkey.com/#!/content/1-s2.0-S0016510715021392 https://www.clinicalkey.es/playcontent/1-s2.0-S0016510715021392 https://dx.doi.org/10.1016/j.gie.2015.03.1916 https://www.ncbi.nlm.nih.gov/pubmed/25986114 https://www.proquest.com/docview/1682207991 |
| Volume | 81 |
| hasFullText | 1 |
| inHoldings | 1 |
| isFullTextHit | |
| isPrint | |
| link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1RT9swED4hkBAvE2ywFbbKk_YAQhlO7djJI2JDHVN5AoknLMd2pk4jqWj7wAu_fXeNU5gYTNpLpFg-2bmcz5_tu88An4gihHjZEp3hQ3JZJiVObEnBKy6ts7pQlI08OlfDS3l2lV2twEmXC0NhldH3tz594a1jyVHU5tFkPKYc31ShRWmENAPEMeSHpdTEn__5_iHMg465Wm-sEqodE2faGK8fY2LKTDPiOcWFi3pucnoOfC4modNNeBXRIztuO7gFK6F-DeujeD7-Bq4fxQAxW3v2QObNmopZJr4w2slDmMlC7RvKSRk7Zm8m83b__uaOdZdGsMUlOWyfdmoZZes1B9twefr14mSYxBsUEifVYJZIHYItQ6V8VuWINWyqnZZlLnKXCu8cF8Jrl1bCV4XVWbA5lmjrSx8IWQSxA6t1U4d3wHjAwZorrEsUXWllZZ45awvPC5-ha-hB2qnOuEgvTh3-Zbo4sp8G1W1I3YYLQ-ruweFSZtKSa7xYW3R_xHRpo-joDPr-F6X036TCNI7VqUnNdGC4eWJPPciWkn-Y5D9b_NiZi8GxSgcwtg7NHFtSCMe4Rkjeg7etHS2_e0BE-bg43f3PVvdgg17bKLb3sDq7nYcPiJdmZX8xIPqwdvzt-_D8N65EEK0 |
| linkProvider | Elsevier |
| linkToHtml | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1Bb9MwFH6ahgS7oAFjdBtgpB1AKNSpHTs5ToWpwLrTJu2E5djOVMSSam0PXPjtvNc4LRPbkLjk4PjJzsvz82f7vc8Ah0QRQrxsic7wIbkskxIntqTgFZfWWV0oykYen6rRufxykV1swLDLhaGwyuj7W5--9NaxpB-12Z9OJpTjmyq0KI2QZoA4Bv3wA4ktk2l_-LWO86BzrtYdq4Sqx8yZNsjrckJUmWlGRKe4clF3zU53oc_lLHS8DY8jfGRHbQ-fwEaon8LDcTwgfwbf_ggCYrb2bM3mzZqKWSY-MtrKQ5zJQu0bSkqZOGavpot2A__qJ-tujWDLW3LYW9qqZZSu17zbgfPjT2fDURKvUEicVIN5InUItgyV8lmVI9iwqXZalrnIXSq8c1wIr11aCV8VVmfB5liirS99IGgRxHPYrJs6vADGA47WXGFd4uhKKyvzzFlbeF74DH1DD9JOdcZFfnHq8A_TBZJ9N6huQ-o2XBhSdw_er2SmLbvGvbVF90dMlzeKns6g879XSt8mFWZxsM5MamYDw81fBtWDbCV5wyb_2eKbzlwMDlY6gbF1aBbYkkI8xjVi8h7stna0-u4BMeXj6nTvP1t9DY9GZ-MTc_L59Os-bNGrNqTtADbn14vwEsHTvHy1HBy_Ad-ZEkM |
| openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Development+and+evaluation+of+a+3D+printed+endoscopic+ampullectomy+training+model+%28with+video%29&rft.jtitle=Gastrointestinal+endoscopy&rft.au=Holt%2C+Bronte+A.&rft.au=Hearn%2C+Gareth&rft.au=Hawes%2C+Robert&rft.au=Tharian%2C+Benjamin&rft.date=2015-06-01&rft.pub=Elsevier+Inc&rft.issn=0016-5107&rft.volume=81&rft.issue=6&rft.spage=1470&rft.epage=1475.e5&rft_id=info:doi/10.1016%2Fj.gie.2015.03.1916&rft.externalDocID=S0016510715021392 |
| thumbnail_m | http://utb.summon.serialssolutions.com/2.0.0/image/custom?url=https%3A%2F%2Fcdn.clinicalkey.com%2Fck-thumbnails%2F00165107%2FS0016510714X00180%2Fcov150h.gif |