Читать книгу Successful Training in Gastrointestinal Endoscopy - Группа авторов - Страница 81

An esophagogastroduodenoscopy (EGD) is often the first procedure performed by gastroenterology fellows during the training period. Compared to other procedures performed by gastroenterologists, diagnostic upper endoscopy has the most straightforward learning curve and lowest complication rates. Esophageal intubation can be mastered earlier compared to intubation of the cecum during a colonoscopy [1]. Indications for upper endoscopy include evaluation of symptoms such as heartburn, dyspepsia, dysphagia, chest or abdominal pain, nausea and/or vomiting, and chronic diarrhea [2]. Diagnostic EGD is also indicated in patients with iron‐deficiency anemia, acute or chronic gastrointestinal (GI) bleeding, and weight loss. Training in therapeutic endoscopy can include acquisition of skills in endoscopic hemostasis, variceal ligation, foreign body extraction, stricture dilation, percutaneous endoscopic gastrostomy (PEG), endoscopic resection, and stent placement.