Читать книгу Successful Training in Gastrointestinal Endoscopy - Группа авторов - Страница 85

EGDs should be performed in both the inpatient and outpatient setting. The 2012 American Society for Gastrointestinal Endoscopy (ASGE) guidelines recommend 130 EGDs as the threshold for assessment of competence [3]. This recommendation is consistent with findings from a study by Cass and colleagues that demonstrated that the esophageal intubation rate was about 75% after 100 cases, suggesting that more than 100 EGDs were needed for the acquisition of technical skills [1]. The trainee should be encouraged to keep a procedural log so that both the trainee and the fellowship program can easily track the cases performed. The procedural log should contain the number of diagnostic and therapeutic procedures performed as well as various types of intervention including endoscopic hemostasis of ulcer disease or other vascular lesions, ligation or sclerotherapy of varices, stricture dilation, foreign body removal, and PEG tube placements.