AN ESD TRAINING PROGRAM UTILIZING INANIMATE MODELS AND EX VIVO INTESTINE
Erica Pettke*1, Jaspreet Sandhu2, Carl Winkler1, Abhinit Shah3, Xiaohong Yan1, Vesna Cekic1, Shantha Kumara HMC1, Nipa Gandhi1, Richard L. Whelan1
1Surgery, Mount Sinai West Hospital, New York, NY; 2Surgery, Brookdale University Hospital Medical Center, New York, NY; 3Topiwala National Medical College, Mumbai, India
ESD is the standard for large adenomas. In the US these polyps are treated mostly via colectomy. ESD requires fine control of the moving scope tip. Most US MDs don't have these skills. This video presents an ESD teaching program that includes: 1) line figure tracing (catheter + ink = pen), 2) ex vivo porcine stomach, and 3) intact ex vivo bovine large bowel models. For models 1 and 2 the colon is a hollow plastic tube with window cut out. Actual ESD cases are done in Models 2 and 3. The accuracy of the tracings and ESD's are scored. Initial results are presented. Doing 40-50 ESD cases with ex vivo models can replace human gastric cases recommended in Japan prior to attempting colon ESD.
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