Deconstructing the steps of pull-type PEG tube insertion

Post written by Carlos Paolo D. Francisco, MD, FPCP, DPSG, DPSDE, from Singapore General Hospital, Singapore, and St. Luke’s Medical Center, Global City, Philippines. PEG is the preferred feeding route for patients requiring long-term enteral nutrition. The procedure involves percutaneously placing a tube into the stomach with the assistance of endoscopy, as described by Gauderer et …

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Ex vivo nonbiomaterial gel-based model for endoscopic training

Post written by Ameya Deshmukh, DO, from the Department of Internal Medicine, Saint Louis University – SOM, St. Louis, Missouri, USA. EndoGel (Sunnarow Limited, Tokyo, Japan) is an ex vivo gel-based simulator that is designed to behave similarly to intestinal mucosa. It uses polyvinyl alcohol hydrogel materials, enabling this gel-based model to accurately mimic en vivo …

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Impact of fellowship training level on colonoscopy quality and efficiency metrics

Post written by Hussein Bitar, MD, from the Section of Digestive Diseases and Nutrition, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA. Our study highlighted newly defined colonoscopy performance measures–the adenoma and polyp management efficiency indices. We retrospectively evaluated the performance of these indices at each level of training in assessing colonoscopy skill …

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