Technical skills and training of upper gastrointestinal endoscopy for new beginners  

作　　者：Seung-Hwa Lee Young-Kyu Park Sung-Min Cho Joon-Koo Kang Duck-Joo Lee 

机构地区：[1]Health Promotion Center,Ajou University School of Medicine,Suwon 443-380,South Korea [2]Health Promotion Center,Bundang Jaesang Hospital,Kwandong University School of Medicine,Seongnam 463-774,South Korea [3]Department of Gastroenterology,Ajou University School of Medicine,Suwon 443-380,South Korea

出　　处：《World Journal of Gastroenterology》2015年第3期759-785,共27页世界胃肠病学杂志（英文版）

摘　　要：The incidence of gastric cancer remains high in SouthKorea.Upper gastrointestinal(GI) endoscopy,i.e.,esophagogastroduodenoscopy(EGD),has a higher diagnostic specificity and sensitivity than the upper GI series.Additionally,EGD has the ability to biopsy,through taking a tissue of the pathologic lesion.Successful training of EGD procedural skills require a few important things to be learned and remembered,including the posture of an examinee(e.g.,left lateral decubitus and supine) and examiner(e.g.,one-man standing method vs one-man sitting method),basic skills(e.g.,tip deflection,push forward and pull back,and air suction and infusion),advanced skills(e.g.,paradoxical movement,J-turn,and U-turn),and intubation techniques along the upper GI tract(e.g.,oral cavity,pharynx,larynx including vocal cord,upper and middle and lower esophagus,gastroesophageal junction,gastric fundus,body,and antrum,duodenal bulb,and descending part of duodenum).In the current review,despite several limitations,we explained the intubation method of EGD for beginners.We hope this will be helpful to beginners who wish to learn the procedure.The incidence of gastric cancer remains high in SouthKorea.Upper gastrointestinal(GI) endoscopy,i.e.,esophagogastroduodenoscopy(EGD),has a higher diagnostic specificity and sensitivity than the upper GI series.Additionally,EGD has the ability to biopsy,through taking a tissue of the pathologic lesion.Successful training of EGD procedural skills require a few important things to be learned and remembered,including the posture of an examinee(e.g.,left lateral decubitus and supine) and examiner(e.g.,one-man standing method vs one-man sitting method),basic skills(e.g.,tip deflection,push forward and pull back,and air suction and infusion),advanced skills(e.g.,paradoxical movement,J-turn,and U-turn),and intubation techniques along the upper GI tract(e.g.,oral cavity,pharynx,larynx including vocal cord,upper and middle and lower esophagus,gastroesophageal junction,gastric fundus,body,and antrum,duodenal bulb,and descending part of duodenum).In the current review,despite several limitations,we explained the intubation method of EGD for beginners.We hope this will be helpful to beginners who wish to learn the procedure.

关 键 词：UPPER GASTROINTESTINAL ENDOSCOPY Esophagogastroduo 

分 类 号：R57[医药卫生—消化系统]