Endoscopy 2021; 53(08): 842-849
DOI: 10.1055/a-1511-1657
Position Statement

Live endoscopy events (LEEs): European Society of Gastrointestinal Endoscopy Position Statement – Update 2021

George J. Webster‡   *
1   Pancreaticobiliary Unit, University College London Hospitals, London, UK
,
Tareq El Menabawey  ‡   *
1   Pancreaticobiliary Unit, University College London Hospitals, London, UK
,
Marianna Arvanitakis
2   Hôpital Erasme – ULB, Cliniques Universitaires de Bruxelles, Brussels, Belgium
,
Cesare Hassan
3   Gastroenterology Unit, Nuovo Regina Margherita Hospital, Rome, Italy
,
Jeanin E. van Hooft
4   Department of Gastroenterology and Hepatology LUMC, Leiden University Medical Center, Leiden, The Netherlands
,
Helmut Messmann
5   Klinikum Augsburg, Augsburg, Germany
,
Mário Dinis-Ribeiro
6   Serviço de Gastrenterologia, Instituto Português de Oncologia, Porto, Portugal
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Abstract

The European Society of Gastrointestinal Endoscopy (ESGE) is dedicated to improving the quality of gastrointestinal endoscopy, including through educational activities such as live endoscopy events (LEEs). The primary goal of LEEs should be to facilitate the improvement of endoscopic patient care through the acquisition of best endoscopic practice. Patients should not expect additional benefit from being treated during a LEE compared to a routine setting. There is limited available evidence on LEE safety but to date there is no indication that patients are at increased risk from participation. Pre-recorded cases with live facilitation can also be used to fulfill learning outcomes. Establishing an endoscopic curriculum with clear learning outcomes is important to structure attendees’ learning, assess course outcomes, and allow appropriate targeting of courses to learner experience. Increasingly, LEEs are streamed online and therefore the necessary measures should be taken to ensure that patients have given appropriate consent and that their anonymity has been safeguarded. ESGE recommends that an endoscopist who is not participating in the live demonstrations is named as patient advocate, and that patient safety should must be prioritized throughout. In all ESGE-organized LEEs the intended learning outcomes, procedural indications and descriptions, attendee feedback, and adverse events should be recorded and submitted in a post-event report to ESGE.

* Joint lead authors


Appendices 1s–3s, Table 1s



Publication History

Article published online:
10 June 2021

© 2021. European Society of Gastrointestinal Endoscopy. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

  • References

  • 1 Walsh CM, Sherlock ME, Ling SC. et al. Virtual reality simulation training for health professions trainees in gastrointestinal endoscopy. Cochrane Database Syst Rev 2012; 6: CD008237
    PubMedGoogle Scholar
  • 2 Parra-Blanco A, González N, González R. et al. Animal models for endoscopic training: do we really need them?. Endoscopy 2013; 45: 478-484
    Article in Thieme ConnectPubMedGoogle Scholar
  • 3 Itoi T, Gotoda T, Baron TH. et al. Creation of simulated papillae for endoscopic sphincterotomy and papillectomy training by using in vivo and ex vivo pig model (with videos). Gastrointest Endosc 2013; 77: 793-800
    CrossrefPubMedGoogle Scholar
  • 4 Yoshida N, Yagi N, Inada Y. et al. Possibility of ex vivo animal training model for colorectal endoscopic submucosal dissection. Int J Colorectal Dis 2013; 28: 49-56
    CrossrefPubMedGoogle Scholar
  • 5 Loren DE, Azar R, Charles RJ. et al. Updated guidelines for live endoscopy demonstrations. Gastrointest Endosc 2010; 71: 1105-1107
    CrossrefPubMedGoogle Scholar
  • 6 Carr-Locke DL, Gostout CJ, Van Dam J. A guideline for live endoscopy courses: an ASGE White Paper. Gastrointest Endosc 2001; 53: 685-688
    CrossrefPubMedGoogle Scholar
  • 7 Kruse A, Beilenhoff U, Axon AT. et al. ESGE/ESGENA Guideline for live demonstration courses. Endoscopy 2003; 35: 781-784
    Article in Thieme ConnectPubMedGoogle Scholar
  • 8 Devière J, Ponchon T, Beilenhoff U. et al. Recommendations of the ESGE workshop on ethical-legal issues concerning live demonstrations in digestive endoscopy. First European Symposium on Ethics in Gastroenterology and Digestive Endoscopy, Kos, Greece, June 2003. Endoscopy 2003; 35: 765-767
    Article in Thieme ConnectPubMedGoogle Scholar
  • 9 Dinis-Ribeiro M, Hassan C, Meining A. et al. Live endoscopy events (LEEs): European Society of Gastrointestinal Endoscopy Position Statement – Update 2014. Endoscopy 2015; 47: 80-86
    PubMedGoogle Scholar
  • 10 Schmit A, Lazaraki G, Hittelet A. et al. Complications of endoscopic retrograde cholangiopancreatography during live endoscopy workshop demonstrations. Endoscopy 2005; 37: 695-699
    Article in Thieme ConnectPubMedGoogle Scholar
  • 11 Ridtitid W, Rerknimitr R, Treeprasertsuk S. et al. Outcome of endoscopic retrograde cholangiopancreatography during live endoscopy demonstrations. Surg Endosc 2012; 26: 1931-1938
    CrossrefPubMedGoogle Scholar
  • 12 Liao Z, Li Z-S, Leung JW. et al. How safe and successful are live demonstrations of therapeutic ERCP? A large multicenter study. Am J Gastroenterol 2009; 104: 47-52
    CrossrefPubMedGoogle Scholar
  • 13 Ebigbo A, Freund S, Probst A. et al. Outcomes of endoscopic submucosal dissection (ESD) during live endoscopy events (LEE) – a 13-year follow-up. Endosc Int Open 2019; 7: E1723-E1728
    Article in Thieme ConnectPubMedGoogle Scholar
  • 14 Ratti F, Fiorentini G, Cipriani F. et al. Safety of minimally invasive liver resections during live surgery: a propensity score based assessment. HPB (Oxford) 2019; 21: 328-334
    CrossrefPubMedGoogle Scholar
  • 15 Rocco B, Grasso AAC, De Lorenzis E. et al. Live surgery: highly educational or harmful?. World J Urol 2018; 36: 171-175
    CrossrefPubMedGoogle Scholar
  • 16 Legemate JD, Zanetti SP, Baard J. et al. Outcome from 5-year live surgical demonstrations in urinary stone treatment: are outcomes compromised?. World J Urol 2017; 35: 1745-1756
    CrossrefPubMedGoogle Scholar
  • 17 Anderson L, Krathwohl D. A taxonomy for learning, teaching and assessing: A revision of Bloom’s taxonomy of educational objectives: complete edition. New York: Longman; 2001
    Google Scholar
  • 18 Yardley S, Teunissen PW, Dornan T. Experiential learning: AMEE Guide No. 63. Medical Teacher 2012; 34: e102-e115
    CrossrefPubMedGoogle Scholar
  • 19 Diaz MCG, Walsh BM. Telesimulation-based education during COVID-19. Clin Teach 2021; 18: 121-125
    CrossrefPubMedGoogle Scholar
  • 20 Gomez E, Azadi J, Magid D. Innovation born in isolation: Rapid transformation of an in-person medical student radiology elective to a remote learning experience during the COVID-19 pandemic. Acad Radiol 2020; 27: 1285-1290
    CrossrefPubMedGoogle Scholar
  • 21 Smith PJ. EndoLive UK 2015: Introducing the best of UK endoscopy to the world. Frontline Gastroenterol 2016; 7: 102-104
    CrossrefPubMedGoogle Scholar