Abstract
Assessing competence is of utmost importance for complex EUS procedures like EUS-guided
gastroenterostomy (EUS-GE) that are associated with higher risk of procedural complications.
It is a matter of intense debate on what is the training needed to carry out these
interventions, how to judge for competence, and who can perform these newer interventions.
The procedure has several variations including the methods to identify the jejunal
loops on EUS like direct puncture, balloon-assisted, and hybrid rendezvous with ultrathin
endoscope. Therefore, there is lack of clarity on the role and ways of assessing the
learning curve for EUS-GE. In this news and views, we are discussing two studies that
assessed the learning curve for EUS-GE.
Keywords
endosonography - stomach - gastric outlet obstruction