Endoscopic Ultrasound Training for Pancreato-Biliary Diseases: Outcomes from a Linear EUS Course

Aims This study evaluates the outcomes of a structured training program in linear EUS focusing on the pancreas and biliary system

Methods Eighteen trainees participated in a comprehensive EUS training course consisting of five video-based theoretical sessions and guided tissue acquisition techniques. Training emphasized anatomical localization and imaging of the pancreas (head and tail), common bile duct, and portal confluence and its veins. Participants performed EUS procedures at their respective institutions and submitted videos for final assessment. Success rates for anatomical identification and obtaining imaging windows were analyzed.

Results Eighteen trainees performed a total of 251 EUS procedures at their institutions, with a range of 8–25 procedures per trainee (mean: 12.5 ± 4.9). By the end of the training, all participants (100%) successfully maneuvered the echo-endoscope to the duodenum.

Fifteen trainees submitted videos for assessment. The success rates for identifying specified anatomical areas were:

• Head of the pancreas: 10/15 (66.6%)

• Tail of the pancreas: 9/15 (60%)

• Common bile duct: 10/15 (66.6%)

• Portal confluence and its veins: 11/15 (73.3%)

The success rates for obtaining appropriate imaging windows were:

• Head of the pancreas: 8/15 (53.3%)

• Tail of the pancreas: 6/15 (40%)

• Common bile duct: 7/15 (46.6%)

• Portal confluence and its veins: 9/15 (60%)

Conclusions This structured EUS training program enabled participants to acquire essential skills for pancreato-biliary disease management. High success rates in anatomical identification and imaging window acquisition highlight the program's effectiveness. Future programs should focus on enhancing image acquisition skills to improve overall proficiency.

Publikationsverlauf

Artikel online veröffentlicht:
27. März 2025