Endoscopy 2000; 32(11): 906-910
DOI: 10.1055/s-2000-8090
Special Topic
Georg Thieme Verlag Stuttgart ·New York

The Erlangen Endo-Trainer: Life-Like Simulation for Diagnostic and Interventional Endoscopic Retrograde Cholangiography

M. Neumann 1 , G. Mayer 2 , C. Ell 2 , T. Felzmann 3 , B. Reingruber 1 , T. Horbach 1 , W. Hohenberger 1
  • 1 Dept. of Surgery, University of Erlangen-Nürnberg, Germany
  • 2 Dept. of Internal Medicine, Dr. Horst Schmidt Clinic, Wiesbaden, Germany
  • 3 Erlangen Chirurgie- und Endoskopie-Training GmbH, Erlangen, Germany
Further Information

Publication History

Publication Date:
31 December 2000 (online)

The Erlanger Endo-Trainer offers a large spectrum of training possibilities in endoscopic techniques using life-like biological specimens. We organised the first pilot study of interventions at the papilla and the bile duct under x-ray control. Specially prepared upper visceral porcine organ packages including the esophagus, stomach, duodenum, liver, gallbladder and bile ducts were implanted into the Endo-Trainer. Furthermore, small stones were introduced into the bile duct. The test study was carried out by a senior endoscopist assisted by his endoscopy nurse. The following steps could therefore be carried out as a structured team-training scheme: Introduction of the side-viewing endoscope and passage into the duodenum; identification and adjustment at the papilla; cannulation of the papilla; selective bile duct imaging with contrast application under x-ray vision; placement of a guidewire; papillotomy; stone extraction and finally placement of a plastic stent. The special value of this type of simulation is the fact that endoscopic techniques can be trained in the usual manner with real tissue-feeling using regular commercial instruments. Although there is general consent that individual practice on the patient cannot be completely replaced by simulator training, a suitable and realistic simulation model can be of great value, for initial steps prior to “real” patient contact as well as for refining techniques and tactics.


M. Neumann,, M.D. 

Chirurgische Klinik mit Poliklinik der Universität Erlangen-Nürnberg

Krankenhausstrasse 12 91054 Erlangen Germany

Fax: Fax:+ 49-9131-853-6328

Email: E-mail:[email protected]