Fernandez-Urien Ignacio, Panter Simon, Carretero Cristina, Davison Carolyn, Dray Xavier, Fedorov Evgeny, Makins Richard, Mascarenhas Miguel, McAlindon Mark, McNamara Deirdre, Palmer Hansa, Rey Jean Francoise, Saurin Jean Christophe, Seitz Uwe, Spada Cristiano, Toth Ervin, Wiedbrauck Felix, Keuchel Martin
Department of Gastroenterology - CHN, Pamplona, Spain.
Department of Gastroenterology - South Tyneside NHS, South Tyneside, United Kingdom.
Endosc Int Open. 2017 Jun;5(6):E526-E538. doi: 10.1055/s-0043-106181. Epub 2017 Jun 7.
Capsule endoscopy (CE) has become a first-line noninvasive tool for visualisation of the small bowel (SB) and is being increasingly used for investigation of the colon. The European Society of Gastrointestinal Endoscopy (ESGE) guidelines have specified requirements for the clinical applications of CE. However, there are no standardized recommendations yet for CE training courses in Europe. The following suggestions in this curriculum are based on the experience of European CE training courses directors. It is suggested that 12 hours be dedicated for either a small bowel capsule endoscopy (SBCE) or a colon capsule endoscopy (CCE) course with 4 hours for an introductory CCE course delivered in conjunction with SBCE courses. SBCE courses should include state-of-the-art lectures on indications, contraindications, complications, patient management and hardware and software use. Procedural issues require approximately 2 hours. For CCE courses 2.5 hours for theoretical lessons and 3.5 hours for procedural issued are considered appropriate. Hands-on training on reading and interpretation of CE cases using a personal computer (PC) for 1 or 2 delegates is recommended for both SBCE and CCE courses. A total of 6 hours hands-on session- time should be allocated. Cases in a SBCE course should cover SB bleeding, inflammatory bowel diseases (IBD), tumors and variants of normal and cases with various types of polyps covered in CCE courses. Standardization of the description of findings and generation of high-quality reports should be essential parts of the training. Courses should be followed by an assessment of trainees' skills in order to certify readers' competency.
胶囊内镜检查（CE）已成为可视化小肠（SB）的一线非侵入性工具，并且越来越多地用于结肠检查。欧洲胃肠内镜学会（ESGE）指南对CE的临床应用提出了具体要求。然而，欧洲目前尚无关于CE培训课程的标准化建议。本课程中的以下建议基于欧洲CE培训课程主任的经验。建议为小肠胶囊内镜检查（SBCE）或结肠胶囊内镜检查（CCE）课程安排12小时，为与SBCE课程联合开设的CCE入门课程安排4小时。SBCE课程应包括关于适应证、禁忌证、并发症、患者管理以及硬件和软件使用的最新讲座。程序问题大约需要2小时。对于CCE课程，理论课2.5小时、程序课3.5小时被认为是合适的。建议SBCE和CCE课程都为1或2名学员安排使用个人电脑（PC）阅读和解读CE病例的实践培训。总共应分配6小时的实践培训时间。SBCE课程中的病例应涵盖小肠出血、炎症性肠病（IBD）、肿瘤以及正常情况的变异，CCE课程中的病例应涵盖各种类型的息肉。检查结果描述的标准化和高质量报告的生成应是培训的重要组成部分。课程结束后应对学员的技能进行评估，以认证阅片者的能力。
