Department of Gastroenterology and Hepatology, Amsterdam University Medical Centre, location Academic Medical Centre, University of Amsterdam, Amsterdam, The Netherlands.
Digestive Diseases Department, Althaia Xarxa Assistencial Universitària de Manresa, Manresa, Spain.
Endoscopy. 2020 Oct;52(10):899-923. doi: 10.1055/a-1231-5123. Epub 2020 Sep 3.
This manuscript represents an official Position Statement of the European Society of Gastrointestinal Endoscopy (ESGE) aiming to guide general gastroenterologists to develop and maintain skills in optical diagnosis during endoscopy. In general, this requires additional training beyond the core curriculum currently provided in each country. In this context, ESGE have developed a European core curriculum for optical diagnosis practice across Europe for high quality optical diagnosis training. 1: ESGE suggests that every endoscopist should have achieved general competence in upper and/or lower gastrointestinal (UGI/LGI) endoscopy before commencing training in optical diagnosis of the UGI/LGI tract, meaning personal experience of at least 300 UGI and/or 300 LGI endoscopies and meeting the ESGE quality measures for UGI/LGI endoscopy. ESGE suggests that every endoscopist should be able and competent to perform UGI/LGI endoscopy with high definition white light combined with virtual and/or dye-based chromoendoscopy before commencing training in optical diagnosis. 2: ESGE suggests competency in optical diagnosis can be learned by attending a validated optical diagnosis training course based on a validated classification, and self-learning with a minimum number of lesions. If no validated training course is available, optical diagnosis can only be learned by attending a non-validated onsite training course and self-learning with a minimum number of lesions. 3: ESGE suggests endoscopists are competent in optical diagnosis after meeting the pre-adoption and learning criteria, and meeting competence thresholds by assessing a minimum number of lesions prospectively during real-time endoscopy. ESGE suggests ongoing in vivo practice by endoscopists to maintain competence in optical diagnosis. If a competent endoscopist does not perform in vivo optical diagnosis on a regular basis, ESGE suggests repeating the learning and competence phases to maintain competence.Key areas of interest were optical diagnosis training in Barrett's esophagus, esophageal squamous cell carcinoma, early gastric cancer, diminutive colorectal lesions, early colorectal cancer, and neoplasia in inflammatory bowel disease. Condition-specific recommendations are provided in the main document.
本文是欧洲胃肠道内镜学会（ESGE）的一份官方立场声明，旨在指导普通胃肠病学家发展和维持内镜下光学诊断技能。一般来说，这需要在每个国家目前提供的核心课程之外进行额外的培训。在这种情况下，ESGE 已经为整个欧洲的高质量光学诊断培训制定了欧洲光学诊断实践核心课程。1：ESGE 建议，在开始上消化道/下消化道（UGI/LGI）光学诊断培训之前，每个内镜医生都应该在上消化道/下消化道内镜检查方面达到一般能力，这意味着至少有 300 次 UGI 和/或 300 次 LGI 内镜检查的个人经验，并符合 UGI/LGI 内镜检查的 ESGE 质量标准。ESGE 建议，在开始光学诊断培训之前，每个内镜医生都应该能够并且有能力在上消化道/下消化道内镜检查中使用高清白光结合虚拟和/或基于染料的 chromoendoscopy。2：ESGE 建议，可以通过参加基于经过验证的分类的经过验证的光学诊断培训课程，并通过学习少量病变来学习光学诊断的能力。如果没有经过验证的培训课程，则只能通过参加未经验证的现场培训课程和学习少量病变来学习光学诊断。3：ESGE 建议，内镜医生在满足预采用和学习标准后，并且通过在实时内镜检查期间前瞻性评估最小数量的病变来满足能力阈值，才能胜任光学诊断。ESGE 建议内镜医生通过进行体内实践来保持光学诊断能力。如果胜任的内镜医生没有定期进行体内光学诊断，建议重复学习和能力阶段以保持能力。感兴趣的主要领域包括 Barrett 食管、食管鳞状细胞癌、早期胃癌、微小结直肠病变、早期结直肠癌和炎症性肠病中的肿瘤。在主要文件中提供了特定于病情的建议。
