Chantarojanasiri Tanyaporn, Siripun Aroon, Pinyotheppratarn Ratchamon, Kongkam Pradermchai, Pausawasdi Nonthalee, Ratanachu-Ek Thawee
The Thai Association for Gastrointestinal Endoscopy (TAGE), Bangkok, Thailand.
Division of Gastroenterology, Department of Internal Medicine, Rajavithi hospital, College of Medicine, Rangsit University, Bangkok, Thailand.
Endosc Ultrasound. 2024 Mar-Apr;13(2):76-82. doi: 10.1097/eus.0000000000000046. Epub 2024 Jan 23.
EUS interventions have an increasing role in the treatment for hepatobiliary-pancreatic diseases. However, the procedure itself is not frequently performed, needs expertise, and carries a high risk of complications. With these limitations, the hands-on practice model is very important for the endoscopist in training for EUS intervention. There have been various hands-on models for EUS interventions, ranging from living pig model to all-synthetic model. Although a living model provides realistic sensation, the preparation is complex and increases concerns for zoonotic issues. All-synthetic models are easier to prepare and store but not realistic and still need the room for improvement. Hybrid model is more widely available and provides various training procedures but still needs special preparation for the porcine tissue.
超声内镜介入在肝胆胰疾病的治疗中发挥着越来越重要的作用。然而,该操作本身并不常进行,需要专业知识,且并发症风险高。鉴于这些局限性,实践操作模型对于接受超声内镜介入培训的内镜医师非常重要。超声内镜介入有多种实践操作模型,从活体猪模型到全合成模型不等。虽然活体模型能提供真实的感觉,但准备工作复杂,且增加了对人畜共患病问题的担忧。全合成模型更容易准备和储存,但不逼真,仍需改进。混合模型更易获得,能提供各种培训程序,但仍需要对猪组织进行特殊准备。