Moreira V, Martín-de-Argila C, Meroño E, García Plaza A
Servicio de Gastroenterología, Hospital Ramón y Cajal, Madrid.
Rev Esp Enferm Dig. 1994 Dec;86(6):901-7.
Training in diagnostic and therapeutic endoscopic retrograde cholangiopancreatography procedures is difficult and tedious. Currently, there is no consensus on how to plan and put it into practice. We believe that training in these procedures must be included in the training program of the gastroenterology resident, since the efficiency of these methods (both diagnostic and therapeutic) in biliopancreatic disease including their clinical, social and economic benefits are beyond doubt. Training in diagnostic endoscopic retrograde cholangiopancreatography should be planned for about 3 months including at least 100 procedures under supervision of an experienced endoscopist; on the other hand, training in the therapeutic aspects needs, in our opinion, a longer period, perhaps and additional 3 to 6 month period, although this goal is difficult to achieve in the 4-year program of a gastroenterology resident. A frequent performance of the techniques is required to acquire competence. In this paper, we emphasize the ideal conditions that, must be fulfilled to achieve an appropriate training in the diagnostic and therapeutic aspects of endoscopic retrograde cholangiopancreatography.
诊断性和治疗性内镜逆行胰胆管造影术的培训既困难又乏味。目前，对于如何规划和实施此类培训尚无共识。我们认为，这些操作的培训必须纳入胃肠病学住院医师的培训计划，因为这些方法（包括诊断性和治疗性）在胆胰疾病中的有效性，包括其临床、社会和经济效益，是毋庸置疑的。诊断性内镜逆行胰胆管造影术的培训应计划为期约3个月，包括在经验丰富的内镜医师监督下至少进行100例操作；另一方面，我们认为治疗方面的培训需要更长时间，可能还需要额外3至6个月的时间，尽管在胃肠病学住院医师4年的培训计划中很难实现这一目标。需要频繁进行这些技术操作才能获得能力。在本文中，我们强调了在内镜逆行胰胆管造影术的诊断和治疗方面实现适当培训必须满足的理想条件。
