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Endoscopy

A procedure that uses an endoscope to examine the inside of the body. An endoscope is a thin, tube-like instrument with a light and a lens for viewing. It may also have a tool to remove tissue to be checked under a microscope for signs of disease.

PubMed Health Glossary
(Source: NIH - National Cancer Institute)

What works? Research summarized

Evidence reviews

Antibiotics may prevent complications following endoscopy of the bile or pancreatic ductal systems

Endoscopic retrograde cholangiopancreatography (ERCP) involves cannulating the biliary system in order to diagnose bile or pancreatic duct obstruction. It then affords the possibility of relieving this obstruction using various interventions. Traditionally, prophylactic antibiotics have been administered to decrease the incidence of infective complications as a result of interfering with a normally sterile biliary tree. Preventing overuse of antibiotics and consequent bacterial resistance must be aimed. If antibiotics do not prevent complications following ERCP, then antibiotics should not be used.

Endoscopy or surgery for patients with chronic pancreatitis and dilated pancreatic duct

Endoscopy and surgery are the treatments of choice in patients with chronic pancreatitis and a dilated pancreatic duct. Pain is the most important symptom in this disease and can be severely debilitating. In addition, chronic pancreatitis can result in malabsorption and/or diabetes due to failure of the gland function of the pancreas.

Virtual Reality Simulators for Training Gastrointestinal Endoscopy

Traditionally trainees have learned to perform endoscopy in the clinical setting under the supervision of a trained endoscopist. Virtual reality computer simulators are becoming popular as a way of providing trainees with an opportunity to practice skills in a risk‐free environment. This review was undertaken to determine whether virtual reality simulation training can supplement and/or replace early patient‐based endoscopy training. We included randomised trials comparing virtual reality endoscopy simulation training with any other form of endoscopy training (patient‐based training, no training, training using another form of endoscopy simulation) for trainees with little or no prior endoscopic experience. Thirteen trials involving 278 participants were included. All trials except one were at high risk of bias. Simulation‐based endoscopy training, as compared with no training, generally appears to provide trainees with an advantage as measured by a composite score of competency, ability to complete procedures independently, time taken to complete a task, depth of endoscope insertion, overall rating of performance, number of errors and mucosal visualization. There was no conclusive evidence that simulation‐based training, as compared with traditional patient‐based training, provided benefit, although data were limited. The results of this review have shown that virtual reality endoscopy training can be used to supplement early traditional endoscopy training for trainees with little or no endoscopic experience.

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Summaries for consumers

Antibiotics may prevent complications following endoscopy of the bile or pancreatic ductal systems

Endoscopic retrograde cholangiopancreatography (ERCP) involves cannulating the biliary system in order to diagnose bile or pancreatic duct obstruction. It then affords the possibility of relieving this obstruction using various interventions. Traditionally, prophylactic antibiotics have been administered to decrease the incidence of infective complications as a result of interfering with a normally sterile biliary tree. Preventing overuse of antibiotics and consequent bacterial resistance must be aimed. If antibiotics do not prevent complications following ERCP, then antibiotics should not be used.

Endoscopy or surgery for patients with chronic pancreatitis and dilated pancreatic duct

Endoscopy and surgery are the treatments of choice in patients with chronic pancreatitis and a dilated pancreatic duct. Pain is the most important symptom in this disease and can be severely debilitating. In addition, chronic pancreatitis can result in malabsorption and/or diabetes due to failure of the gland function of the pancreas.

Virtual Reality Simulators for Training Gastrointestinal Endoscopy

Traditionally trainees have learned to perform endoscopy in the clinical setting under the supervision of a trained endoscopist. Virtual reality computer simulators are becoming popular as a way of providing trainees with an opportunity to practice skills in a risk‐free environment. This review was undertaken to determine whether virtual reality simulation training can supplement and/or replace early patient‐based endoscopy training. We included randomised trials comparing virtual reality endoscopy simulation training with any other form of endoscopy training (patient‐based training, no training, training using another form of endoscopy simulation) for trainees with little or no prior endoscopic experience. Thirteen trials involving 278 participants were included. All trials except one were at high risk of bias. Simulation‐based endoscopy training, as compared with no training, generally appears to provide trainees with an advantage as measured by a composite score of competency, ability to complete procedures independently, time taken to complete a task, depth of endoscope insertion, overall rating of performance, number of errors and mucosal visualization. There was no conclusive evidence that simulation‐based training, as compared with traditional patient‐based training, provided benefit, although data were limited. The results of this review have shown that virtual reality endoscopy training can be used to supplement early traditional endoscopy training for trainees with little or no endoscopic experience.

See all (64)

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