Abstract
ABSTRACTBackground: Models for endoscopic retrograde cholangiopancreatography training allow practice with an expert feedback and without risks. A method to rapidly exchange the papilla can be time saving and accelerate the learning curve. Aim: To demonstrate a newly method of rapid exchange papilla in ex-vivo models to teach retrograde cholangiopancreatography advanced procedures. Methods: A new model of ex-vivo papilla was developed in order to resemble live conditions of procedures as cannulation, papilotomy or fistula-papilotomy, papiloplasty, biliary dilatation, plastic and metallic stentings. Results: The ex-vivo model of papilla rapid exchange is feasible and imitates with realism conditions of retrograde cholangiopancreatography procedures. Conclusion: This model allows an innovative method of advanced endoscopic training.
Highlights
Several training simulators are currently available for education in diagnostic and interventional endoscopic retrograde cholangiopancreatography (ERCP)[1,4]
The aim of this study was to demonstrate papilla change in ex-vivo models developed for the advanced training in ERCP
The ex-vivo model was made from a porcine digestive tract specimen, which was cleaned and prepared to support the “neo papilla” and “neo choledochus”
Summary
Several training simulators are currently available for education in diagnostic and interventional endoscopic retrograde cholangiopancreatography (ERCP)[1,4]. Models for ERCP training allow practice with expert feedback and without risks.Currently, there are three major categories: virtual reality simulators, live pigs and ex-vivo porcine models[1]. Ex-vivo porcine model offer a low cost training method and yield the possibility of customizing biliary anatomy. A method to rapidly exchange the papilla is essential to save time between the procedures.
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