Curriculum for training in peroral endoscopic myotomy (POEM) in Europe (Part I): European Society of Gastrointestinal Endoscopy (ESGE) Position Statement

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00159816%3A_____%2F25%3A00082278" target="_blank" >RIV/00159816:_____/25:00082278 - isvavai.cz</a>

Nalezeny alternativní kódy

RIV/61383082:_____/25:00001584

Výsledek na webu

<a href="https://www.thieme-connect.com/products/ejournals/abstract/10.1055/a-2568-7473" target="_blank" >https://www.thieme-connect.com/products/ejournals/abstract/10.1055/a-2568-7473</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1055/a-2568-7473" target="_blank" >10.1055/a-2568-7473</a>

Jazyk výsledku

angličtina

Název v původním jazyce

Curriculum for training in peroral endoscopic myotomy (POEM) in Europe (Part I): European Society of Gastrointestinal Endoscopy (ESGE) Position Statement

Popis výsledku v původním jazyce

Peroral endoscopic myotomy (POEM) is an advanced endoscopic procedure that has become a first-line treatment foresophageal achalasia and other esophageal spastic disorders. Structured training is essential to optimize the outcomes of this technique. The European Society of Gastrointestinal Endoscopy (ESGE) has recognized the need toformalize and enhance training in POEM. This PositionStatement presents the results of a systematic review ofthe literature and a formal Delphi process, providingrecommendations for an optimal training program inPOEM that aims to produce endoscopists competent inthis procedure. In a separate document (POEM curriculumPart II), we provide technical guidance on how to performthe POEM procedure based on the best available evidence.1 POEM trainees should acquire a comprehensive theoretical knowledge of achalasia and other esophageal motilitydisorders that encompasses pathophysiology, diagnostictool proficiency, clinical outcome assessment, potentialadverse events, and periprocedural management.2 Experience in advanced endoscopic procedures (endoscopic mucosal resection and/or endoscopic submucosaldissection [ESD]) is encouraged as a beneficial prerequisitefor POEM training.3 ESGE suggests that POEM trainees without ESD experience should perform an indicative minimum number of 20cases on ex vivo or animal models before advancing tohuman POEM cases with an experienced trainer.4 ESGE recommends that the trainee should observe anindicative minimum number of 20 live cases at expertcenters before starting to perform POEM in humans.5 The trainee should undertake an indicative minimumnumber of 10 cases under expert supervision for the initialhuman POEM procedures, ensuring that trainees cancomplete all POEM steps independently.6 ESGE recommends avoiding complex POEM cases duringthe early training phase.7 POEM competence should reflect the technical successrate, both the short- and long-term clinical success rates,and the rate of true adverse events.8 A POEM center should maintain a prospective registry ofall procedures performed, including patient work-up andoutcomes, procedural techniques, and adverse events.

Název v anglickém jazyce

Curriculum for training in peroral endoscopic myotomy (POEM) in Europe (Part I): European Society of Gastrointestinal Endoscopy (ESGE) Position Statement

Popis výsledku anglicky

Peroral endoscopic myotomy (POEM) is an advanced endoscopic procedure that has become a first-line treatment foresophageal achalasia and other esophageal spastic disorders. Structured training is essential to optimize the outcomes of this technique. The European Society of Gastrointestinal Endoscopy (ESGE) has recognized the need toformalize and enhance training in POEM. This PositionStatement presents the results of a systematic review ofthe literature and a formal Delphi process, providingrecommendations for an optimal training program inPOEM that aims to produce endoscopists competent inthis procedure. In a separate document (POEM curriculumPart II), we provide technical guidance on how to performthe POEM procedure based on the best available evidence.1 POEM trainees should acquire a comprehensive theoretical knowledge of achalasia and other esophageal motilitydisorders that encompasses pathophysiology, diagnostictool proficiency, clinical outcome assessment, potentialadverse events, and periprocedural management.2 Experience in advanced endoscopic procedures (endoscopic mucosal resection and/or endoscopic submucosaldissection [ESD]) is encouraged as a beneficial prerequisitefor POEM training.3 ESGE suggests that POEM trainees without ESD experience should perform an indicative minimum number of 20cases on ex vivo or animal models before advancing tohuman POEM cases with an experienced trainer.4 ESGE recommends that the trainee should observe anindicative minimum number of 20 live cases at expertcenters before starting to perform POEM in humans.5 The trainee should undertake an indicative minimumnumber of 10 cases under expert supervision for the initialhuman POEM procedures, ensuring that trainees cancomplete all POEM steps independently.6 ESGE recommends avoiding complex POEM cases duringthe early training phase.7 POEM competence should reflect the technical successrate, both the short- and long-term clinical success rates,and the rate of true adverse events.8 A POEM center should maintain a prospective registry ofall procedures performed, including patient work-up andoutcomes, procedural techniques, and adverse events.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30212 - Surgery

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2025

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

Endoscopy

ISSN

0013-726X

e-ISSN

1438-8812

Svazek periodika

57

Číslo periodika v rámci svazku

07

Stát vydavatele periodika

DE - Spolková republika Německo

Počet stran výsledku

18

Strana od-do

778-795

Kód UT WoS článku

001463249700001

EID výsledku v databázi Scopus

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