[Visiting Endoscopy Unit at SMC]

1. Program

2. How we teach endoscopy for beginners at SMC

3. Gastroscopy box simulator training (Boxim)

4. Description exercise (DEX) - DEX Quiz

5. Case-based discussions on gastric cancer

6. Current status of gastric ESD in Korea

7. References

* URL : endotoday.com/endotoday/visiting_SMC.html


1. Program

1) Box simulator training

2) Description exercise

3) Conferences

4) Observation at endoscopy rooms

5) Patients rounding at wards


2. How we teach endoscopy for beginners at SMC

SMC basic endoscopy training course (3 months)
Program1st month2nd month3rd month
On-line lecture


KSGE lectures 1-10 KSGE lectures 11-20
Staff lecture (1) Insertion
(2) Description
(3) Common GI disorders
One point lesson One point lesson
Book & Journal club Textbook reading with tutors Review the review Review the review
Description training 1, 2, 3, 4 5, 6, 7, 8 9, 10, 11, 12
Gastric cancers 1,000 Season 1 Season 2 Season 3
Weekly conference Endoscopy conference
GI conference
Endoscopy conference
GI conference
Endoscopy conference
GI conference
Observation and hands-on Weekly observation
Simulator training
Daily observation Hands-on
Others EndoTODAY
Topic presentation 1, 2, 3
EndoTODAY
Topic presentation 4, 5, 6
EndoTODAY
Topic presentation 7, 8, 9
Quiz 365


[2018 schedule (tentative)]


3. Gastroscopy box simulator training (Boxim)

Bofore starting endoscopy training, we review the ergonomic issues.

Gastroscopy box simulator training guide

(Word version)


4. Description exercise (DEX)

You can learn how to describe endoscopic findings following the SMC style.

in English (2017-7-10)

SMC style - (1) Location, (2) Size, (3) Major finding, (4) Minor findings, (5) Impression, (6) Classification

Manual for description exercise (in Korean)


[Examples]

Example 1

1) Location

2) Size

3) Major finding

4) Minor findings

5) Impression

6) Classification


Example 2

1) Location

2) Size

3) Major finding

4) Minor findings

5) Impression

6) Classification


Example 3

1) Location: 30cm from the incisor teeth

2) Size

3) Major finding

4) Minor findings

5) Impression

6) Classification


Example 4

1) Location

2) Size

3) Major finding

4) Minor findings

5) Impression

6) Classification

* Classification: endoscopic classification of chronic gastritis (in Korean)


Example 5

1) Location

2) Size

3) Major finding

4) Minor findings

5) Impression

6) Classification


Example 6

1) Location

2) Size

3) Major finding

4) Minor findings

5) Impression

6) Classification


Example 7

1) Location

2) Size

3) Major finding

4) Minor findings

5) Impression

6) Classification


Example 8

1) Location

2) Size

3) Major finding

4) Minor findings

5) Impression

6) Classification


Example 9

1) Location

2) Size

3) Major finding

4) Minor findings

5) Impression

6) Classification

* Terminology: folds of EGC, Case 1, Case 2


Example 10

1) Location

2) Size

3) Major finding

4) Minor findings

5) Impression

6) Classification


Example 11

1) Location

2) Size

3) Major finding

4) Minor findings

5) Impression

6) Classification

* Classification: endoscopic classification of EGC - Paris (2003)


Example 12

1) Location

2) Size

3) Major finding

4) Minor findings

5) Impression

6) Classification


Example 13

1) Location

2) Size

3) Major finding

4) Minor findings

5) Impression

6) Classification

* AGC


Example 14

1) Location

2) Size

3) Major finding

4) Minor findings

5) Impression

6) Classification


Example 15

1) Location

2) Size

3) Major finding

4) Minor findings

5) Impression

6) Classification


Example 16

1) Location

2) Size

3) Major finding

4) Minor findings

5) Impression

6) Classification

* Typical response to H. pylori eradication in MALToma

[More cases]


[Colonoscopy]

Example 17

Symptom: diarrhea

1) Location: Sigmoid colon

2) Size

3) Major finding

4) Minor findings

5) Impression

6) Classification


Example 18

1) Location: A colon and T colon

2) Size

3) Major finding

4) Minor findings

5) Impression

6) Classification


Example 19

1) Location: Sigmoid colon

2) Size

3) Major finding

4) Minor findings

5) Impression

6) Classification


Example 20

1) Location: mid-T colon

2) Size

3) Major finding

4) Minor findings

5) Impression

6) Classification


Example 21

1) Location: A colon

2) Size

3) Major finding

4) Minor findings

5) Impression

6) Classification

P


Example 22

1) Location: mid-T colon

2) Size

3) Major finding

4) Minor findings

5) Impression

6) Classification

Similar case


[Description exercise quiz]

Describe the endoscopy findings follow the SMC style and then send the answer to at stomachlee@gmail.com. Professor Lee will send you the personal feedback.

Description exercise 1

Description exercise 2

Description exercise 3

Description exercise 4

Description exercise 5


5. Case-based discussions on gastric cancer

Case 25 - Finding gastric cancer in the background of erosive gastritis

Case 432 - flat discolorated lesion

Case 17, Case 214 - Blind area

Case 30 - Endoscopic classification of EGC

Case 58, Case 422, Case 448 - Borrmann type IV

Case 104, Case 204 - Depth of invasion

Case 43 - False negative biopsy

Case 41 - Changes after biopsy

Case 31, Case 405 - Atypia, atypical glands

Case 38 - Adenoma

Case 315, Case 420 - Remnant cancer

Case 472 - Surgery after ESD for EGC

Case 45 - Gastric metastasis

Case 445 - Rare metastasis of gastric cancer to other organs

Case 101 - Scrub typhus and gastric cancer


6. Current status of gastric ESD in Korea - a lecture at JGCA 2017

Surgical and endoscopic treatment of gastric cancer at Samsung Medical Center

PPT PDF
Lecture note


[References]

1) EndoTODAY Endoscopy Learning Center

2) Endoscopy Unit at SMC

PPT PDF

3) How I do it - gastric ESD (Professor Jun Haeng Lee)



© 일원내시경교실 바른내시경연구소 이준행. EndoTODAY Endoscopy Learning Center. Lee Jun Haeng.