The Impact of Endoscopy Training During Residency on the Diagnostic
Yıl: 2015 Cilt: 6 Sayı: 1 Sayfa Aralığı: 32 - 36 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022
The Impact of Endoscopy Training During Residency on the Diagnostic
Öz: Amaç: Cerrahların asistanlığı süresince endoskopi eğitimi almış olmasının,endoskopik tanı üzerine etkisini değerlendirmeyi amaçladık. Gereç ve Yöntem: Cerrahi Endoskopi Ünitesin de 2009-2011 tarihleri arasında endoskopi yapılan hastalara ait dosyalar retrospektif olarak incelendi. Endoskopistlerasistanlığı süresince endoskopi eğitimi alanlar (Grup I) ve almayanlar (GrupII) olarak ayırıldı. Endoskopik tanıyı doğrulama yöntemi olarak biyopsi sonucukabul edildi. Endoskopi sonuçları ile biyopsi sonuçları karşılaştırılarak endoskopistin tanı koymadaki tutarlılığı hesaplandı. Bulgular: Üç yıllık süre içinde9055 hastaya endoskopi işlemi yapılmış, 1285 (%14) hastadan biyopsi alınmıştı. Hastaların yaş ortalaması 54 (15-94) idi. 15 genel cerrahi uzmanından8 tanesi grup I de, 7 taneside grup II de idi. Grup I ve Grup II endoskopistlerin tanıları ile alınan biyopsi sonuçları karşılaştırıldı. Üst GİS endoskopi işleminde grup I endoskopistler %79 tutarlılık gösterirken grup II endoskopistler%72 tutarlılık göstermiş olup fark anlamlı idi (P=0.035). Alt GİS endoskopi işleminde ise Grup I %79 tutarlılık gösterirken Grup II %80 tutarlılık göstermişolup fark anlamlı değil idi (P=0.709). Tartışma: Endoskopi yapan cerrahlarınasistanlığı süresince endoskopi eğitimi alarak yetişmeleri üst GİS lezyonlarınıdoğru tanıma üzerine olumlu katkı sağlamıştır.
Anahtar Kelime: Konular:
Asistanlık Süresinde Alınan Endoskopi Eğitiminin Tanı Üzerine etkisi
Öz: Aim: The aim of the study is to evaluate the impact of endoscopy trainingduring residency on endoscopic diagnosis. Material and Method: the patientsfiles who had undergone endoscopy between 2009 and 2011 in surgical endoscopy unit, retrospectively evaluated. Endoscopists were divided into 2groups as endoscopy training during residency (group 1) or than after (group2). Histopathological evaluation was accepted as the method to confirm thediagnosis. Endoscopic and pathological diagnoses were compared and theconsistencies of the Endoscopists were calculated. Results: There were 9055endoscopic evaluation and 1285 biopsies were taken in 3 years period. Themean age of the patients were 54 (15-94). There were 15 surgeons, 8 ingroup 1, 7 in group 2. In upper gastrointestinal system endoscopy the consistency rates were 79% in group 1 and 72% in group 2 (p=0,035). In lowergastrointestinal system endoscopy, the consistency rates were 79% in group1 and 80% in group 2 (p=0,709). Discussion: Endoscopy training during residency has positive impact on identification of upper gastrointestinal systemlesions.
Anahtar Kelime: Konular:
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
- 1. Manukyan MN, Severge U, Kapaklı MS, Deveci U, Oltulu M, Kebudi A. Endos- copy training of surgeons: results of an university hospital. Ulusal Cerrahi Dergisi 2009;25(3):101-4.
- 2. Sıddıque I, Mohan K, Hasan K et al. Appropriateness of indication and diagnostic yield of colonoscopy: first report based on the 2000 guideliness of the American Society for Gastrointestinal Endoscopy. World Journal of Gastroenterology 2005;11(44):7007-13.
- 3. Özçay N, Gündoğdu H, Turhan N ve ark. Erken mide kanseri: 14 yılda izlenen 60 olgunun sonuçları. Ankara Cerrahi Dergisi 2002;4(15):105-12.
- 4. Örkörücü O, Gultekin FA, Ucan BH, Çakmak GK, Sümer D, Cömert M, Özdamar ŞO. Agreement between pathologic diagnosis and endoscopic findings on esoph- agogastroduodenoscopy performed by general surgeons. Haseki Tıp Bülteni 2011;49:26-29.
- 5.Gülşen M. Gastroenterolojide Endoskopi Eğitimi. Güncel Gastroenteroloji 2009;13(4):188-93.
- 6. Cengiz F, Ölhan E, Yakan S, Zengel B. Same Surgery - altered techniques; past, present and future of laparoscopic and endoscopic surgery. J Clin Anal Med 2013;4(1):72-5.
- 7. Morgenthal CB, Richards WO, Dunkin BJ, Forde KA, Vitale G, Lin E. SAGES Flex- ible Endoscopy Committee. The role of the surgeon in the evolution of flexible endoscopy. Surg Endosc 2007;21(6):838-53.
- 8. Youmans CR Jr, Patterson M, McDonald DF, Derrick JR. Cystoscopic control of gastric hemorrhage. Arch Surg 1970;100(6):721-3.
- 9. Gauderer MW, Ponsky JL, Izant RJ Jr. Gastrostomy without laparotomy: a percu- taneous endoscopic technique. J Pediatr Surg 1980;15(6):872-5.
- 10. Eryılmaz MA, Erden V, Memmi N, Başaranoğlu G, Çelebi F. Perkütan endoskopik gastrostomi ve sonuçlarinin değerlendirilmesi. Ulusal Travma Dergisi 2002;8(1):26-8.
- 11. Eryılmaz MA, Karahan Ö, Tolu Ö, Okuş A, Sevinç B, Halıcı AH. The comparison of endoscopic retrograde cholangiopancreatography (ERCP) and magnetic reso- nance cholangiopancreatography (MRCP) in bile duct imaging. Surgical Science 2012;3:445-51.
- 12. Vural S, Çil S, Cincin TG, Erdemir A, Süslü N, Onuray F. The ımportance of endoscopıc bıopsy to determıne malıgnancy ın patıents wıth chronıc epıgastrıc paın and dyspeptıc complaınts. Kartal Eğitim ve Araştırma Hastanesi Tıp Dergisi 2004;15(1):14-7.
- 13. Asfaha S, Alqahtani S, Hilsden RJ et al. Assessment of endoscopic training of general surgery residents in a North American health region. Gastrointest Endosc 2008;68:1056-62.
- 14. Cass OW, Freeman ML, Peine CJ et al. Objective evaluation of endoscopy skills during training. Ann Intern Med 1993;118(1):40-4.
- 15. Kling PA, Edin K, Domellof L. Observer variability in upper gastrointestinal fiber endoscopy. Scand J Gastroenterol 1985;20:462-5.
- 16. Anagnostopoulos GK, Yao K, Kaye P et al. High-resolution magnification endoscopy can reliably identify normal gastric mucosa, Helicobacter pylori associated gastritis, and gastric atrophy. Endoscopy 2007;39:202-7.
- 17. Yagi K, Nakamura A, Sekine A. Characteristic endoscopic and magnified endoscopic findings in the normal stomach without Helicobacter pylori infection. J Gastroenterol Hepatol 2002;17(1):39-45.
- 18. Yagi K, Nakamura A, Sekine A. Comparison between magnifying endoscopy and histological, culture and urease test findings from the gastric mucosa of the corpus. Endoscopy 2002;34:376-81.
- 19. Uygun A, Arslan M. Midenin mukozal lezyonları ve takip prensipleri. Güncel Gastroenteroloji 2004;8(1):12-20.
APA | ERYILMAZ M, Aksoy Sönmez n, AY A, OKUŞ A, Karahan Ö (2015). The Impact of Endoscopy Training During Residency on the Diagnostic. , 32 - 36. |
Chicago | ERYILMAZ M. Ali,Aksoy Sönmez nergis,AY ABDÜLHALİM SERDEN,OKUŞ Ahmet,Karahan Ömer The Impact of Endoscopy Training During Residency on the Diagnostic. (2015): 32 - 36. |
MLA | ERYILMAZ M. Ali,Aksoy Sönmez nergis,AY ABDÜLHALİM SERDEN,OKUŞ Ahmet,Karahan Ömer The Impact of Endoscopy Training During Residency on the Diagnostic. , 2015, ss.32 - 36. |
AMA | ERYILMAZ M,Aksoy Sönmez n,AY A,OKUŞ A,Karahan Ö The Impact of Endoscopy Training During Residency on the Diagnostic. . 2015; 32 - 36. |
Vancouver | ERYILMAZ M,Aksoy Sönmez n,AY A,OKUŞ A,Karahan Ö The Impact of Endoscopy Training During Residency on the Diagnostic. . 2015; 32 - 36. |
IEEE | ERYILMAZ M,Aksoy Sönmez n,AY A,OKUŞ A,Karahan Ö "The Impact of Endoscopy Training During Residency on the Diagnostic." , ss.32 - 36, 2015. |
ISNAD | ERYILMAZ, M. Ali vd. "The Impact of Endoscopy Training During Residency on the Diagnostic". (2015), 32-36. |
APA | ERYILMAZ M, Aksoy Sönmez n, AY A, OKUŞ A, Karahan Ö (2015). The Impact of Endoscopy Training During Residency on the Diagnostic. Journal of Clinical and Analytical Medicine, 6(1), 32 - 36. |
Chicago | ERYILMAZ M. Ali,Aksoy Sönmez nergis,AY ABDÜLHALİM SERDEN,OKUŞ Ahmet,Karahan Ömer The Impact of Endoscopy Training During Residency on the Diagnostic. Journal of Clinical and Analytical Medicine 6, no.1 (2015): 32 - 36. |
MLA | ERYILMAZ M. Ali,Aksoy Sönmez nergis,AY ABDÜLHALİM SERDEN,OKUŞ Ahmet,Karahan Ömer The Impact of Endoscopy Training During Residency on the Diagnostic. Journal of Clinical and Analytical Medicine, vol.6, no.1, 2015, ss.32 - 36. |
AMA | ERYILMAZ M,Aksoy Sönmez n,AY A,OKUŞ A,Karahan Ö The Impact of Endoscopy Training During Residency on the Diagnostic. Journal of Clinical and Analytical Medicine. 2015; 6(1): 32 - 36. |
Vancouver | ERYILMAZ M,Aksoy Sönmez n,AY A,OKUŞ A,Karahan Ö The Impact of Endoscopy Training During Residency on the Diagnostic. Journal of Clinical and Analytical Medicine. 2015; 6(1): 32 - 36. |
IEEE | ERYILMAZ M,Aksoy Sönmez n,AY A,OKUŞ A,Karahan Ö "The Impact of Endoscopy Training During Residency on the Diagnostic." Journal of Clinical and Analytical Medicine, 6, ss.32 - 36, 2015. |
ISNAD | ERYILMAZ, M. Ali vd. "The Impact of Endoscopy Training During Residency on the Diagnostic". Journal of Clinical and Analytical Medicine 6/1 (2015), 32-36. |