On November 7-8, 2019, the first endoscopic ultrasound (EUH) training was provided at the Translational Interventional Endoscopy Center which was established as part of the GINOP-2.3.2-15-2016-00048 Stay Alive project.
Our guest trainer Ghassan ElSayed dr. was from the Royal Bournemouth Hospital in England who has extensive experience in interventional endoscopy and its teaching. For two days, he taught our advanced and entry-level colleagues the use of the EUS in their study of 14 patients. Patients were examined by 3, ElSayed dr. helped them with verbal instructions and interpretations of the depicted differences. Distributors of the new devices were also present at the examinations, who helped them to learn the various settings and technical details, and thus provided important technical / application information for endoscopic assistants. 10 patients underwent EUH in the Goulash-Plus observational study, which investigates early stage biomarkers of chronic pancreatitis. In half of the cases, EUS examinations has changed the previous treatment strategy.
All examinations were successful and no complications occurred. During education, endoscopic assistants and physicians alike learned many new skills and were thoroughly acquainted with the new EUS tools.
From the summary of the above experiences, it can be concluded that the EUS is a suitable and indispensable method of examination for the detection of post-pancreatitis complications and abnormalities of the pancreas and biliary tract, with low burden on the patient. The EUS can also be used for sampling or invasive interventions, thus triggering abdominal surgeries that pose a much greater burden and risk. However, this requires an in-depth knowledge of how to use the tool, which has been greatly helped by the ongoing education.
The next EUS training is planned to take place in January 2020 with the participation of a foreign expert.