title: Technical skills and training of upper gastrointestinal endoscopy for new beginners.
abstract: The incidence of gastric cancer remains high in South Korea. Upper gastrointestinal (GI) endoscopy, i.e., esophagogastroduodenoscopy (EGD), has a higher diagnostic specificity and sensitivity than the upper GI series. Additionally, EGD has the ability to biopsy, through taking a tissue of the pathologic lesion. Successful training of EGD procedural skills require a few important things to be learned and remembered, including the posture of an examinee (e.g., left lateral decubitus and supine) and examiner (e.g., one-man standing method vs one-man sitting method), basic skills (e.g., tip deflection, push forward and pull back, and air suction and infusion), advanced skills (e.g., paradoxical movement, J-turn, and U-turn), and intubation techniques along the upper GI tract (e.g., oral cavity, pharynx, larynx including vocal cord, upper and middle and lower esophagus, gastroesophageal junction, gastric fundus, body, and antrum, duodenal bulb, and descending part of duodenum). In the current review, despite several limitations, we explained the intubation method of EGD for beginners. We hope this will be helpful to beginners who wish to learn the procedure.
authors.affiliation: Seung-Hwa Lee, Duck-Joo Lee, Health Promotion Center, Ajou University School of Medicine, Suwon 443-380, South Korea.
authors.forename: Seung-Hwa
authors.initials: SH
authors.lastname: Lee
authors.affiliation: Seung-Hwa Lee, Duck-Joo Lee, Health Promotion Center, Ajou University School of Medicine, Suwon 443-380, South Korea.
authors.forename: Young-Kyu
authors.initials: YK
authors.lastname: Park
authors.affiliation: Seung-Hwa Lee, Duck-Joo Lee, Health Promotion Center, Ajou University School of Medicine, Suwon 443-380, South Korea.
authors.forename: Sung-Min
authors.initials: SM
authors.lastname: Cho
authors.affiliation: Seung-Hwa Lee, Duck-Joo Lee, Health Promotion Center, Ajou University School of Medicine, Suwon 443-380, South Korea.
authors.forename: Joon-Koo
authors.initials: JK
authors.lastname: Kang
authors.affiliation: Seung-Hwa Lee, Duck-Joo Lee, Health Promotion Center, Ajou University School of Medicine, Suwon 443-380, South Korea.
authors.forename: Duck-Joo
authors.initials: DJ
authors.lastname: Lee
mesh_terms: D002983:Clinical Competence; D003479:Curriculum; D004503:Education, Medical, Graduate / Q000379:methods*; D020776:Endoscopes, Gastrointestinal; D016099:Endoscopy, Gastrointestinal / Q000009:adverse effects / Q000193:education* / Q000295:instrumentation; D004867:Equipment Design; D006801:Humans; D059032:Learning Curve; D056888:Patient Positioning; D011237:Predictive Value of Tests; D013663:Teaching / Q000379:methods*
keywords: Beginner; Esophagogastroduodenoscopy; Procedure; Technical skill; Upper gastrointestinal endoscopy