Changing attitudes toward endolumenal therapy

J. W. Hazey, B. J. Dunkin, W. Scott Melvin

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Background: As with new laparoscopic techniques, the ability to convince surgeons and gastroenterologists to embrace endolumenal techniques and the additional training required to perform the new procedures will correlate with how rapidly endolumenal therapies are adopted. The authors measured their ability to change attitudes among surgeons, who may or may not perform endoscopy as a part of their practice, toward endolumenal therapies. Methods: As part of the endoluminal therapy postgraduate course presented at the annual Society of American Gastrointestinal Endoscopic Surgeons (SAGES) meeting in Ft. Lauderdale, Florida 2005, experts presented current literature and data on new endolumenal techniques. The participants, primarily of surgeons, were polled electronically about a number of case scenarios before and after their presentation. Each scenario was relevant to the topic presented and chosen to reflect potentially controversial disease processes with traditional or endolumenal treatment options. The responses were collected in real time and displayed to course participants. Results: A panel of 10 experts presented data on a range of endolumenal therapies including endolumenal treatment for gastroesophageal reflux disease (GERD), endoscopic stenting, endoscopic treatments in bariatric surgery, intraoperative endoscopy, endoscopic mucosal resection (EMR), transanal endoscopic microsurgery (TEM), mucosal ablation for Barrett's esophagus, intralumenal resection, translumenal endoscopic surgery, and how to educate surgeons in new endolumenal techniques. Demographic data showed that 83.6% of the participants performed endoscopy as part of their practice. A comparison with traditional surgical options showed a statistically significant positive attitude change (p < 0.05) toward adoption of most endolumenal techniques after expert presentation. Only EMR and TEM did not show a statistically significant change in the participants' willingness to adopt these techniques. There was no significant change in the attitudes of how best to train surgeons. After presentation of the training options, 76% of the respondents believed that these techniques should be taught in residency. Conclusions: The education of surgeons in new endolumenal therapeutic techniques can have a significant impact in terms of changing practice attitudes and may accelerate adoption of new endoscopic techniques.

Original languageEnglish (US)
Pages (from-to)445-448
Number of pages4
JournalSurgical Endoscopy and Other Interventional Techniques
Volume21
Issue number3
DOIs
StatePublished - Mar 2007
Externally publishedYes

Fingerprint

Endoscopy
Aptitude
Therapeutics
Barrett Esophagus
Bariatric Surgery
Internship and Residency
Gastroesophageal Reflux
Surgeons
Teaching
Demography
Education
Endoscopic Mucosal Resection
Transanal Endoscopic Microsurgery
Gastroenterologists
Surveys and Questionnaires

Keywords

  • Changing attitudes
  • Endolumenal therapy

ASJC Scopus subject areas

  • Surgery

Cite this

Changing attitudes toward endolumenal therapy. / Hazey, J. W.; Dunkin, B. J.; Melvin, W. Scott.

In: Surgical Endoscopy and Other Interventional Techniques, Vol. 21, No. 3, 03.2007, p. 445-448.

Research output: Contribution to journalArticle

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