SAGES Magazine

THE SOUTH AFRICAN GASTROENTEROLOGY REVIEW 2022 | VOLUME 20 | ISSUE 2 | 26 SAGES Therapeutic EUS should be performed by a suitably qualified endoscopist with sufficient clinical experience, preferably under expert supervision, and where support from surgeons and radiologists is available. Training is required to use this technology effectively, incorporating the number of cases required to gain and maintain expertise. While there is no formal local accreditation or training for practitioners wanting to use EUS, it has become an important imaging tool for the evaluation of a variety of GI disorders. As the demand for EUS continues to increase, training guidelines must be developed and optimised so that the procedure is practiced in a safe, ethical, and clinically effective manner while being affordable and cost-effective. Established guidelines for EUS from the AGA, ASGE, and recently (December 2021) the ESGE are acknowledged, and with the local support of the HPBASA, we concur with the recommendations of these guidelines. Contributors Prof M Brand, Dr CL Gounden, Dr VG Naidoo, and Prof GA Watermeyer SAGES Guidelines Sub-Committee 20 May 2022 References 1. Hayes Endoscopic Ultrasound-Guided Fine Needle Aspiration Biopsy (EUS-FNA) for Diagnosis of Pancreatic Cancer 2016. 2. Baars J, et al. Eus-guided biliary drainage: A comprehensive review of the literature Endosc Ultrasound 2018; 7(1): 4-9. 3. Van Dam J, et al. Guidelines for training in electronic ultrasound: guidelines for clinical application. American Society for Gastrointestinal Endoscopy. Gastrointest Endosc. 1999; 49: 829–833. 4. Meenan J, et al. Service provision and training for endoscopic ultrasound in the UK. Frontline Gastroenterol. 2011; 2: 188–194. 5. Arya N, et al. Credentialing for endoscopic ultrasound: a proposal for Canadian guidelines. Endosc Ultrasound. 2016; 5: 4–7. 6. Shahidi N, et al. When trainees reach competency in performing endoscopic ultrasound: a systematic review. Endosc Int Open. 2017; 5: E239–E243. 7. ASGE Standards of Practice Committee, Faulx AL, et al. Guidelines for privileging, credentialing, and proctoring to perform GI endoscopy. Gastrointest Endosc. 2017; 85: 273–281. 8. Van der Merwe SW, et al. Therapeutic endoscopic ultrasound: European Society of Gastrointestinal Endoscopy (ESGE) Guideline. Endoscopy 2022; 54: 185–205 2021. Visit our website www.ihpublishing.co.za GASTROENTEROLOGY South African Review