Endoscopy 2004; 36(3): 217-219
DOI: 10.1055/s-2004-814251
Focus on Training
© Georg Thieme Verlag Stuttgart · New York

A Teaching Model for Endorectal Ultrasound-Guided Biopsy and Drainage of Pararectal Tumors

D.  Bussen1 , M.  Sailer1 , K.  H.  Fuchs1 , A.  Thiede1
  • 1 Dept. of Surgery, Würzburg University School of Medicine, Würzburg, Germany
Further Information

Publication History

Submitted 7 May 2003

Accepted after Revision 5 August 2003

Publication Date:
26 February 2004 (online)

For determination of histology of small solid and microbiology of liquid pararectal tumors there is no other method than endorectal ultrasound-guided biopsy. Also for therapy of abscesses or seromas drainage application is possible. With this technique an operation may be prevented. In awareness of possible complications such as major injury of rectal wall, bleeding, persistent fistula and sepsis, teaching and training in this method is consequently necessary. For a training program a lifelike model of the rectum was developed. It has been used by 780 participants in 20 training courses organized by the Surgical Department of University Hospital Würzburg.

References

  • 1 Kwok H, Bisset I P, Hill G L. Preoperative staging of rectal cancer.  Int J Colorectal Dis. 2000;  15 9-20
  • 2 Sailer M, Leppert R, Fuchs K H. et al . Endorectal ultrasound in the evaluation of perirectal disease.  Chirurg. 1995;  66 34-39
  • 3 Cataldo P A, Senagore A, Luchtefeld M A. Intrarectal ultrasound in the evaluation of perirectal abscesses.  Dis Colon Rectum. 1993;  36 554-558
  • 4 Ville E W, Jafri S Z, Madrazo B L. et al . Endorectal sonography in the evaluation of rectal and perirectal disease.  AJR Am J Roentgenol. 1991;  157 503-508
  • 5 Tio T L, Mulder C J, Wijers O B. et al . Endosonography of perianal and pericolorectal fistula and abscesses in Crohn’s disease.  Gastrointest Endosc. 1990;  36 331-336
  • 6 Sailer M, Bussen D, Fein M. et al . Endoscopic ultrasound guided transrectal biopsies of pelvic tumors.  J Gastrointest Surg. 2002;  6 342-346
  • 7 Löhnert M S, Doniec J M, Henne-Bruns D. Effectiveness of endoluminal sonography in the identification of occult local rectal cancer recurrences.  Dis Colon Rectum. 2000;  43 483-491
  • 8 Hühnerbein M, Schlag P M. Three-dimensional endosonography for staging of rectal cancer.  Ann Surg. 1997;  225 432-438
  • 9 Savander B L, Hamper U M, Sheth S. et al . Pelvic masses: aspiration biopsy with transrectal US guidance.  Radiology. 1990;  176 351-353
  • 10 Freys S M, Heimbucher J, Fuchs K H. Teaching upper gastrointestinal endoscopy: the pig stomach.  Endoscopy. 1995;  27 73-76
  • 11 Neumann M, Hochberger J, Felzmann T. et al . The Erlangen Endo-Trainer.  Endoscopy. 2001;  33 887-890

D. Bussen, M. D. 

Dept. of Surgery

Würzburg University School of Medicine · Josef-Schneider-Strasse 2 · 97080 Würzburg · Germany

Fax: + 49-931-201-31600

Email: bussen@mail.uni-wuerzburg.de

    >