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      International Digestive Endoscopy Network 2012: A Patchwork of Networks for the Future

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          Abstract

          This special September issue of Clinical Endoscopy will discuss various aspects of diagnostic and therapeutic advancement of gastrointestinal (GI) endoscopy, explaining what is new in digestive endoscopy and why international network should be organized. We proposed an integrated model of international conference based on the putative occurrence of Digestive Endoscopy Networks. In International Digestive Endoscopy Network (IDEN) 2012, role of endoscopy in gastroesophageal reflux disease and Barrett's esophagus, endoscopy beyond submucosa, endoscopic treatment for stricture and leakage in upper GI, how to estimate the invasion depth of early GI cancers, colonoscopy in inflammatory bowel disease (IBD), a look into the bowel beyond colon in IBD, management of complications in therapeutic colonoscopy, revival of endoscopic papllirary balloon dilation, evaluation and tissue acquisition for indeterminate biliopancreatic stricture, updates in the evaluation of pancreatic cystic lesions, issues for tailored endoscopic submucosal dissection (ESD), endoluminal stents, management of upper GI bleeding, endoscopic management of frustrating situations, small bowel exploration, colorectal ESD, valuable tips for frustrating situations in colonoscopy, choosing the right stents for endoscopic stenting of biliary strictures, advanced techniques for pancreaticobiliary visualization, endoscopic ultrasound-guided biliopancreatic drainage, and how we can overcome the obstacles were deeply touched. We hope that IDEN 2012, as the very prestigious endoscopy networks, served as an opportunity to gain some clues for further understanding of endoscopic technologies and to enhance up-and-coming knowledge and their clinical implications from selected 25 peer reviewed articles and 112 invited lectures.

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          International Live Endoscopic Multichannel Demonstration Using Superfast Broadband Internet Connections

          Background/Aims Telemedicine is a convenient and efficient tool for remote education in various fields. The telemedicine system can also be used to educate doctors and medical students. The aim of our study was to establish the effectiveness of the telemedical system for use in a live endoscopic multichannel demonstration conference and to test the effectiveness and usefulness of a multicenter-based live endoscopic demonstration through live, interactive, high resolution video transmission using advanced networks and the digital video transport system (DVTS). Methods This study is a prospective multicenter pilot study. A live demonstration of an endoscopic submucosal dissection (ESD) and an endoscopic retrograde cholangiopancreatography (ERCP) using advanced network technology was performed. Results The DVTS successfully transmitted uncompressed, high-resolution, digital lectures with endoscopy video during a multichannel endoscopic live demonstration of ESD and ERCP over multiple advanced networks. The overall satisfaction rating when the endoscopic lecture demonstration was performed by combining DVTS was generally good. Conclusions We believe that a multicenter-based live endoscopic demonstration is a very effective conferencing method when using advanced networks and DVTS.
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            Submucosal Endoscopy, a New Era of Pure Natural Orifice Translumenal Endoscopic Surgery (NOTES)

            Natural orifice translumenal endoscopic surgery (NOTES) involves the intentional perforation of the viscera with an endoscope to access the abdominal cavity and perform an intraabdominal operation. In a brief time period, NOTES has been shown to be feasible in laboratory animal and human studies. Easy access to the peritoneal cavity and complete gastric closure should be secured before NOTES can be recommended as an acceptable alternative in clinical practice. The concept of submucosal endoscopy has been introduced as a solution to overcome these two primary barriers to human NOTES application. Its offset entry/exit access method effectively prevents contamination and allows the rapid closure of the entry site with a simple mucosal apposition. In addition, it could be used as an endoscopic working space for various submucosal conditions. Herein, the detailed procedures, laboratory results and human application of the submucosal endoscopy will be reviewed.
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              Live Endoscopy Demonstration Using Superfast Broadband Internet Connections: The Future of Medical Education and Conferences

              Jimin Han (2012)
              See "International Live Endoscopic Multichannel Demonstration Using Superfast Broadband Internet Connections" by Sang Pyo Lee, Hang Lak Lee, Joon Soo Hahm, et al., on page 73-77 With rapid technologic advances in telecommunications and informatics, various technologies and tools for providing teleconferencing via Internet became available for real-time interaction. In the article by Lee et al.,1 a bidirectional transmission system with digital video transport system (DVTS) and Korea Advanced Research Network (KOREN) was used for two multicenter live endoscopy demonstrations in South Korea. DVTS enables transmission of digital video by applying additional compression and thus results in higher image quality.2,3 KOREN is a research and education network funded by Korean government and is more stable and faster than the generally used, commercial network.3 Therefore, it is no wonder that Lee et al.1 reported high satisfaction rate of 91% regarding both sound and image qualities. This finding is also in accordance with findings of a previous study.4 This study by Lee et al.1 is significant as one of few original articles on teleconferencing, especially using DVTS.1,4,5 This study enlightens gastrointestinal endoscopists on technologic advances in teleconferences and stimulates the interests in and need for the establishment of such system. However, it would have been better if the authors specified the parameters in which the participants showed satisfaction and which they were not satisfied. While teleconferencing using superfast broadband Internet connections is promising for everyone in healthcare, one should bear in mind that hardware, software, and dedicated personnel are essential for set-up and maintenance of superfast broadband Internet connections. Once established, this shall be an increasingly useful education and conference modality for both the novice and experienced endoscopists. In addition to live endoscopy demonstrations, there will be many more applications for superfast broadband Internet connections. We hope to see and experience these in a very near future.
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                Author and article information

                Journal
                Clin Endosc
                Clin Endosc
                CE
                Clinical Endoscopy
                The Korean Society of Gastrointestinal Endoscopy
                2234-2400
                2234-2443
                September 2012
                22 August 2012
                : 45
                : 3
                : 209-210
                Affiliations
                [1 ]Department of Gastroenterology Gachon University Gil Medical Center, Incheon, Korea.
                [2 ]Center for Gastric Cancer, National Cancer Center, Goyang, Korea.
                [3 ]Department of Internal Medicine, Catholic University of Daegu School of Medicine, Daegu, Korea.
                [4 ]Department of Internal Medicine, Kyung Hee University School of Medicine, Seoul, Korea.
                Author notes
                Correspondence: Ki Baik Hahm. Department of Gastroenterology Gachon University Gil Medical Center, 21 Namdong-daero 774 beon-gil, Namdong-gu, Incheon 405-760, Korea. Tel: +82-32-899-6055, Fax: +82-32-899-6054, hahmkb@ 123456gachon.ac.kr
                Article
                10.5946/ce.2012.45.3.209
                3429737
                22977803
                5dea408e-e1e9-4e93-bdf8-6f5a630acaf9
                Copyright © 2012 Korean Society of Gastrointestinal Endoscopy

                This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 25 June 2012
                : 18 July 2012
                : 18 July 2012
                Categories
                Special Issue Articles of IDEN 2012

                Radiology & Imaging
                digestive endoscopy,network,iden
                Radiology & Imaging
                digestive endoscopy, network, iden

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