Gastrostomy (2024 – CME) – online course

Description

Authors: L. Monzon, M. Jarzabek, S. Ma, T. Sabharwal and A. Parthipun

Reviewers: O. van Delden, P. J. Haslam, T. Kratimenos and C. Nice

This course corresponds to chapters 2.2.2.4 Gastrointestinal interventions and 2.2.2.4.1 Enteral tube placement (gastrostomy, gastrojejunotomy, jejunostomy, caecostomy) in the European Curriculum and Syllabus for Interventional Radiology.

Abstract

Enteral tube feeding serves as a cornerstone of nutritional support, enabling enteral nutrition in patients with functionally normal digestive tracts who cannot otherwise meet their nutritional requirements due to inadequate oral intake.
Gastrostomy feeding is a well-established technique for long-term enteral feeding when oral intake is either impossible or unsafe.
This module provides an overview of gastrostomy techniques and devices, describing their potential benefits and complications. The primary focus will be on radiologically inserted gastrostomy, as this is the most common direct gastric access procedure performed in interventional radiology. After completing this module, the reader will be able to identify the options for gastric access as well as the role of currently available gastric access devices.

Learning objectives

Knowledge

• Know when to place a gastrostomy, gastrojejunostomy, or jejunostomy.

Clinical skills

• Consider ethical factors prior to placement of enteral feeding access in this patient population.
• Ensure adequate patient preparation to visualize the colon
• Identify patients who may benefit from percutaneous gastrostomy/ gastrojejunostomy and understand the basic principles of these procedures.
• Understand the strengths and weaknesses of the different tube systems.
• Understand the role of T-fasteners.
• Be familiar with a wide variety of tubes as well as retention systems.
• Understand the role of surgical placement of tubes and other methods of feeding or decompression.
• Understand the need to be part of a multidisciplinary team to coordinate care.

Further information

This course covers a basic level of IR knowledge and is designed for trainees, students or young consultants aiming to acquire essential knowledge or prepare for the EBIR exam. Thereby, it is tailored to the European Curriculum and Syllabus for IR and corresponds to chapters 2.2.2.4 Gastrointestinal interventions and 2.2.2.4.1 Enteral tube placement (gastrostomy, gastrojejunotomy, jejunostomy, caecostomy).

The format of the course is interactive and easy to use, including texts, graphics, videos and a quiz to support your learning. The course duration is around two hours and is accredited by the European Accreditation Council for Continuing Medical Education (EACCME) to award 1.5 European CME credits (ECMEC). The CME accreditation for this course will expire on July 24, 2026. A non-CME accredited version of the course will remain available for two more years until July 24, 2028.

The acquired CME Certificate will be available in the myCIRSE area under CIRSE Academy.

The enrolment period of this course is linked to the validity of the All-Access Pass.

Release date: July 2024