Do it yourself: building an ERCP training system within 30 minutes (with videos)

BackgroundEx vivo training of ERCP by using simulators is desirable before trainees perform endoscopy in patients.ObjectiveWe aimed to construct a simple and inexpensive but realistic simulator for ERCP training.DesignConstruction and establishment of an ERCP simulator.SettingEndoscopy suite.InterventionAn ERCP simulator was assembled by using a polyvinylchloride hose, insulated wire end sleeves, a plastic board, and hose clamps.Main Outcome MeasurementsApplication of the simulator for endoscopic training, with focus on endoscope maneuverability as well as on alignment and intubation of the papilla and assessment of simulator performance by a short questionnaire.ResultsBecause of the sufficient diameter of the hose and varying orientations of the wire end sleeves, the system allows for realistic endoscope maneuvering and wire intubation of the “papillary orifices.” Trainees feel better prepared and more confident in the technique before performing ERCP in patients for the first time.LimitationsExtensive validation and statistical evaluation is lacking.ConclusionThe construction offers the opportunity to provide a readily available simulator for initial access to basic ERCP techniques.