Physicians in endoscopy
Who they are, what they do and which devices they use: a research-based profile for recruiting this target group for MedTech and pharma projects.
Overview
Endoscopy of the digestive tract is a core component of specialist training in internal medicine and gastroenterology. Physicians there perform examinations of the oesophagus, stomach and duodenum as well as colonoscopies, complemented by endoscopic ultrasound, small-bowel endoscopy and interventions on the bile and pancreatic ducts. Therapeutically, they stop bleeding, treat varices, remove polyps, place stents or feeding tubes and dilate strictures. Sedation and monitoring of patients during endoscopy are part of their competence. Emergency endoscopic procedures, for example for acute gastrointestinal bleeding, are as much part of the specialty as colorectal cancer screening. For treatment decisions they work together with surgery, radiology and tumour boards.
Profession by country
Fields of use and typical tasks
Gastroenterology
Evidence from: DE, AT, CH
- Perform diagnostic endoscopies: gastroscopy, colonoscopy, capsule endoscopy, single-balloon enteroscopy, chromo- and magnification endoscopy
- Perform endoscopic ultrasound, ERCP, PTCD and contrast-enhanced ultrasound
- Remove polyps, perform mucosal resections, remove foreign bodies, dilate strictures and stop bleeding
- Place stents and drains, puncture cysts and perform necrosectomies
- Place PEG and PEJ tubes
- Perform function tests: 24-hour pH monitoring, high-resolution manometry, impedance measurement and breath tests
Pulmonology (bronchoscopy)
Evidence from: DE, AT, CH
- Perform flexible and rigid bronchoscopies for diagnosis and treatment, including in children from infancy
- Perform endobronchial ultrasound and take targeted tissue samples with it
- Treat airways interventionally: laser therapy, bronchial dilatation and stent placement
- Perform endoscopic lung volume reduction in emphysema using valves and coils
- Perform thoracoscopies, pleural punctures and drainages, apply intrapleural lysis therapy and indwelling pleural catheters
- Perform endoscopically guided percutaneous tracheostomies
Urology (endourology)
Evidence from: DE, AT, CH
- Perform ureterorenoscopies with stone fragmentation, including laser lithotripsy
- Perform percutaneous nephrolithotripsy and place percutaneous nephrostomies
- Perform transurethral resections of the prostate and of bladder tumours
- Perform internal ureterotomies and urethrotomies for strictures
- Perform extracorporeal shock wave lithotripsy
- Perform urodynamic and video urodynamic studies
Specializations
Devices and systems they use
- Flexible endoscope
- Surgical laser
- Endoscopic ultrasound system (EUS/EBUS)
- Endoscopy video system
- Surgical robotic system
- Electrosurgical unit
- Capsule endoscopy system
- Cryosurgery device
- Manometry and pH monitoring system (gastroenterology)
- Ultrasound system
- Urodynamics system
- Airway stent / endobronchial valve
- Extracorporeal lithotripter
- Rigid endoscope
- Thermal ablation system (radiofrequency / microwave)
- Body plethysmograph
Who they work with
- Endoscopy nurses and medical assistants
- Surgeons
- Radiologists
- Emergency department and intensive care physicians
Frequently asked questions
Who assists physicians during endoscopy?
Nurses or medical assistants prepare examinations, assist and handle follow-up. In the example of one facility they also take on sedation with monitoring, documentation and device handling.
Which procedures dominate the training?
Examinations of the oesophagus, stomach and duodenum and colonoscopies, each with the highest guideline number, followed by endoscopic ultrasound, therapeutic procedures and sedations.
Are there emergency endoscopies outside regular working hours?
Acute gastrointestinal bleeding is among the emergencies of the specialty. In the example of one facility there is round-the-clock endoscopy on-call cover for emergencies from the emergency department, intensive care and other wards.
Which devices does the group use besides endoscopes?
Ultrasound devices including contrast-enhanced ultrasound, elastography and miniprobes, as well as devices for breath tests and function tests such as manometry and pH monitoring.
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Sources
- Facharzt-Weiterbildung Innere Medizin und Gastroenterologie: Dauer, Inhalte, Perspektiven, Deutscher Ärzteverlag, Ärztestellen (DE)
- Stellenausschreibung Pflegefachkraft oder MFA, Interdisziplinäre Endoskopie, Ortenau Klinikum (DE)
- Klinik für Gastroenterologie, Hepatologie, Interventionelle Endoskopie und Diabetologie, KRH Klinikum Region Hannover, Klinikum Siloah (DE)
- Endoskopie, Klinikum Schärding, Oberösterreichische Gesundheitsholding (OÖG), Klinikum Schärding (AT)
- Gastroenterologie und Hepatologie: Unser Angebot, Kantonsspital Baselland (KSBL) (CH)
- Klinik für Pneumologie, Schlaf- und Beatmungsmedizin (Klinikflyer), Krankenhaus Bethanien Moers (DE)
- Neue EBUS-Technologie am St. Marien-Hospital Düren (Pressemitteilung), Josefs-Gesellschaft gAG für das St. Marien-Hospital Düren (DE)
- Bronchoskopie, Lungenheilkunde / Pneumologie, Pyhrn-Eisenwurzen Klinikum Steyr, Oberösterreichische Gesundheitsholding (OÖG), Pyhrn-Eisenwurzen Klinikum Steyr (AT)
- Stellenausschreibung Fachärztin/Facharzt für Pulmologie, Franziskus Spital, Franziskus Spital Wien, veröffentlicht über die Ärztekammer für Wien (AT)
- Interventionelle Pneumologie, Stadtspital Zürich (CH)
- Weiterbildungscurriculum Urologie, Universitätsklinikum Leipzig, Klinik und Poliklinik für Urologie (DE)
- Curriculum Facharzt Urologie (WBO 2020), Ortenau Klinikum Offenburg-Kehl, Klinik für Urologie (DE)
- Presseinformation Endourologie, Klinikum Wels-Grieskirchen, Abteilung für Urologie (AT)
- Urologische Abteilung: Wir bieten Ihnen, Wiener Gesundheitsverbund, Klinik Favoriten, Urologische Abteilung (AT)
- Urinary stone disease, Medizinische Universität Wien, Universitätsklinik für Urologie (AT)
- Weiterbildungskonzept zum Facharzt für Urologie, Kantonsspital Winterthur, Klinik für Urologie (CH)
- Ureterorenoskopische Behandlungen, Stadtspital Zürich, Urologie (CH)
- Gastroenterology Fellowship, Rotations, Cooper University Health Care / Cooper Medical School of Rowan University (US)
- Digestive Health and Endoscopy Center (Brochure), UPMC (US)
- Endoscopic Procedures, UNC Health Wayne (US)