"*" indicates required fields Reviewer Name*Title*Copy and Paste the title of this activity. This field is hidden when viewing the formInventory ID NumberThis field is hidden when viewing the formtypeAccess Instructions To access this video, visit the site below and log in with the following credentials: username:sagesreview password:foregut Leave the Institution ID blank Access Instructions To access this video, visit the site below and log in with your sages.org account: Please review this content item based on the Flexible Endoscopy Goals and Objectives . This field is hidden when viewing the formIs this content relevant to the Foregut Masters Pathway* Relevant Somewhat Relevant Not Relevant This field is hidden when viewing the formIs this content relevant to any of the below Masters Pathways?*Select all that apply Acute Care Surgery Bariatric Biliary Colorectal Flexible Endoscopy Hernia Leadership & Professional Development Liver Pancreas Robotics Difficulty Level*Select the level to which this content applies. Select All that Apply. Competency Level: Equip the surgeon with the requisite knowledge of the anatomical and other patient considerations to perform endoscopy in the patient with surgically-altered GI tract anatomy Proficiency Level: Equip the surgeon with the requisite knowledge of the anatomical and other patient considerations to evaluate and manage GI tract bleeding Mastery Level: Equip the surgeon with the requisite knowledge of the anatomical and other patient considerations to evaluate and manage the patient requiring advanced tissue resection/ transection/ ablation None of the above (This content is not suitable for this pathway) Select AllCompetency LevelCompetency Goals*Select whether the content relates to either Pre-operative or Intra-operative goals. Select All the Apply. Pre-Operative: Equip the surgeon with the requisite knowledge of the expected reconstructive GI antomy. Intra Op: Assist the surgeon in acquiring the required knowledge and skills to perform endoscopy in the patient with surgically-altered GI tract anatomy. Post Op: Manage post-procedure issues in patients undergoing endoscopy with surgically-altered GI tract anatomy. None of the above Select AllCompetency Level: Pre-Operative Objective Topics*Select the topics covered by this content. Select All the Apply. Explain the indications, risks, benefits and alternatives to endoscopy in the patient with surgically-altered anatomy. Discuss preoperative considerations and plan the steps for diagnostic endoscopy in the setting of surgically-altered GI anatomy Describe the indications for endoscopy combined with either laparoscopic or open surgery including advantages, disadvantages and complications None of the above Select AllCompetency Level: Pre-Operative SME Objectives*Select the Objectives covered by this content. Select All the Apply. Explain the anatomy of common foregut, midgut, and hindgut reconstructive procedures (and their variations) for benign and malignant disease. Describe the potential challenges of endoscopically navigating altered GI tract anatomy. Discuss the potential structural and functional consequences of GI tract reconstruction in order to accurately diagnose the etiology of patients' complaints. Be able to describe endoscopic adjuncts useful for difficult anatomy (overtube use, single or double balloon, pediatric endoscope, fluoroscopy use, etc.) Be able to identify patients in whom endoscopy is not appropriate therapy None of the above Select AllCompetency Level: Intra-Operative Objective Topics*Select the topics covered by this content. Select All the Apply. Describe patient positioning and procedural steps. Identify landmarks in the setting of normal and surgically altered anatomy. Be able to safely identify, evaluate, traverse and render therapy to GI tract anastomoses None of the above Select AllCompetency Level: Intra-Operative SME Objectives*Select the Objectives covered by this content. Select All the Apply. Describe the choice of endoscope (diameter, length, channel size) needed to navigate through altered surgical anatomy and render therapy if necessary. Identify and document the patient's altered GI tract anatomy. Identify the different complications of GI tract reconstruction Provide endoscopic interventions for complications (e.g., ulcer, foreign body, stricture, bleeding, perforation, fistula). None of the above Select AllCompetency Level: Post-Operative Objective Topics*Select the topics covered by this content. Select All the Apply. Discuss post-procedure considerations. None of the above Select AllCompetency Level: Post-Operative SME Objectives*Select the Objectives covered by this content. Select All the Apply. Discuss complications in patients undergoing endoscopy with surgically-altered GI tract anatomy. Discuss the success rate of endoscopic management risk of recurrence of complication (e.g. ulcer, stricture, perforation, fistula) Discuss strategies for immediate post-operative monitoring of a patient after management of complications (e.g. stent placement for sleeve leak) Discuss a strategy for longer-term management of complications (e.g. stent placement after sleeve leak) None of the above Select AllProficiency LevelProficiency Goals*Select whether the content relates to either Pre-operative or Intra-operative goals. Select All the Apply. Pre Op: Equip the surgeon with the requisite knowledge of the anatomical and other preoperative patient considerations to perform endoscopic hemostasis Intra-Op: Assist the surgeon in acquiring the required knowledge and skills to perform endoscopic hemostasis Post Op: Manage post-procedures issues in patients who have undergone endoscopic hemostasis None of the above Select AllProficiency Level: Pre-Operative Objective Topics*Select the topics covered by this content. Select All the Apply. Explain the indications, risks, benefits, and alternatives to endoscopic hemostasis. None of the above Select AllProficiency Level: Pre-Operative SME Objectives*Select the objectives covered by this content. Select All the Apply. List at least 3 pharmacological considerations prior to endoscopic hemostasis Describe the contraindications to endoscopic hemostasis Explain the main risks of endoscopic hemostasis None of the above Select AllProficiency Level: Intra-Operative Objective Topics*Select the topics covered by this content. Select All the Apply. Describe patient positioning and procedural steps. None of the above Select AllProficiency Level: Intra-Operative SME Objectives*Select the objectives covered by this content. Select All the Apply. Discuss the role of diagnostic endoscopy in managing GI bleeds Describe how to use suction, irrigation and positioning to faciliate endoscopic hemostasis Discuss the 3 most common modalities for endoscopic hemostasis and when to use each None of the above Select AllProficiency Level: Post-Operative Objective Topics*Select the topics covered by this content. Select All the Apply. Discuss post-procedure considerations following endoscopic hemostasis. None of the above Select AllProficiency Level: Post-Operative SME Objectives*Select the topics covered by this content. Select All the Apply. Stratify risk of re-bleeding Discuss approach to recurrent bleeding None of the above Select AllMastery LevelMastery Goals*Select whether the content relates to either Pre-operative or Intra-operative goals. Select All the Apply. Pre Op: Equip the surgeon with the requisite knowledge to evaluate and manage the patient requiring advanced tissue resection/transection/ablation. Intra Op: Assist the surgeon in acquiring the required knowledge and skills to perform advanced tissue resection/transection/ablation. Post Op: Manage post-procedure issues in patients who have undergone advanced tissue resection/transection/ablation. None of the above Select AllMastery Level: Pre-Operative Objective Topics*Select the topics covered by this content. Select All the Apply. Explain the indications, risks, benefits and alternatives to advanced tissue resection/transection/ablation. None of the above Select AllMastery Level: Pre-Operative SME Objectives*Select the objectives covered by this content. Select All the Apply. Evaluate patients with a variety of pathologic lesions and determine on a patient-specific basis whether (and which) endoscopic therapy is the best available treatment option available. Describe the indications, risks, benefits, alternatives, potential for conversion to a surgical intervention, and potential complications of the planned endoscopic intervention. Develop a plan for patient sedation or anesthetization during the planned endoscopic intervention. None of the above Select AllMastery Level: Intra-Operative Objective Topics*Select the topics covered by this content. Select All the Apply. Describe patient positioning and procedural steps. None of the above Select AllMastery Level: Intra-Operative SME Objectives*Select the objectives covered by this content. Select All the Apply. Identify the need for, and utilize advanced endoscopic imaging modalities. Describe the following endoscopic procedures to treat lesions in the esophagus, stomach, duodenum, colon, and rectum: endoscopic mucosal resection, endoscopic submucosal dissection, endoscopic tissue ablation (e.g., radiofrequency ablation, photodynamic therapy, and spray cryotherapy), endoscopic full thickness resection. Perform extraction of resected specimens during the aforementioned procedures with attention to specimen orientation and preservation. None of the above Select AllMastery Level: Post-Operative Objective Topics*Select the topics covered by this content. Select All the Apply. Discuss post-procedure complications. None of the above Select AllMastery Level: Post-Operative SME Objectives*Select the objectives covered by this content. Select All the Apply. Recognize and manage the most common/serious post-procedure complications after the aforementioned procedures: lumenal leak/perforation, bleeding, stricture, incomplete resection/positive margins. Discuss routine follow-up care. None of the above Select AllGeneral CommentsPlease list any general comments regarding this content. PhoneThis field is for validation purposes and should be left unchanged.