Digestive Endoscopy I
Study Course Implementer
Residency Speciality
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About Study Course
Objective
Learning Outcomes
Knowledge
1.Regarding the gastrointestinal endoscopy department set up, the possibilities of standard endoscopic equipments (endoscopes, instruments and accessories), organization of the examinations (including teamwork with endoscopy nurses), indications, contra-indications and limitations, patient selection, preparation, endoscopic terminology, diagnostic criteria, definitions, complications and their prevention, endoscopic findings documentation, options of endoscopic documentation and filling requirements, endoscopic database design principles, cooperation with radiologists and surgeons.
Skills
1.Able to perform routine esophagogastroduodenoscopy under supervision, standard colonoscopy under supervision, and proctosigmoscopy - with complete documentation of endoscopy.
Competences
1.to be able to create, assemble and provide small endoscopy unit work; the ability to collect, analyse endoscopy section work indicators, to choose their development paths, to predict possible risks.
Assessment
Individual work
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Title
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% from total grade
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Grade
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1.
Individual work |
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To get acquainted with the nature of gastrointestinal endoscopy, possibilities and use of the endoscopic simulators and practical endoscopy in order to learn basic upper gastrointestinal endoscopy and colonoscopy (including terminal ileum intubation) examination skills; to acquire endoscopic scene interpretation and further endoscopic investigative assistance level; to get acquainted with the possibilities of therapeutic endoscopy, learn and be able to perform their own standard therapeutic endoscopic manipulations, including emergency situations.
Prepare 5-12 slides for each seminar with endoscopic findings and theoretical part, eg short segment Barrett's esophagus.
Record 3 upper endoscopy training videos during the training course.
Prepare a short presentation / report on the latest in endoscopic diagnostics.
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Examination
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Title
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% from total grade
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Grade
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1.
Examination |
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1. resident's practical skills and theoretical knowledge according to each rotation discipline;
2. in separate stages of education, i.e. 2 times a year (1 – December-January and 2 – before the end of the study year with: a) self-assessment of the resident; b) compliance of theoretical and practical education with the requirements of the study program; c) analysis of the assessment of the resident by practice supervisors and giving feedback to the student at the end.
In the 3rd residency final exam: a) test of theoretical knowledge: 1) 100 tests with one correct answer and a criterion of 70% correct answers; 2) the answer to the exam ticket – a problem question, where the theoretical basis, its modernity, completeness, a summary of literature and experience are evaluated in the answer; b) in the presence of the commission, the resident defends a prepared scientific, clinical or applied research, which is submitted in writing to the commission in advance; the commission listens to the reviewer's report and evaluates the resident's answers; c) submit to the examination committee a summary of the work done during the studies, including at least one presentation at a professional meeting, 1 publication at least at the national level, as well as a report on the optional work. The final exam of the residency is evaluated with a grade, information about the exam is recorded in the protocol, which is signed by the chairman of the commission and all members of the commission.
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Study Course Theme Plan
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Seminar
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Modality
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Location
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On site
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Specialized room
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Topics
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Minimal Standard Terminology for Digestive Endoscopy (MST 3.0)
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Seminar
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Modality
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Location
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On site
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Specialized room
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Topics
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Upper gastrointestinal ewndoscopy: overview
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Seminar
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Modality
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Location
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On site
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Specialized room
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Topics
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Esophagoscopy definitions, normal visual findings, pathology and diagnostic criteria
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Seminar
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Modality
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Location
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On site
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Specialized room
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Topics
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Gastroscopy: definitions, normal visual findings, pathology and diagnostic criteria
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Seminar
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Modality
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Location
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On site
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Specialized room
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Topics
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Colonoscopy indications and contrindications. Colon cleansing before colonoscopy. Colorectal cancer screening.
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Seminar
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Modality
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Location
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On site
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-
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Topics
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Endoscopic Retrograde Cholangiopancreatography indications and contrindications. Risks and its prevention.
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Seminar
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Modality
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Location
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On site
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Specialized room
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Topics
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Endoscopic Ultrasound indications and contrindications. Diagnostics and endotherapy.
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Seminar
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Modality
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Location
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On site
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Specialized room
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Topics
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Intestinoscopy, Device-assisted intestinoscopy. Indications and contrindications.
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Seminar
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Modality
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Location
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On site
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Specialized room
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Topics
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Capsule andoscopy (CE). CE types. Indications and contrindications. Endorobots.
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Seminar
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Modality
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Location
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On site
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Specialized room
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Topics
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General rules for maintenance, care, sterilization and disinfection of endoscopic equipment. Safety rules.
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Seminar
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Modality
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Location
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On site
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Specialized room
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Topics
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Endoscopy sites and equipment: large and small department. Endoscopy at the patient's bedside.
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Seminar
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Modality
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Location
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On site
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Specialized room
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Topics
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Diagnostics samples collection technologies.
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Seminar
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Modality
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Location
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On site
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Specialized room
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Topics
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Mistakes and its causes in digestive endoscopy.
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Seminar
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Modality
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Location
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On site
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Specialized room
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Topics
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Endoscopic documentation and data basis
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Seminar
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Modality
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Location
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On site
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Specialized room
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Topics
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Additional diagnostic possibilities in digestive endoscopy. Endoscopic microscopy.
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Seminar
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Modality
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Location
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On site
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Specialized room
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Topics
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Artificial intelligence (computer-assisted) in digestive endoscopy.
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Seminar
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Modality
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Location
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On site
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Specialized room
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Topics
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Small caliber digestive endoscopy.
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Seminar
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Modality
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Location
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On site
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Specialized room
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Topics
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Endoscopic haemostasis.
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Seminar
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Modality
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Location
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On site
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Specialized room
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Topics
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Gastrointestinal foreign bodies. Peculiarities of children's age.
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Seminar
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Modality
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Location
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On site
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Specialized room
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Topics
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Polipectomy. General rules. Risks.
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Seminar
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Modality
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Location
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On site
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Specialized room
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Topics
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Polypectomy instruments. Electrosurgery equipment.
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Seminar
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Modality
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Location
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On site
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Specialized room
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Topics
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Strictures diagnostics and endotherapy.
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Seminar
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Modality
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Location
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|---|---|---|
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On site
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Specialized room
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Topics
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Patient information, pre - endoscopy and post - endoscopy period
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Seminar
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Modality
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Location
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|---|---|---|
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On site
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Specialized room
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Topics
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Colonoscopy: definitions, visual picture and diagnosis and quality criteria
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Bibliography
Required Reading
03.2009. MK noteikumi Nr.268 "Noteikumi par ārstniecības personu un studējošo, kuri apgūst pirmā vai otrā līmeņa profesionālās augstākās medicīniskās izglītības programmas, kompetenci ārstniecībā un šo personu teorētisko un praktisko zināšanu apjomu" ("LV", 58 (4044), 16.04.2009.) ar pēd.grozījumiem Ministru kabineta 24.05.2016. noteikumi Nr. 315/LV, 101 (5673), 26.05.2016./Stājas spēkā 01.06.2016.
Klīniskā medicīna. Prof. A.Lejnieka red. Rīga, Zvaigzne, 2012.
Pokrotnieks J. Gastrointestinālā endoskopija. Rīga, Pilatus, 2000, 144.lpp.
A.Danilāns. Hroniskas aknu slimības. I, II un III daļa. Rīga, Medicīnas apgāds, 2009-2012.
The European Board and Section of Gastroenterology & Hepatology. http://www.eubog.org/. Par gastroenteroloģiju kā specialitāti ES. The Blue Book 2017 ar prasībām gastroenteroloģijā
M.Feldman, L.S.Friedman, L.J.Brandt. Sleisenger and Fordtran's Gastrointestinal and Liver Disease: Pathophysiology, Diagnosis, Management. 2-Volume Set. WB Saunders, 2020, 11st ed. 2616 lpp.
Additional Reading
Cotton and Williams' Practical Gastrointestinal Endoscopy: The Fundamentals. 7th Edition, 208 pp. New York, Wiley, 2014.
Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases, 8th Edition. 2-Volume Set, 2015.
Other Information Sources
Z.Maratka, J.R.ArmengoldMiro. Endoscopic Diagnosis in Gastroenterology and N.O.T.E.S. Normedia DVD Gastro. Version 5.2 (2013)
World Endoscopy organization (WEO) mājaslapa ar MST 3.0 un citām digestīvās endoskopijas aktualitātēm