We performed an audit of all EUS examinations performed at a tertiary referral centre, to determine the number of gastro-oesophageal examinations performed and to evaluate the impact this would have on the duration of EUS training required to achieve accreditation. Methods: We identified reports from all EUS examination performed over a period of three and half years (July 2009 to January 2013) at the Princess Alexandra Hospital in Brisbane. The following data were collected from each report: date of procedure, indication of procedure and procedural staff. The proportion of EUS examinations with a gastro-oesophageal indication

and Buparlisib supplier the proportion of EUS examinations where the advanced endoscopy fellow was present were determined. The total number of procedures required in 12 months to reach accreditation was then calculated using the following assumptions: (1) at least 50 supervised procedures are required before independent EUS can be performed, and (2) only one advanced endoscopy Selleck Selinexor fellow will

be attached to the unit at a time. Results: A total of 953 EUS examinations were performed over three and a half years (272 procedures per year). Of those, 206 (22%) of those examinations were performed for a gastro-oesophageal indication (59 procedures per year). An advanced endoscopy fellow was listed as a proceduralist on 79% of all reports over this period. Based on the above assumptions and a 22% rate of gastro-oesophageal

EUS, the number of EUS examinations required to achieve accreditation within 12 months would be 625 per year. A 2.3 fold increase in the volume of EUS activity would be required to reach this level and allow advanced endoscopy fellows to achieve accreditation within 12 months at our centre. Conclusion: After completing 12 months of advanced endoscopy training at our centre, fellows would not selleck chemical have reached sufficient numbers to achieve accreditation through the CCRTGE. Even under ideal conditions, it would not be possible to complete an advanced endoscopy fellowship in 12 months. The CCRTGE should consider reducing the number of gastro-oesophageal EUS procedures required to achieve accreditation. Otherwise advanced endoscopy fellows should be expected to complete two years of training to achieve accreditation in EUS. YW TANG,1 RS GILL,2 R BASKARAN,2 RW LEONG1,2 1Gastroenterology and Liver Services, Concord General Repatriation Hospital, Sydney, Australia. 2Gastroenterology Department, Bankstown-Lidcombe Hospital, Sydney, Australia Background: Serous cystadenoma (SCA) of the pancreas is the most common benign primary pancreatic neoplasm. However, the natural history and growth pattern of pancreatic SCAs are not well understood.