Training for Advanced Endoscopy 

Dr. Sawhney training a fellow

The Center for Advanced Endoscopy at Beth Israel Deaconess Medical Center is the largest referral practice for endoscopic retrograde cholangiopancreatography (ERCP) in New England, and is the second largest in the nation. Advanced endoscopy fellows receive rigorous clinical training in all aspects of modern advanced endoscopy. A core focus of training is pancreaticobiliary endoscopy, and there is broad exposure to ERCP, ranging from standard techniques to altered-anatomy ERCP and cholangioscopy.

EUS training includes a focus on both diagnostic EUS and interventional EUS procedures, including:

  • Pancreatic necrosectomy/pseudocyst drainage
  • EUS-guided biliary access
  • Fiducial insertion
  • EUS liver biopsy

Advanced endoscopy fellows also receive extensive experience in:

  • Endoscopic mucosal resection for large colon polyps
  • Luminal stenting
  • Early esophageal cancers
  • Duodenal/ampullary adenomas
  • Gastric neoplasia

There is broad exposure to novel endoscopic techniques including optical coherence tomography, cryotherapy, laser lithotripsy, gastric balloon placement, and digital cholangioscopy and pancreatoscopy.

Interested fellows will also have the opportunity to participate in the full-range of achalasia treatment including pneumatic dilation and POEM. Most fellows complete one year of training, although some elect to pursue additional time for further clinical training or research.

A Tradition of Innovation

BIDMC has a rich history of innovation in the field of advanced endoscopy. Our clinical training program has produced academic and clinical leaders in the field since its inception. In 1965, Dr. Keith Rabinov and Dr. Morris Simon at Beth Israel Hospital performed the very first cannulation of the ampulla of Vater, a procedure that gave birth to the practice of ERCP. On the 50th anniversary of this groundbreaking procedure, Dr. Douglas Pleskow and colleagues at BIDMC performed the world’s first single-operator digital cholangioscopy procedure.

Today, our program performs approximately 2,000 ERCP and 1,800 EUS procedures annually.