advanced fellowship in Endoscopic Retrograde Cholangiopancreatography (ERCP) and Endoscopic Ultrasound (EUS)
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The Medicity is proud to offer an intensive, advanced fellowship in Endoscopic Retrograde Cholangiopancreatography (ERCP) and Endoscopic Ultrasound (EUS), designed for gastroenterologists and endoscopists seeking to achieve mastery in complex diagnostic and therapeutic procedures.
This unique program is structured to transition fellows from observership to hands-on training under the direct mentorship of world-renowned gastroenterologist. Participants will gain unparalleled exposure to a high volume of diverse cases, fostering the skills and confidence required for independent, safe, and expert practice.
Our mission is to cultivate the next generation of leaders in the field by providing an unparalleled, high-volume clinical experience, rigorous academic instruction, and dedicated, hands-on training in a supportive, state-of-the-art environment. Fellows will graduate with the expertise, judgment, and confidence to manage the most complex pancreatico-biliary disorders.
Our fellowship offers a structured, two-week pathway designed to provide a comprehensive and safe surgical training experience. The program follows a progressive learning model:
Observation & Simulation
Begin by observing live procedures to understand the workflow and techniques.
Engage in intensive simulation training to build foundational skills in a risk-free environment.
Assisted Practice & Supervised Hands-On Surgery
Progress to assisting senior surgeons in the operating room.
Perform procedures on animal models to refine techniques under guidance.
Upon successful completion of the above stages, you will advance to performing supervised hands-on surgery with real patients.
The standard fellowship duration is two weeks, with the option to extend for further specialized training based on your individual progress and goals.
Fellows will gain structured exposure to a wide spectrum of procedures in a real-world OT setting.
ERCP & Biliary Procedures:
CBD Stone Extraction & Management
Sphincterotomy
Biliary Stenting (Plastic & Metallic) for Benign and Malignant Strictures
Pancreatic Duct Stenting and Stricture Management
Pancreatic Stone Management
Biliary Leak Management
Ampullary Lesions & Tumors
Choledochal Cysts
Post-Surgical Anatomy (e.g., Billroth II, Whipple)
Management of ERCP-related Complications
Upper GI Endoscopy & EUS:
Diagnostic Upper GI Endoscopies
Variceal Band Ligation & Sclerotherapy
Esophageal Dilatation & Stent Placement
Endoscopic Hemostasis for GI Bleed
PEG Tube Placement
Barrett’s Esophagus Management
Diagnostic and Therapeutic EUS Procedures (e.g., FNA, celiac plexus neurolysis)
Colonoscopy & Lower GI Procedures:
Diagnostic Colonoscopy (Polyps, Tumors, Colitis)
Polypectomy & EMR (Endoscopic Mucosal Resection)
Hemostasis for Lower GI Bleeding
Stricture Dilatation & Stent Placement
Inflammatory Bowel Disease (IBD) Evaluation
Cancer Screening & Surveillance Colonoscopies
ERCP is not a standard procedure; it is one of the most complex and high-risk procedures in gastroenterology. A doctor cannot perform ERCP after standard medical school or general gastroenterology fellowship alone. Here’s why specialized, advanced training is an absolute necessity
ERCP is an invasive procedure that involves manipulating the delicate bile and pancreatic ducts. The risk of serious complications is significantly higher than for a standard gastroscopy or colonoscopy.
Pancreatitis: The most common complication, occurring in 3-5% of cases, which can range from mild to severe, life-threatening necrotizing pancreatitis.
Bleeding: Especially after a sphincterotomy (cutting the muscle to open the duct).
Perforation: Tearing the lining of the intestine or the bile/pancreatic duct.
Infection (Cholangitis): If the ducts are not adequately drained.
Without proper training, the rate and severity of these complications increase dramatically.
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