BACKGROUND: The increasing complexity of advanced endoscopic techniques places a high demand on the endoscopist's expertise. Thus, live porcine models have been more frequently used for training. We briefly describe a hands-on postgraduate endoscopic course regarding a novel method of treatment of anastomotic strictures in a porcine model. METHODS: The porcine model of Crohn's disease anastomotic stricture with two artificial side-to-side ileo-colonic anastomoses was used. Participants performed endoscopic stricturotomy under supervision at one of two equipped endoscopic stations. Available animals were endoscopically re-examined 3 months after the course. RESULTS: Twelve anastomoses were prepared for the course. Eleven circumferential stricturotomies together with horizontal cut and clip placement were conducted. All anastomoses were passable for the scope after the procedure, and no case of perforation or bleeding occurred. All anastomoses available for re-examination remained passable for the endoscope after 3 months. CONCLUSION: We successfully organised the first endoscopic hands-on course for the training of endoscopic stricturotomy on a large animal model.

1st Surgical Clinic of Thoracic Abdominal and Injury Surgery General University Hospital and 1st Faculty of Medicine Charles University Prague Czech Republic

Department of Internal Medicine Military University Hospital and 1st Faculty of Medicine Charles University Prague Czech Republic

Department of Surgery Military University Hospital and 2nd Faculty of Medicine Charles University Prague Czech Republic

IBD Clinical and Research Center ISCARE a s Ceskomoravska 2510 19 Prague 9 190 00 Czech Republic

Institute of Medical Biochemistry and Laboratory Medicine General University Hospital and 1st Faculty of Medicine Charles University Prague Czech Republic

Institute of Pathology General University Hospital and 1st Faculty of Medicine Charles University Prague Czech Republic

Institute of Pharmacology 1st Faculty of Medicine Charles University Prague Czech Republic

PIGMOD Center Laboratory of Cell Regeneration and Plasticity Institute of Animal Physiology and Genetics Czech Academy of Sciences Libechov Czech Republic

Royal Lancaster Infirmary University Hospitals of Morecambe Bay NHS Foundation Trust Lancaster UK

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