Grant Reflections


GESA Olympus St Mark’s Endoscopy Fellowship 2014-2015

Mayur Garg

The GESA Olympus St Mark’s Endoscopy Fellowship is a full-time clinical role as one of several endoscopy fellows within the world leading Wolfson Unit for Endoscopy headed by Professor Brian Saunders. On a weekly basis, it comprises an average of 5-7 Endoscopy lists (including one-on-one training with Prof Brian Saunders, as well as other leading consultants within the unit), one outpatient clinic, and on-call urgent endoscopy for the London North West Healthcare NHS Trust. The Wolfson Unit for Endoscopy has 6 endoscopy rooms, and theatres are often utilised for complex procedures. Two further endoscopy rooms are present at a satellite hospital.

Invaluable one-on-one training is offered in colonoscopy technique and optimisation of views during insertion and withdrawal, description of lesions, polypectomy technique – ranging from basic snare polypectomy to advanced EMR and even ESD, as well as dysplasia surveillance in IBD.

Multiple other educational opportunities are entailed within this fellowship, including opportunities to attend the original Train the Colonoscopy Trainer Course (TCT), with particular appreciation of conscious competence and clinical governance in colonoscopy; and several unit and St Mark’s Hospital related activities including Polyp Multidisciplinary Meetings, St Mark’s Grand Rounds, St Mark’s Frontiers in Intestinal and Colorectal Disease, and St Mark’s Foundation Day. Fellows are accredited in the Bowel Scope Screening Program. Opportunities for research are vast within the unit, with a large prospective database of endoscopic procedures and helpful staff including audit and database managers.

Among the research projects undertaken by me during this fellowship included reporting outcomes of laparoscopic-assisted colonoscopic excision of complex colorectal lesions, reporting of outcomes as a result of the establishment of a complex polyp MDM, and the use of Endoclot for endoscopic haemostasis.


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