Fellowship & Diploma in Advance Endoscopy 

Important Training Note & Advanced Program Options
 

While the 14-day Advanced Endoscopy Fellowship provides excellent clinical exposure and foundational understanding with little hands-on, it is important to set the right expectations:
 

⚠️ Skill Development & Independence
 

• Advanced endoscopic procedures such as ERCP, EUS, Colonoscopy, and therapeutic endoscopy have a steep and progressive learning curve
• A 14-day program is primarily designed for exposure, observation, assistance and basic hands on
• Participants will gain confidence in understanding techniques, indications, and clinical decision-making, but independent practice requires prolonged supervised training
 

🎯 Recommended Path for Independent Practice
 

For doctors aiming to perform procedures independently and safely, it is strongly recommended to opt for longer-duration structured training programs:
 

1 Month Advanced Hands-On Training

• Fee: INR 3,00,000 or USD 6,000

 

2 Months Advanced Clinical Training

• Fee: INR 5,50,000 or USD 10,000

 

3 Months Comprehensive Hands-On Fellowship

• Fee: INR 7,00,000 or USD 13,500

All these long duration course will help the participants 
• Increased hands-on opportunities across multiple procedures
• Deeper involvement in case execution and technique development
• Better confidence in scope handling and procedural flow
• Intensive hands-on training with maximum case exposure
• Step-by-step transition from observation → assistance → supervised performance
• Significant hands-on exposure under close faculty supervision
• Progressive skill development in therapeutic procedures
• Enhanced understanding of complication management
• Ability to assist and partially perform procedures with guidance
• Strong foundation to begin independent practice with confidence
• In-depth exposure to complex and advanced cases
 

The services offered by the institute include:

• Advanced gastrointestinal endoscopy services, both diagnostic and therapeutic: Upper GI endoscopy, colonoscopy, sigmoidoscopy, capsule endoscopy, double balloon endoscopy, endoscopic variceal ligation, endoscopic sclerotherapy and glue injection, argon plasma coagulation, stenting and dilation for oesophageal and colonic strictures (both benign and malignant), achalasia cardia endoscopic dilatation, removal of intestinal polyps (polypectomy), foreign body removal, percutaneous endoscopic gastrostomy (PEG) placement for feeding patients with swallowing diffi culty, naso-jejunal tube placement for feeding of critically ill patients, piles banding

• Advanced biliary and pancreatic endoscopy services: Endoscopic retrograde cholangio-pancreaticography (ERCP), lithotripsy for common bile duct (CBD) stones, spyglass for endoscopic visualization of the bile duct, stenting for benign and malignant biliary and pancreatic duct strictures, endoscopic treatment for pancreatic pseudocyst

• Advanced endoscopic ultrasound (EUS) services: Diagnostic EUS, EUSguided FNAC, EUS-guided therapeutic procedures

• POEM (Peroral Endoscopic Myotomy) is an endoscopic procedure used to treat swallowing disorders, most commonly for Achalasia.

• ‘Third space’ endoscopy, also commonly referred as submucosal endoscopy, is founded on the principle that the deeper layers of the gastrointestinal (GI) tract can be accessed by tunnelling in the submucosal space without compromising the integrity of the overlying mucosa.

• Manometry and pH-metry services: High-resolution oesophageal manometry, high-resolution rectal manometry, 24-hour ambulatory pH metry

• Fibroscan of the liver: Transient elastography (Fibroscan) of the liver for non-invasive diagnosis of liver fi brosis

• Advanced liver haemodynamic studies: Hepatic venous pressure gradient (HVPG), HVPG-guided beta-blocker response testing, PA pressure testing, cardiac output and vascular resistance testing in cirrhosis

• Liver biopsy: Percutaneous liver biopsy, trans-jugular liver biopsy, EUSguided liver biopsy

• Treatment for liver cancer: Radiofrequency ablation (RFA), transarterial chemo-embolization (TACE)

• Pre- and post-liver transplantation services: Pre-liver transplant recipient and donor work-up, post-liver transplant hepatology services

• Stem cell therapy: Autologous stem cell transplantation for patients who cannot undergo liver transplantation.
   

⚠️ Important Note

All hands-on exposure is strictly supervised and depends on patient availability, case complexity, and faculty discretion, ensuring the highest standards of patient safety and ethical clinical practice.
 

Clinical Case Exposure in Endoscopy Unit / Operation Theatre
 

During the Fellowship in Advanced Endoscopy at World Medical Institute, participants are provided with

extensive exposure to a wide spectrum of diagnostic and therapeutic gastrointestinal endoscopic procedures

performed in a real clinical environment. The training focuses on observing complex interventions,

understanding procedural techniques, and gaining insight into clinical decision-making in advanced

gastroenterology.

Participants will be exposed to a variety of procedures including the following areas:
 

ERCP & Enterobiliary Procedures

• Common bile duct (CBD) stone extraction – simple, large, giant, and impacted stones

• Mechanical lithotripsy, electrohydraulic lithotripsy and laser lithotripsy

• Endoscopic sphincterotomy, extended sphincterotomy and balloon sphincteroplasty

• Pre-cut papillotomy including needle-knife techniques and fistulotomy

• Management of benign and malignant biliary strictures including hilar strictures (Bismuth classification I–IV)

• Placement of plastic biliary stents and fully/partially covered or uncovered self-expanding metal stents

(SEMS)

• Multiple stent placement strategies for complex biliary obstruction

• Pancreatic duct strictures, duct leaks and pancreatic duct stenting

• Pancreatic duct stone extraction and clearance

• Management of post-cholecystectomy bile duct injuries

• Biliary leak management following hepatobiliary surgery or transplantation

• Evaluation and drainage of choledochal cysts

• ERCP in altered gastrointestinal anatomy such as Billroth II, Roux-en-Y, Whipple procedure and sleeve

gastrectomy

• Cholangioscopy-guided procedures including biopsy and lithotripsy using advanced visualization systems

• ERCP-guided nasobiliary drainage (ENBD)

• ERCP-guided gallbladder drainage techniques

• Selected ERCP procedures during pregnancy

• Management of ERCP complications including post-ERCP pancreatitis, bleeding, perforation and cholangitis

Upper Gastrointestinal Endoscopy & Therapeutic Interventions

• Diagnostic upper gastrointestinal endoscopy of the esophagus, stomach and duodenum

• Emergency upper GI endoscopy for acute gastrointestinal bleeding

• Variceal band ligation, sclerotherapy and cyanoacrylate glue injection for varices

• Management of portal hypertensive gastropathy and gastric antral vascular ectasia (GAVE)

• Esophageal balloon dilatation and bougie dilatation for strictures

• Placement of esophageal, gastroesophageal junction and gastric stents

• Percutaneous endoscopic gastrostomy (PEG) and jejunal feeding tube placement

• Direct endoscopic jejunostomy and PEG-J procedures

• Surveillance and management of Barrett’s esophagus including endoscopic mucosal resection (EMR) and

ablation techniques

• Endoscopic management of early esophageal and gastric cancers

• Removal of foreign bodies and food bolus impaction

• Evaluation and follow-up of caustic ingestion related injuries

• Management of achalasia including balloon dilatation and botulinum toxin injection

• Endoscopic closure of perforations using clips, over-the-scope clips (OTSC) and endoscopic suturing devices

• Endoscopic treatment of gastric outlet obstruction

• Evaluation of altered anatomy following bariatric surgery

• Endoscopic management of upper GI fistulas and leaks
 

Small Bowel Endoscopy & Enteroscopy

• Push enteroscopy and small bowel evaluation

• Diagnosis of obscure gastrointestinal bleeding

• Evaluation of small bowel tumors and polyps

• Assessment of inflammatory small bowel diseases

• Endoscopic management of small bowel strictures

• Endoscopic biopsy of suspected small bowel lesions

Endoscopic Ultrasound (EUS) & Advanced Interventions

• Diagnostic EUS evaluation of pancreas, biliary system, gastrointestinal wall and mediastinum

• EUS-guided fine needle aspiration (FNA) and fine needle biopsy (FNB) of pancreatic masses and lymph nodes

• EUS-guided drainage of pancreatic pseudocysts and walled-off necrosis

• EUS-guided biliary drainage including choledochoduodenostomy (CDS) and hepaticogastrostomy (HGS)

• EUS-guided pancreatic duct drainage

• EUS-guided gallbladder drainage

• EUS-guided enteric and jejunal access procedures

• EUS staging of esophageal, gastric, pancreatic and rectal cancers

• Evaluation of subepithelial lesions and neuroendocrine tumors

• EUS-guided celiac plexus block and neurolysis

• EUS evaluation in chronic pancreatitis and pancreatic cystic lesions

• EUS-guided gastrojejunostomy (EUS-GJ)

Third-Space Endoscopy & Advanced Endoluminal Surgery

• Peroral Endoscopic Myotomy (POEM) for achalasia cardia

• Gastric POEM (G-POEM) for refractory gastroparesis

• Zenker’s POEM (Z-POEM) for Zenker’s diverticulum

• Cricopharyngeal myotomy

• Submucosal tunneling endoscopic resection (STER) for submucosal tumors

• Endoscopic submucosal dissection (ESD) for early gastrointestinal cancers

• Endoscopic full-thickness resection (EFTR)

• Endoscopic septotomy for diverticular diseases

• Advanced endoscopic suturing and closure techniques

• Endoscopic management of gastrointestinal fistulas and leaks

• NOTES-based hybrid endoscopic procedures

• Combined endoscopic and surgical approaches for complex gastrointestinal lesions

Important Note

The cases demonstrated during the program depend on the availability of patients and clinical case flow within

the endoscopy unit. The institute makes every effort to provide exposure to a broad range of procedures;

however, the exact mix and number of cases may vary based on real-time clinical practice and patient inflow

during the training period.