We are thankful for the letter of Siau et al 1 in response to our article describing the learning curve to satisfactory completion rates in upper GI endoscopy.2 We agree that D2 intubation and successful J manoeuvre are insufficient to define competence. Our article’s title stated that we focused on completion rates. We specifically mentioned in our discussion that it is necessary to comply with a host of other measures to be competent. For example, procedural completion and successful J manoeuvre do not ensure complete inspection of the mucosa, nor do they result in correct identification of pathology. We welcome the introduction by Joint Advisory Group of assessment of endoscopic non-technical skills and support direct observation of procedural skills …

中文翻译：

---

对 Siau 等人的“胃镜检查学习曲线分析：定义能力的综合措施的必要性”的回应

我们感谢 Siau 等人的来信 1 回应我们的文章，该文章描述了上消化道内窥镜检查令人满意的完成率的学习曲线。2 我们同意 D2 插管和成功的 J 操作不足以定义能力。我们文章的标题表明我们关注的是完成率。我们在讨论中特别提到，必须遵守许多其他措施才能胜任。例如，程序完成和成功的 J 操作并不能确保对粘膜进行完整检查，也不能正确识别病理。我们欢迎联合咨询小组引入内窥镜非技术技能评估，并支持直接观察程序技能……