This CME activity consists of the ASGE video, Natural Orifice Translumenal Endoscopic Surgery: Current Status and Future Perspective (OLV007), followed by a post-assessment and evaluation.

Natural Orifices Transluminal Endoscopic Surgery (NOTES) represented a novel approach to peritoneal cavity by incising through the wall of gastrointestinal tract without the need of any incision over abdominal wall. This leads to an appealing approach to perform surgery as it can achieve the goal of no scar surgery.
NOTES resulted in a new paradigm shift in interventional endoscopy. NOTES has gained much attention from surgeons and endoscopists all over the world since its introduction. However, the adoption of this technology has been slow and graded in clinical practice. The current challenges are similar to those encountered by laparoscopy during its infancy.
This video presentation consists of three chapters; the concept of NOTES, the current status of NOTES-from pure- and hybrid-NOTES to other NOTES trials, and the future prospective of NOTES.

Practicing gastroenterologists, gastroenterology fellows and trainees, medical residents, physician assistants and nurses.

Upon completion of this educational activity, participants will be able to:

• Understand the advanced devices of endoscopy
• Understand the advanced techniques of therapeutic endoscopy
• Understand the concept of NOTES, the current diagnostic applications of NOTES, the current therapeutic applications of NOTES and the future perspectives

Online CME Release Date: May 1, 2016
CME Expiration Date: May 1, 2019

Expected Time of Activity Completion: 40 Minutes (0.5 CME Credit)

Windows Requirements: Operating system: Windows 7+
Browser: Internet Explorer 8+, Firefox 10+, Google Chrome 10+
Internet connection: DSL, cable modem, or other high-speed connection
Flash: Adobe® Flash® Player 12+

Macintosh Requirements:
Operating system: Mac OS X 10.6.8+
Browser: Mozilla Firefox 10+, Safari 5+, Google Chrome 10+
Internet connection: DSL, cable modem, or other high-speed connection
Flash: Adobe® Flash® Player 12+

This CME activity consists of an ASGE video, followed by a post-assessment.  All materials required to complete the activity, including the video, are contained within the activity.

To complete this activity,

1. View the video.
2. Complete the Post –assessment by selecting the single best answer for each multiple choice question. You will be able to change your answer at any time until you click on the finish button. Multiple attempts are given and each question must be answered correctly before proceeding to the next question. Persons scoring 100% pass the test and can print a CME certificate. Exams can be saved to access at a later date.
3. Complete the Evaluation.

You may complete the activity in one sitting, or you may save your work in progress and complete it at a later date. However, to earn CME credits, you must complete the activity prior to the CME expiration date. 

In order to claim credit, you must complete the Post-assessment and Evaluation. Completed CME will be tracked in your account and you can print a record of this CME activity at any time. 

For technical difficulties, please contact ASGE between the hours of 8:30am and 5pm Central Time at 1-866-353-ASGE (2743). For questions related to content or CME credits, please email education@asge.org.