National Center of Cardiology and Internal Medicine (NCCIM) and CAREN CC participated in the 4th Endoscopy Teleconference that was organized by Telemedicine Development Center in Asia (TEMDEC) on July 9, 2018. Dr. Tomohiko Moriyama, Vice Director of TEMDEC, Kyushu University Hospital, chaired the teleconference. H.323 and Vidyo platforms were used to connect 13 Medical Institutions from Japan, Russia and Kyrgyzstan. The aim of the teleconference was to discuss the cases of gastrointestinal neuroendocrine tumors and the methods of its treatment. All doctors follow the TEMDEC policy and do not present personal information of the patients. We are also happy to share the Activity Report for 2017 that was issued by TEMDEC including events where CAREN project participated http://www.temdec.med.kyushu-u.ac.jp/eng/our_activity.html