Endoscopic submucosal dissection

Maple, John T.; Dayyeh, Barham K. Abu; Chauhan, Shailendra S.; Hwang, Joo Ha; Komanduri, Sri; Manfredi, Michael A.; Konda, Vani J.; Murad, Faris; Siddiqui, Uzma D.; Banerjee, Subhas

doi:10.1016/j.gie.2014.12.010

Cited by 214 publications

(116 citation statements)

References 117 publications

(150 reference statements)

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“…The Japanese model is difficult to apply for Western endoscopists, where the availability of expert ESD mentors and incidence of EGC in the West is less than in East Asia . Ex vivo and in vivo porcine models can function as a stepping stone, and training on such models may lead to significant improvements in carrying out ESD . Completing an observership of live cases in a high‐volume Eastern center may also improve ESD outcomes for endoscopists early in their experience.…”

Section: Western Endoscopic Submucosal Dissection Trainingmentioning

confidence: 99%

Endoscopic submucosal dissection in the West: Current status and future directions

Michael

Bourke

2017

Digestive Endoscopy

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Endoscopic submucosal dissection (ESD) was first conceptually described almost 30 years ago in Japan and is now widely practiced throughout East Asia. ESD expands the boundaries of endoscopic resection (ER) by allowing en bloc resection of large early neoplastic lesions within the gastrointestinal tract (GIT). This offers advantages over other ER techniques by facilitating definitive histological staging and curative treatment of early cancer in selected cases. Indeed, the experience of ESD in Eastern countries is significant, and excellent outcomes from high-volume centers are reported. The potential benefits of ESD are recognized by Western endoscopists, but its adoption has been limited. A number of factors contribute to this, including epidemiological differences in GIT neoplasia between Western and Eastern populations and limitations in training opportunities. In this review, we discuss the role of ESD, its current status and the future in Western endoscopic practice.

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Section: Western Endoscopic Submucosal Dissection Trainingmentioning

confidence: 99%

Endoscopic submucosal dissection in the West: Current status and future directions

Michael

Bourke

2017

Digestive Endoscopy

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“…ESD was used to treat gastric SMTs originating from the superficial MP layer. However, when the tumor originates from the deep MP layer or has a tight connection with the underlying MP layer or serosal layer, the complete resection rate decreases and the complication rate increases (4,16,17). Although ESE could improve the complete resection rate for gastric SMTs from the deep MP layer, it has some limitations for lesions with a tight connection with the serosal layer or with an extraluminal growth (4,18).…”

Section: Discussionmentioning

confidence: 99%

A comparison of submucosal tunneling endoscopic resection and endoscopic full-thickness resection for gastric fundus submucosal tumors

et al. 2017

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Results: A total of 43 patients were enrolled: 15 underwent STER and the remaining 28 cases underwent EFTR. There were no significant differences between the two groups with regard to gender, age, tumor size, en bloc resection rate, operation time, pathohistological results and cost (p > 0.05). However, patients who underwent EFTR had a longer suture time, required a larger number of clips for closure and a prolonged postoperative hospital stay (p < 0.05). No recurrence was noted in either the STER or the EFTR group during a mean follow-up of 12.1 and 22.8 months, respectively. Conclusions:The treatment efficacy of STER and EFTR for the treatment of gastric fundus SMTs was comparable. However, STER has some advantages over EFTR in terms of suture time, the number of clips required for closure and postoperative hospital stay.

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“…Advanced techniques are required to carry out therapeutic endoscopy including endoscopic submucosal dissection (ESD), peroral endoscopic myotomy (POEM), and peroral endoscopic tumor resection (POET) . In order to achieve efficient procedures, a newly developed transparent distal attachment: super soft hood (Space adjuster; TOP, Tokyo, Japan) was designed (Fig.…”

Section: Brief Explanationmentioning

confidence: 99%

Usefulness of a newly developed distal attachment: Super soft hood (Space adjuster) in therapeutic endoscopy

Fujiyoshi

Shimamura

Inoue

2019

Digestive Endoscopy

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Endoscopic submucosal dissection

Cited by 214 publications

References 117 publications

Endoscopic submucosal dissection in the West: Current status and future directions

Endoscopic submucosal dissection in the West: Current status and future directions

A comparison of submucosal tunneling endoscopic resection and endoscopic full-thickness resection for gastric fundus submucosal tumors

Usefulness of a newly developed distal attachment: Super soft hood (Space adjuster) in therapeutic endoscopy

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