Impact of formal training in endoscopic submucosal dissection for early gastrointestinal cancer: A systematic review and a meta-analysis

Abstract

In order to obtain the same rate of success of the analyzed studies it is a necessity to create training centers in the western countries during the "several years" of gastroenterology residence first only to teach EGC diagnose and second only to train endoscopic submucosal dissection.

Colorectal endoscopic submucosal dissection: a systematic review and meta-analysis

“…Our moderately large number of studies enabled us to shed more light on potential sources of heterogeneity in treatment success after ESD, and the comparability of the main findings to those in sensitivity analysis further ensures the robustness of our result. Although similar studies exist in the literature 12 13 14 , our study is the largest and most updated. In addition, we provided the most comprehensive reporting of all clinically relevant outcomes while also identifying potential sources of heterogeneity.…”

Choosing a Career in Advanced Endoscopy or General Gastroenterology

“…These challenge the current paradigms of clinical care, providing an array of therapeutic options. Conditions that have historically been managed surgically such as early stage GI malignancy, necrotizing pancreatitis, malignant obstruction, and achalasia can now be managed endoscopically, reducing morbidity while offering diagnostic, palliative, and therapeutic treatment options [5][6][7][8]. Advanced endoscopists are indispensable part of GI services of any major academic center or large group practice.…”

The Ideal Experimental Training Session for Minimally Invasive Endoluminal Techniques

“…There are few training centers around the world in which an endoscopy fellow can be trained on these techniques [10]. We offer our residents a weekly exposure to experimental training under strict supervision of an experienced endoscopist (P.S) and we believe that standardization of the ideal experimental training session in important in order to maximize the results of our efforts.…”

“…Several studies have described the usefulness of the in-vivo pig model for specific procedures, mainly gastric, esophageal or colorectal ESD, POEM or Zenker's diverticulotomy [10][11][12][13]. Additionally, short experimental courses mainly focus on developing skills to a specific technique in a particular organ of the animal.…”