Safe and Efficient Procedures and Training System for Endoscopic Submucosal Dissection
Recent improvements in endoscopists’ skills and technological advances have allowed endoscopic submucosal dissection (ESD) to become a standard treatment in general hospitals. As this treatment entails a high risk of accidental perforation or hemorrhage, therapeutic procedures and training methods t...
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Format: | Article |
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MDPI AG
2023-05-01
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Series: | Journal of Clinical Medicine |
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Online Access: | https://www.mdpi.com/2077-0383/12/11/3692 |
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author | Yu Kamitani Kouichi Nonaka Yoshitsugu Misumi Hajime Isomoto |
author_facet | Yu Kamitani Kouichi Nonaka Yoshitsugu Misumi Hajime Isomoto |
author_sort | Yu Kamitani |
collection | DOAJ |
description | Recent improvements in endoscopists’ skills and technological advances have allowed endoscopic submucosal dissection (ESD) to become a standard treatment in general hospitals. As this treatment entails a high risk of accidental perforation or hemorrhage, therapeutic procedures and training methods that enable ESD to be conducted more safely and efficiently are constantly being developed. This article reviews the therapeutic procedures and training methods used to improve the safety and efficiency of ESD and describes the ESD training system used in a Japanese university hospital at which the number of ESD procedures has gradually increased in a newly established Department of Digestive Endoscopy. During the establishment of this department, the ESD perforation rate was zero among all procedures, including those conducted by trainees. |
first_indexed | 2024-03-11T03:04:01Z |
format | Article |
id | doaj.art-c3ba5860d9714a718a608d36aa1619dc |
institution | Directory Open Access Journal |
issn | 2077-0383 |
language | English |
last_indexed | 2024-03-11T03:04:01Z |
publishDate | 2023-05-01 |
publisher | MDPI AG |
record_format | Article |
series | Journal of Clinical Medicine |
spelling | doaj.art-c3ba5860d9714a718a608d36aa1619dc2023-11-18T08:05:08ZengMDPI AGJournal of Clinical Medicine2077-03832023-05-011211369210.3390/jcm12113692Safe and Efficient Procedures and Training System for Endoscopic Submucosal DissectionYu Kamitani0Kouichi Nonaka1Yoshitsugu Misumi2Hajime Isomoto3Department of Digestive Endoscopy, Tokyo Women’s Medical University Hospital, 8-1 Kawada-cho, Shinjuku-ku, Tokyo 162-8666, JapanDepartment of Digestive Endoscopy, Tokyo Women’s Medical University Hospital, 8-1 Kawada-cho, Shinjuku-ku, Tokyo 162-8666, JapanDepartment of Digestive Endoscopy, Tokyo Women’s Medical University Hospital, 8-1 Kawada-cho, Shinjuku-ku, Tokyo 162-8666, JapanDivision of Gastroenterology and Nephrology, Department of Multidisciplinary Internal Medicine, Faculty of Medicine, Tottori University, 36-1 Nishicho, Yonago 683-8504, JapanRecent improvements in endoscopists’ skills and technological advances have allowed endoscopic submucosal dissection (ESD) to become a standard treatment in general hospitals. As this treatment entails a high risk of accidental perforation or hemorrhage, therapeutic procedures and training methods that enable ESD to be conducted more safely and efficiently are constantly being developed. This article reviews the therapeutic procedures and training methods used to improve the safety and efficiency of ESD and describes the ESD training system used in a Japanese university hospital at which the number of ESD procedures has gradually increased in a newly established Department of Digestive Endoscopy. During the establishment of this department, the ESD perforation rate was zero among all procedures, including those conducted by trainees.https://www.mdpi.com/2077-0383/12/11/3692endoscopic submucosal dissectionperforationhemorrhage |
spellingShingle | Yu Kamitani Kouichi Nonaka Yoshitsugu Misumi Hajime Isomoto Safe and Efficient Procedures and Training System for Endoscopic Submucosal Dissection Journal of Clinical Medicine endoscopic submucosal dissection perforation hemorrhage |
title | Safe and Efficient Procedures and Training System for Endoscopic Submucosal Dissection |
title_full | Safe and Efficient Procedures and Training System for Endoscopic Submucosal Dissection |
title_fullStr | Safe and Efficient Procedures and Training System for Endoscopic Submucosal Dissection |
title_full_unstemmed | Safe and Efficient Procedures and Training System for Endoscopic Submucosal Dissection |
title_short | Safe and Efficient Procedures and Training System for Endoscopic Submucosal Dissection |
title_sort | safe and efficient procedures and training system for endoscopic submucosal dissection |
topic | endoscopic submucosal dissection perforation hemorrhage |
url | https://www.mdpi.com/2077-0383/12/11/3692 |
work_keys_str_mv | AT yukamitani safeandefficientproceduresandtrainingsystemforendoscopicsubmucosaldissection AT kouichinonaka safeandefficientproceduresandtrainingsystemforendoscopicsubmucosaldissection AT yoshitsugumisumi safeandefficientproceduresandtrainingsystemforendoscopicsubmucosaldissection AT hajimeisomoto safeandefficientproceduresandtrainingsystemforendoscopicsubmucosaldissection |