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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Main Authors: Yu Kamitani, Kouichi Nonaka, Yoshitsugu Misumi, Hajime Isomoto
Format: Article
Language:English
Published: MDPI AG 2023-05-01
Series:Journal of Clinical Medicine
Subjects:
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.
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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
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