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Updated: May 22, 2026

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Published on: February 13, 2026
Terminology for training of endoscopic submucosal dissection
Naomi Kakushima1, Kingo Hirasawa, Yoshinori Morita
1Division of Endoscopy, Shizuoka Cancer Center, Shizuoka Gastroenterological Center, Yokohama City University Medical Center, Yokohama, Japan. kakushin-tky@umin.ac.jp
Mastering endoscopic submucosal dissection (ESD) requires standardized medical terminology for effective training. This study emphasizes unifying terms and reviewing their usage to achieve consensus among experts for improved ESD education.
Area of Science:
- Gastroenterology
- Endoscopic Surgery
- Medical Education
Background:
- Endoscopic submucosal dissection (ESD) is an advanced endoscopic skill requiring extensive training.
- Standardization of medical terminology is crucial for consistent understanding and effective training in ESD.
- Varied interpretations of medical terms can hinder the learning process for novice endoscopists.
Purpose of the Study:
- To highlight the necessity of unifying medical terminology in endoscopic submucosal dissection (ESD) training.
- To establish a consensus on the meaning and usage of ESD-related terms.
- To outline the current educational approach for ESD in Japan.
Main Methods:
- Identification and pre-determination of terms used in the upper gastrointestinal session at the Endoscopic Forum Japan 2011.
- Review and consensus-building meeting for ESD-related terminology.
- Outline of the existing ESD educational strategies in Japan.
Main Results:
- A curated list of essential ESD terms was established through expert consensus.
- The importance of consistent terminology for advancing ESD techniques was reinforced.
- The current educational framework for ESD in Japan was presented.
Conclusions:
- Standardized medical terminology is fundamental for advancing endoscopic submucosal dissection (ESD) techniques.
- Achieving consensus on ESD terminology is vital for effective training and skill dissemination.
- This initiative aims to improve ESD education by ensuring clarity and consistency in medical language.
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