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Current status of endoscopic resection in China
Ming-Yan Cai1, Ping-Hong Zhou, Li-Qing Yao
1Endoscopy Center and Endoscopy Research Institute, Zhongshan Hospital, Fudan University, Shanghai, China.
Summary
Endoscopic resection, including endoscopic submucosal dissection (ESD), offers a less invasive option for gastrointestinal diseases in China. Standardizing techniques, training, and increasing cancer diagnoses are crucial for its optimal use.
Area of Science:
- Gastroenterology
- Endoscopic Surgery
- Medical Technology
Background:
- Advancements in endoscopic techniques facilitate early diagnosis of gastrointestinal diseases.
- Endoscopic resection is a minimally invasive alternative to traditional surgery.
- China has rapidly adopted and developed endoscopic resection techniques.
Purpose of the Study:
- To discuss the current status of endoscopic resection in China.
- To identify challenges and areas for improvement in endoscopic resection practices.
- To highlight the need for standardization and further research.
Main Methods:
- Review of current endoscopic resection techniques in China.
- Analysis of outcomes and challenges associated with endoscopic submucosal dissection (ESD).
- Discussion of emerging endoscopic interventions derived from ESD.
Main Results:
- Endoscopic submucosal dissection (ESD) shows promising initial outcomes in China.
- There is a lack of large-scale, multicenter, long-term follow-up studies on ESD in China.
- New endoscopic interventions are evolving from ESD techniques.
Conclusions:
- Standardization of guidelines, techniques, complication management, and follow-up protocols is needed.
- Increasing the diagnosis of mucosal cancers for ESD is recommended.
- Standardized training requirements and step-by-step approaches are essential for advancing endoscopic resection in China.