Endoscopic Submucosal Dissection (ESD) Training and Performing ESD with Accurate and Safe Techniques

Area of Science:

• Gastroenterology and Therapeutic Endoscopy

Background:

• Endoscopic submucosal dissection (ESD) has revolutionized therapeutic endoscopy.
• Increasing global demand for ESD necessitates standardized training for physicians.
• Current training involves ex vivo and in vivo models, alongside hands-on courses.

Purpose of the Study:

• To review current strategies and expert experiences in endoscopic submucosal dissection (ESD) training.
• To discuss accurate and safe techniques for performing ESD.
• To explore methods for facilitating ESD and improving pre-procedural assessment.

Main Methods:

• Focused review of published studies and expert experiences in ESD training.
• Analysis of ex vivo and in vivo training models.
• Review of hands-on courses, quality control, complication prevention, facilitation methods, and imaging techniques for depth assessment.

Main Results:

• Various ex vivo and in vivo models are utilized for ESD training.
• Hands-on courses in Korea provide practical training settings.
• Magnifying and narrow band imaging aid in assessing invasion depth prior to ESD.

Conclusions:

• Standardized and accessible ESD training is crucial for its global adoption.
• A combination of model-based training, hands-on courses, and advanced imaging enhances ESD proficiency.
• Continuous refinement of techniques and training methodologies is essential for safe and effective ESD.