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ESD around the world: United States
1Division of Gastroenterology and Hepatology, University of Colorado Anschutz Medical Campus, 12631 East 17th Avenue, B158, Aurora, CO 80045, USA.
Gastrointestinal Endoscopy Clinics of North America
|April 1, 2014
Summary
Endoscopic submucosal dissection (ESD) is an advanced resection technique gaining traction in the US. Overcoming technical challenges and improving training are key to its wider adoption for gastrointestinal lesions.
Area of Science:
- Gastroenterology
- Endoscopic Surgery
Background:
- Endoscopic submucosal dissection (ESD) is an advanced mucosal resection technique originating in Japan.
- Its adoption in the United States faces barriers including technical difficulty, complication rates, equipment availability, and training deficits.
Purpose of the Study:
- To discuss the current status and challenges of Endoscopic submucosal dissection (ESD) adoption in the United States.
- To identify factors essential for accelerating the dissemination of ESD in the US.
Main Methods:
- Review of the current landscape of Endoscopic submucosal dissection (ESD) in the US.
- Analysis of obstacles hindering widespread implementation.
Main Results:
- American physicians are increasingly recognizing the benefits of Endoscopic submucosal dissection (ESD).
- Key barriers include technical complexity, potential complications, and limited training infrastructure.
Conclusions:
- Simplifying ESD techniques is crucial for broader acceptance.
- Modifications in tools, materials, and enhanced training programs are necessary to facilitate ESD adoption in the US.
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