How to master endoscopic submucosal dissection in the USA

Area of Science:

• Gastroenterology
• Endoscopic Surgery

Background:

• Endoscopic submucosal dissection (ESD) is a key therapy for gastrointestinal dysplastic and early cancerous lesions.
• ESD demands advanced lesion assessment skills and high-level endoscopic proficiency.
• The traditional Japanese Master-Apprentice model presents significant training limitations in the USA.

Purpose of the Study:

• To describe a novel, multipronged, stepwise approach for training US endoscopists in ESD.
• To highlight the impact of this approach on ESD expansion and technique development in the USA.

Main Methods:

• Implementation of a unique, stepwise training strategy tailored for the US context.
• Focus on overcoming limitations of traditional training models for advanced endoscopic procedures.

Main Results:

• The stepwise approach has facilitated the expansion of ESD procedures in the USA.
• Indications for ESD have broadened, and techniques have been further refined.
• Industry innovation is increasing due to heightened interest in ESD.

Conclusions:

• A multipronged, stepwise training model is a viable pathway for US endoscopists to master ESD.
• Continued collaboration between Japanese and US experts is crucial for addressing remaining challenges.
• Further advancements in ESD are anticipated through ongoing research and industry development.