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Conformable Wearable Electrodes: From Fabrication to Electrophysiological Assessment
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Building Expertise in Endoscopic Submucosal Dissection: Insights From the French Training Curriculum.

Clara Yzet1, Antoine Debourdeau2, Romain Legros3

  • 1Gastroenterology Unit, Amiens University Hospital, Amiens, France.

Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association
|June 12, 2026
PubMed
Summary

The French Society of Digestive Endoscopy (SFED) curriculum effectively trains endoscopists in endoscopic submucosal dissection (ESD), with 80% achieving competency after structured training. Factors like age and prior experience influenced success rates in this ESD study.

Keywords:
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Area of Science:

  • Gastroenterology
  • Surgical Endoscopy
  • Medical Education

Background:

  • Endoscopic submucosal dissection (ESD) demands advanced skills, posing a significant challenge for colonic procedures.
  • The French Society of Digestive Endoscopy (SFED) adopted the European Society of Gastrointestinal Endoscopy (ESGE) ESD curriculum in 2021.
  • Assessing the curriculum's effectiveness and identifying competency predictors is crucial for advancing ESD training.

Purpose of the Study:

  • To evaluate the effectiveness of the ESGE/SFED structured curriculum for endoscopic submucosal dissection (ESD) training in France.
  • To identify factors predicting competency acquisition in trainees undergoing ESD procedures.
  • To assess the success rates and complication profiles associated with the implemented ESD training program.

Main Methods:

  • Inclusion of trainees from the first three years (2021-2023) of the SFED ESD curriculum.
  • Standardized training involved online education and a hands-on week, followed by trainee-documented ESD performance.
  • Competency defined by >90% en-bloc R0 resection and <1% surgery for complications; success defined as en-bloc R0 resection without surgery for adverse events.

Main Results:

  • Forty-five trainees performed 2,051 ESDs, with an overall success rate of 92.7%.
  • 80% of trainees achieved competency, requiring a median of 21 ESDs, with lesion location (rectum > colon) being a predictive factor.
  • Younger age, less prior endoscopy experience, and training in high-volume centers (>100 ESD/year) were associated with faster competency acquisition.

Conclusions:

  • The ESGE/SFED ESD curriculum facilitates competency achievement in endoscopic submucosal dissection.
  • Structured ESD training is effective even for endoscopists with limited prior experience.
  • This study provides valuable insights into optimizing ESD training pathways and identifying key success factors.