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Introduction of endoscopic submucosal dissection in the West

Endoscopic submucosal dissection (ESD) is well established in Asia as a modality for selected advanced lesions of both the upper and lower gastrointestinal tract, but ESD has not attained the same niche in the West due to a variety of reasons. These include competition from traditional surgery, mini...

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Detalles Bibliográficos
Autores principales: Friedel, David, Stavropoulos, Stavros Nicholas
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Baishideng Publishing Group Inc 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6198314/
https://www.ncbi.nlm.nih.gov/pubmed/30364783
http://dx.doi.org/10.4253/wjge.v10.i10.225
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author Friedel, David
Stavropoulos, Stavros Nicholas
author_facet Friedel, David
Stavropoulos, Stavros Nicholas
author_sort Friedel, David
collection PubMed
description Endoscopic submucosal dissection (ESD) is well established in Asia as a modality for selected advanced lesions of both the upper and lower gastrointestinal tract, but ESD has not attained the same niche in the West due to a variety of reasons. These include competition from traditional surgery, minimally invasive surgery and endoscopic mucosal resection. Other obstacles to ESD introduction in the West include time commitment for learning and doing procedures, a steep learning curve, special equipment, lack of mentors, cost issues, interdisciplinary conflicts, concern regarding complications and lack of support from institutions and interfacing departments. There are intrinsic differences in pathology prevalence (e.g., early gastric cancer) between the two regions that are less conducive for ESD implementation in the West. We will elaborate on these issues and suggest measures as well as a protocol to overcome these obstacles and hopefully allow introduction of ESD as a tenable option for appropriate patients.
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spelling pubmed-61983142018-10-24 Introduction of endoscopic submucosal dissection in the West Friedel, David Stavropoulos, Stavros Nicholas World J Gastrointest Endosc Review Endoscopic submucosal dissection (ESD) is well established in Asia as a modality for selected advanced lesions of both the upper and lower gastrointestinal tract, but ESD has not attained the same niche in the West due to a variety of reasons. These include competition from traditional surgery, minimally invasive surgery and endoscopic mucosal resection. Other obstacles to ESD introduction in the West include time commitment for learning and doing procedures, a steep learning curve, special equipment, lack of mentors, cost issues, interdisciplinary conflicts, concern regarding complications and lack of support from institutions and interfacing departments. There are intrinsic differences in pathology prevalence (e.g., early gastric cancer) between the two regions that are less conducive for ESD implementation in the West. We will elaborate on these issues and suggest measures as well as a protocol to overcome these obstacles and hopefully allow introduction of ESD as a tenable option for appropriate patients. Baishideng Publishing Group Inc 2018-10-16 2018-10-16 /pmc/articles/PMC6198314/ /pubmed/30364783 http://dx.doi.org/10.4253/wjge.v10.i10.225 Text en ©The Author(s) 2018. Published by Baishideng Publishing Group Inc. All rights reserved. http://creativecommons.org/licenses/by-nc/4.0/ This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial.
spellingShingle Review
Friedel, David
Stavropoulos, Stavros Nicholas
Introduction of endoscopic submucosal dissection in the West
title Introduction of endoscopic submucosal dissection in the West
title_full Introduction of endoscopic submucosal dissection in the West
title_fullStr Introduction of endoscopic submucosal dissection in the West
title_full_unstemmed Introduction of endoscopic submucosal dissection in the West
title_short Introduction of endoscopic submucosal dissection in the West
title_sort introduction of endoscopic submucosal dissection in the west
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6198314/
https://www.ncbi.nlm.nih.gov/pubmed/30364783
http://dx.doi.org/10.4253/wjge.v10.i10.225
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