How to decrease the risk of perforation in endoscopic submucosal dissection (ESD)

Sang Gyun Kim, Joo Ha Hwang

Research output: Contribution to journalReview article

Abstract

Endoscopic submucosal dissection (ESD) is an accepted method for curative resection for various gastrointestinal tumors. Although ESD is effective in resecting gastrointestinal tumors, the risk of perforation is a major barrier for training and adoption of this technique. Therefore, techniques for preventing perforation during ESD should be a focus when learning ESD. The most important aspect of preventing perforation during ESD is to have solid basic therapeutic endoscopic skills. Next, extensive supervised hands-on experience in ex vivo training models is important to learn proper ESD techniques prior to performing ESD in patients. Finally, the appropriate endoscopic accessories and methods of ESD should be selected according to the specific characteristics of the lesion. The application of these principles will result in minimizing the risk of perforation while performing ESD.

Original languageEnglish
Pages (from-to)99-103
Number of pages5
JournalTechniques in Gastrointestinal Endoscopy
Volume21
Issue number2
DOIs
StatePublished - 1 Apr 2019

Fingerprint

Endoscopic Mucosal Resection
Neoplasms
Teaching
Learning
Therapeutics

Keywords

  • Devices
  • ESD
  • Perforation
  • Training

Cite this

@article{8502162e7e8c4578ab5bdd7d5b393a1c,
title = "How to decrease the risk of perforation in endoscopic submucosal dissection (ESD)",
abstract = "Endoscopic submucosal dissection (ESD) is an accepted method for curative resection for various gastrointestinal tumors. Although ESD is effective in resecting gastrointestinal tumors, the risk of perforation is a major barrier for training and adoption of this technique. Therefore, techniques for preventing perforation during ESD should be a focus when learning ESD. The most important aspect of preventing perforation during ESD is to have solid basic therapeutic endoscopic skills. Next, extensive supervised hands-on experience in ex vivo training models is important to learn proper ESD techniques prior to performing ESD in patients. Finally, the appropriate endoscopic accessories and methods of ESD should be selected according to the specific characteristics of the lesion. The application of these principles will result in minimizing the risk of perforation while performing ESD.",
keywords = "Devices, ESD, Perforation, Training",
author = "Kim, {Sang Gyun} and Hwang, {Joo Ha}",
year = "2019",
month = "4",
day = "1",
doi = "10.1016/j.tgie.2019.05.001",
language = "English",
volume = "21",
pages = "99--103",
journal = "Techniques in Gastrointestinal Endoscopy",
issn = "1096-2883",
publisher = "W.B. Saunders Ltd",
number = "2",

}

How to decrease the risk of perforation in endoscopic submucosal dissection (ESD). / Kim, Sang Gyun; Hwang, Joo Ha.

In: Techniques in Gastrointestinal Endoscopy, Vol. 21, No. 2, 01.04.2019, p. 99-103.

Research output: Contribution to journalReview article

TY - JOUR

T1 - How to decrease the risk of perforation in endoscopic submucosal dissection (ESD)

AU - Kim, Sang Gyun

AU - Hwang, Joo Ha

PY - 2019/4/1

Y1 - 2019/4/1

N2 - Endoscopic submucosal dissection (ESD) is an accepted method for curative resection for various gastrointestinal tumors. Although ESD is effective in resecting gastrointestinal tumors, the risk of perforation is a major barrier for training and adoption of this technique. Therefore, techniques for preventing perforation during ESD should be a focus when learning ESD. The most important aspect of preventing perforation during ESD is to have solid basic therapeutic endoscopic skills. Next, extensive supervised hands-on experience in ex vivo training models is important to learn proper ESD techniques prior to performing ESD in patients. Finally, the appropriate endoscopic accessories and methods of ESD should be selected according to the specific characteristics of the lesion. The application of these principles will result in minimizing the risk of perforation while performing ESD.

AB - Endoscopic submucosal dissection (ESD) is an accepted method for curative resection for various gastrointestinal tumors. Although ESD is effective in resecting gastrointestinal tumors, the risk of perforation is a major barrier for training and adoption of this technique. Therefore, techniques for preventing perforation during ESD should be a focus when learning ESD. The most important aspect of preventing perforation during ESD is to have solid basic therapeutic endoscopic skills. Next, extensive supervised hands-on experience in ex vivo training models is important to learn proper ESD techniques prior to performing ESD in patients. Finally, the appropriate endoscopic accessories and methods of ESD should be selected according to the specific characteristics of the lesion. The application of these principles will result in minimizing the risk of perforation while performing ESD.

KW - Devices

KW - ESD

KW - Perforation

KW - Training

UR - http://www.scopus.com/inward/record.url?scp=85065786359&partnerID=8YFLogxK

U2 - 10.1016/j.tgie.2019.05.001

DO - 10.1016/j.tgie.2019.05.001

M3 - Review article

AN - SCOPUS:85065786359

VL - 21

SP - 99

EP - 103

JO - Techniques in Gastrointestinal Endoscopy

JF - Techniques in Gastrointestinal Endoscopy

SN - 1096-2883

IS - 2

ER -