| Theme |
Training System and Risk Management for Endoscopic Submucosal Dissection (ESD) |
| Title |
Basic Endoscopic Techniques Required for Endoscopic Submucosal Dissection (ESD) |
| Author |
Shuichi Yokosawa |
Department of Gastrointestinal Internal Medicine, Shinshu University Hospital |
| Author |
Taiji Akamatsu |
Department of Endoscopy, Shinshu University Hospital |
| Author |
Yasunori Kaneko |
Department of Gastrointestinal Internal Medicine, Shinshu University Hospital |
| Author |
Katsuaki Inoue |
Department of Gastrointestinal Internal Medicine, Shinshu University Hospital |
| Author |
Kendo Kiyosawa |
Department of Gastrointestinal Internal Medicine, Shinshu University Hospital |
| [ Summary ] |
Endoscopic submucosal dissection (ESD) for early gastrointestinal (GI) cancer is considered to be one of the most difficult endoscopic procedures. To perform this procedure safely, we need to learn many endoscopic techniques such as correct scope use, satisfactory hemostatic skills to control GI bleeding, and endoscopic suturing for perforations, using clips. The diagnostic ability to determine the extent and depth of early GI cancer is essential. Before performing ESD procedures, much experience with endoscopic polypectomy and conventional endoscopic mucosal resection is required. |