Clinical Gastroenterology Vol.21 No.9(2-3)

Theme Training System and Risk Management for Endoscopic Submucosal Dissection (ESD)
Title Animal Training Models for Endoscopic Submucosal Dissection (ESD)
Publish Date 2006/08
Author Shinya Kodashima Department of Gastroenterology, The University of Tokyo Hospital
Author Mitsuhiro Fujishiro Department of Gastroenterology, The University of Tokyo Hospital
Author Naomi Kakushima Department of Gastroenterology, The University of Tokyo Hospital
Author Yosuke Muraki Department of Gastroenterology, The University of Tokyo Hospital
Author Ayako Tateishi Department of Gastroenterology, The University of Tokyo Hospital
Author Naohisa Yahagi Department of Gastroenterology, Toranomon Hospital
Author Masao Omata Department of Gastroenterology, The University of Tokyo Hospital
[ Summary ] Endoscopic submucosal dissection of gastric tumors is widely performed for patients' benefit. It is more difficult to perform ESD techniques than convetional endoscopic treatment. Therefore, a training system for ESD has been needed. In such situations, training systems using animals for ESD have been developed. In these systems, the stomach of a freshly resected pig is used, alowing one to experience the same sensations as when performing actual endoscopic treatment. It is appropriate that these systems be used for ESD beginners, such as doctors who have not performed ESD on actual patients. There are several points differentiating ESD carried out on the stomach of a freshly resected pig and that of a human. However, using this method we can understand how the ESD knife should be used, and how the scope should be maneuvered for ESD techniques. Therefore, we are confident that these methods will become the standards for ESD training in the future.
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