Theme |
Training System and Risk Management for Endoscopic Submucosal Dissection (ESD) |
Title |
Animal Training Models for Endoscopic Submucosal Dissection (ESD) |
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. |