| Theme | Aims to improve colorectal ESD safety and efficiency | |
|---|---|---|
| Title | ESD training programs | |
| Publish Date | 2013/01 | |
| Author | Ken Ohata | Department of Gastroenterology, Kanto Medical Center NTT |
| Author | Ikurou Koba | Department of Gastroenterology, Yamaga Chuo Hospital |
| Author | Akiko Ono | Department of Gastroenterology, Kanto Medical Center NTT |
| Author | Takafumi Ito | Department of Gastroenterology, Kanto Medical Center NTT |
| Author | Yosuke Tsuji | Department of Gastroenterology, Kanto Medical Center NTT |
| Author | Hideyuki Chiba | 3Department of Gastroenterology, Omori Red Cross Hospital |
| Author | Tomohiko Ohya | Department of Endoscopy, The Jikei University School of Medicine |
| Author | Nobuyuki Matsuhashi | Department of Gastroenterology, Kanto Medical Center NTT |
| [ Summary ] | Because of the anatomical and histological characteristics of the colorectal wall, ESD techniques are considered to be more difficult for treatment of colorectal lesions than for gastric neoplasms. However, colorectal ESD has gradually become more widely used with the development of various devices. Since April 2012, the cost of colorectal ESD has been covered by the national health insurance system in Japan. Colorectal ESD training systems teach learning diagnostic skills as well as general skills associated with therapeutic colonoscopy. Colorectal ESD training systems must include instructions on using devices, instrument positioning and planning procedures. Preoperative colonoscopy is important to produce images to formulate treatment strategies. Trainees are allowed to perform colorectal ESD only after mastering ESD processes. Experts should oversee trainees to prevent complications. The key element for these procedures is prevention of declines in clinical outcomes during initial treatment periods. The establishment of satisfactory training systems is essential to make ESD a reliable treatment option for gastrointestinal neoplasms. Our training system for colorectal ESD is outlined. Our training system for ESD may help extend the acceptance of this procedure. |
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