Endoscopic submucosal dissection in Spain: outcomes and development possibilities.
Endoscopic submucosal dissection (ESD) allows endoscopic, curative, en-bloc resection of superficial malignant or premalignant lesions. This procedure was conceived over 10 years ago in Japan, but has not experienced great expansion in Western countries for different reasons. This article reviews ESD indications and outcomes, and reflects on the reasons that prevent ESD from becoming common clinical practice in Western hospitals. Finally, recommendations on ESD training in our setting are made.
Juan J
JJ
Vila
Marcos
M
Kutz
Gloria
G
Fernández-Esparrach
Leopoldo
L
López-Rosés
Sarbelio
S
Rodríguez
Andres
A
Sánchez-Yague
D004059:Diffusion of Innovation; D016099:Endoscopy, Gastrointestinal / Q000379:methods* / Q000706:statistics & numerical data; D005753:Gastric Mucosa / Q000601:surgery*; D006801:Humans; D013030:Spain; D013274:Stomach Neoplasms / Q000601:surgery*; D016896:Treatment Outcome