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Endoscopic Submucosal Dissection pp 237–256Cite as

Endoscopic Submucosal Dissection Training in Western Countries

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Abstract

This chapter has been included because there are major differences between Japan, and to a lesser extent South Korea, and western countries in the application of endoscopic submucosal dissection (ESD). Among the differences is the fact that for decades special consideration has been given in Japan to early flat neoplastic lesions in the digestive tract, which forms an important part of their macroscopic classifications. As well, endoscopic mucosal resection (EMR), only now considered standard in western countries, has been applied in Japan for many years (especially before the advent of ESD). Staining and digital chromoendoscopy, and magnification endoscopy for the detailed diagnosis of early neoplasms, are part of the basic knowledge of endoscopists in Japan, while in western countries even traditional chromoendoscopy has not yet been fully adopted. For example, while ESD was being developed in Japan, the importance of flat colorectal lesions was still debated in western countries and EMR was still not routinely performed in many endoscopy units. In effect, Japan and to a lesser extent South Korea are much more advanced than western countries in ESD and should be a reference in training endoscopists in this complex, exciting, and useful technique.

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Author information

Authors and Affiliations

  1. Department of Gastroenterology, School of Medicine, Pontificia Universidad Católica de Chile, 833-0024, Santiago, Chile

    Adolfo Parra-Blanco M.D., Ph.D.

  2. Alfa Institute, School of Medicine, Minas Gerais Federal University, Belo Horizonte, Brazil

    Vitor Arantes M.D., M.S., Ph.D.

  3. Department of Gastroenterology, Hospital de Clínicas, Montevideo, Uruguay

    Nicolás González M.D.

  4. Department of Gastroenterology, IDIPHIM. Puerta de Hierro University Hospital, Universidad Autónoma de Madrid, Madrid, Spain

    Alberto Herreros de Tejada M.D., Ph.D.

  5. Department of Surgery, School of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile

    Andrés Donoso M.D.

Authors
  1. Adolfo Parra-Blanco M.D., Ph.D.
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  2. Vitor Arantes M.D., M.S., Ph.D.
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  3. Nicolás González M.D.
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  4. Alberto Herreros de Tejada M.D., Ph.D.
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  5. Andrés Donoso M.D.
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Corresponding author

Correspondence to Adolfo Parra-Blanco M.D., Ph.D. .

Editor information

Editors and Affiliations

  1. Division of Gastroenterology & Hepatology, University of Colorado, Denver, Aurora, Colorado, USA

    Norio Fukami

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Parra-Blanco, A., Arantes, V., González, N., Herreros de Tejada, A., Donoso, A. (2015). Endoscopic Submucosal Dissection Training in Western Countries. In: Fukami, N. (eds) Endoscopic Submucosal Dissection. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-2041-9_25

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  • DOI: https://doi.org/10.1007/978-1-4939-2041-9_25

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