Endoscopic submucosal dissection in Spain: outcomes and development possibilities

Abstract

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.

Keywords

• Disección submucosa endoscópica
• Cáncer gástrico precoz
• Neoplasias gástricas
• Endoscopia
• Curva de aprendizaje