ArticleEndoscopy international open2018
Step-up training for colorectal and gastric ESD and the challenge of ESD training in the proximal colon: results from a German Center.
Article in Endoscopy international open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
11 citing papers in PubMed, 24 citations in OpenAlex.
- Prospective single-arm trial on feasibility and safety of an endoscopic robotic system for colonic endoscopic submucosal dissection.Endoscopy · 2025Trial
- Review
- Learning curve for endoscopic submucosal dissection (ESD) in the United States: Large, untutored, single-operator experience.Endoscopy international open · 2024Article
- Endoscopic submucosal dissection training: evaluation of an ex vivo training model with continuous perfusion (ETM-CP) for hands-on teaching and training in China.Surgical endoscopy · 2023Article
- Learning curve of endoscopic submucosal dissection (ESD) with prevalence-based indication in unsupervised Western settings: a retrospective multicenter analysis.Surgical endoscopy · 2023Article
- A novel flexible auxiliary single-arm transluminal endoscopic robot facilitates endoscopic submucosal dissection of gastric lesions (with video).Surgical endoscopy · 2022Article
- Gastric endoscopic submucosal dissection in Western countries: Indications, applications, efficacy and training perspective.World journal of gastrointestinal surgery · 2021Review
- Double-endoscope assisted endoscopic submucosal dissection for treating tumors in rectum and distal colon by expert endoscopists: a feasibility study.Techniques in coloproctology · 2020Article
- Learning curve for mastery of colorectal endoscopic submucosal dissection: Perspectives from a large Japanese cohort.JGH open : an open access journal of gastroenterology and hepatology · 2020Article
- Outcomes of endoscopic submucosal dissection (ESD) during live endoscopy events (LEE) - a 13-year follow-up.Endoscopy international open · 2019Article
- Cost Analysis of Endoscopic Submucosal Dissection for the Treatment of Colorectal Lesions in China.BioMed research international · 2019Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND STUDY
aimsThe endoscopic submucosal dissection (ESD) of cancerous and precancerous lesions in the gastrointestinal (GI) tract is an effective but difficult-to-learn procedure, especially for Western endoscopists. We developed a step-up training protocol and evaluated its outcome on a single endoscopist using specific performance measures. PATIENTS AND
methodsThe training protocol included a 12-month period of 50 observational and supervised ESD cases as well as 24 animal procedures. After completion of the protocol, ESD competency was evaluated in the first 30 independent ESD cases. Majority of lesions were located in the stomach and rectum. Performance measures included R0-resection rate, complication rate and resection speed.
resultsR0 resection rate was 93 %, complication rate was 7 % and median resection speed was 6,77 cm
conclusionThe ESD step-up training protocol used in this study on a single endoscopist showed excellent outcomes for lesions in the rectum and stomach. However, ESD training in the upper colon remains a challenge.
Identifiers
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.