Evidence map›Paper›PMID 41988026›Full record

ArticleEndoscopy international open2026

Real-world practices and barriers in endoscopic submucosal dissection training: International comprehensive survey.

Giulio Calabrese, Marcello Maida, Shaimaa Elkholy, Manol Jovani, David J Tate, Hugo Uchima, Yohei Minato, Partha Pal, Sunil Gupta, Rui Morais and 3 more

Abstract read
In one paragraph

Article in Endoscopy international open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Giulio CalabreseClinical Medicine and Surgery, University of Naples Federico II, Naples, Italy.ORCID 0000-0002-0802-3173
Marcello MaidaDepartment of Medicine and Surgery, Kore University of Enna, Enna, Italy.ORCID 0000-0002-4992-9289
Shaimaa ElkholyGastroenterology Division, Internal Medicine Department, Faculty of Medicine, Cairo University, Cairo, Egypt.ORCID 0000-0003-4322-6467
Manol JovaniGastro Health, Miami, Baptist Health, Florida International University, Florida, United States.
David J TateDepartment of Gastroenterology and Hepatology, University Hospital Ghent, Ghent, Belgium.
Hugo UchimaEndoscopy Unit, Hospital Universitari Germans Trias i Pujol, Badalona, Spain.ORCID 0000-0001-8411-4993
Yohei MinatoDepartment of Gastrointestinal Endoscopy, NTT Medical Center Tokyo, Tokyo, Japan.
Partha PalMedical Gastroenterology, Asian Institute of Gastroenterology, Hyderabad, India.ORCID 0000-0002-7090-9004
Sunil GuptaGastroenterology and Hepatology, Westmead Hospital, Westmead, Australia.ORCID 0000-0003-3471-8304
Rui MoraisGastroenterology, Centro Hospitalar de Sao Joao, Porto, Portugal.ORCID 0000-0003-1293-3353
Torsten BeynaDepartment of Internal Medicine, Evangelisches Krankenhaus Düsseldorf, Düsseldorf, Germany.
Jeremie JacquesService d'hépato-gastro-entérologie, CHU Limoges, Limoges, France.
Sandro SferrazzaGastroenterology and Endoscopy Unit, ARNAS Civico Di Cristina Benfratelli, Palermo, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and study aims: Endoscopic submucosal dissection (ESD) enables curative resection of superficial gastrointestinal neoplasia but requires structured training. Although European Society of Gastrointestinal Endoscopy (ESGE)/American Society for Gastrointestinal Endoscopy (ASGE) curricula exist, real-world practices and barriers remain unclear. Methods: We conducted an anonymous web-based survey (April-July 2025) with 55 items assessing training opportunities, barriers, curriculum adherence, and quality metrics, stratified by role and annual ESD volume. Results: We received 288 responses (137 trainees, 151 trainers) from 39 countries across five geographic macro-areas. Nearly half (47.2%) had undertaken structured training, but only 46.5% fulfilled ESGE/ASGE curricula, with marked variation by center volume (69.6% in high-volume vs 26.8% in low-volume, Conclusions: This international survey reveals substantial disparities in ESD training and calls for coordinated efforts to improve access to structured curricula, mentorship, and affordable training models.

Indexed as

Endoscopic resection (polypectomy, ESD, EMRc, ...)Endoscopy Lower GI TractPolyps / adenomas / ...Quality and logistical aspectsTraining

Identifiers

PMID41988026
PMCPMC13077227

What OpenQuestion holds

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Registered trials

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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.