HOW TO TEACH AND LEARN ENDOSCOPIC SUBMUCOSAL DISSECTION FOR UPPER GASTROINTESTINAL NEOPLASM IN JAPAN
HOW TO TEACH AND LEARN ENDOSCOPIC SUBMUCOSAL DISSECTION FOR UPPER GASTROINTESTINAL NEOPLASM IN JAPAN
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DOI：
10.1111/j.1443-1661.2012.01274.x
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发表时间：
2012-05-01
影响因子：
5.3
通讯作者：
Uedo, Noriya
中科院分区：
文献类型：
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作者：
Goda, Kenichi;Fujishiro, Mitsuhiro;Uedo, Noriya
背景：内镜下粘膜剥离术（ESD）是一种创新和有前途的手术。然而，可持续发展教育的经验主要局限于日本和亚洲的少数国家。为促进ESD技术的推广，应借鉴日本的相关培训制度。我们对日本有代表性的专家进行问卷调查，了解他们上消化道肿瘤ESD培训的方法。材料和方法：我们向9位日本ESD专家发放了胃食管ESD问卷。问卷调查结果在东京举行的2011年日本内镜论坛上进行了讨论。结果：诊断能力和受训者的初级内镜检查技术是诊断标准的两个主要要素。学员应尽可能多地观察和参与ESD案例。大多数专家建议用孤立的或活的动物胃或食道进行训练。在胃远端病变是最适合的第一次真正的ESD由受训者。在开始进行食管ESD之前，需要熟练掌握胃ESD。领诊者应具有较高的诊断能力，熟练掌握结肠、胃、食管ESD技术。结论：目前的问卷调查似乎揭示了ESD培训计划所需的基本要素。我们相信，这对其他国家也有帮助，在这些国家，ESD将安全、正确地启动和渗透。
Background: Endoscopic submucosal dissection (ESD) is an innovative and promising procedure. However, ESD experience is mostly limited to Japan and a few countries in Asia. An appropriate training system should be proposed from Japan to promote a permeation of ESD technique. We conducted questionnaire survey to representative Japanese experts to reveal their training method of ESD for upper gastrointestinal neoplasm Materials and Methods: We sent the questionnaire on gastric and esophageal ESD to 9 Japanese experts in ESD. The questionnaire results were discussed in a session of Endoscopic Forum Japan 2011 held in Tokyo. Results: The inception criteria consisted of two main elements, diagnostic ability and primary endoscopy technique of preceptees. Preceptees should observe and attend as many ESD cases as possible. Most of the experts recommend training with isolated or live animal stomach or esophagus. Lesion in the distal stomach is the most suitable for the first real ESD by a preceptee. Being proficient in a gastric ESD is needed before starting esophageal ESD. Preceptor should have significantly high level of diagnostic ability and proficient ESD techniques in the colorectum as well as the stomach and esophagus. Conclusion: The present questionnaire survey seems to reveal basic elements required for ESD training program. We believe that this is also helpful in other countries where ESD would be initiated and penetrated safely and properly.