Endoscopy 2019; 51(04): S74
DOI: 10.1055/s-0039-1681387
ESGE Days 2019 oral presentations
Friday, April 5, 2019 17:00 – 18:30: Education Club C
Georg Thieme Verlag KG Stuttgart · New York

EVALUATION OF OUR TRAINING PROGRAM OF ENDOSCOPIC SUBMUCOSAL DISSECTION FOR GASTRIC CANCER IN EUROPE; TEACHING BY JAPANESE MENTOR

J Hamanaka
1   Gastroenterology, Yokohama Minami Kyosai Hospital, Yokohama, Japan
2   Digestive Endoscopy Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy
3   Gastroenterology, Yokohama City University Graduate School of Medicine, Yokohama, Japan
,
M Campanale
2   Digestive Endoscopy Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy
,
F Barbaro
2   Digestive Endoscopy Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy
,
G Costamagna
2   Digestive Endoscopy Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy
,
S Maeda
3   Gastroenterology, Yokohama City University Graduate School of Medicine, Yokohama, Japan
› Author Affiliations
Further Information

Publication History

Publication Date:
18 March 2019 (online)

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Aims:

Endoscopic submucosal dissection (ESD) has become established as a minimally invasive treatment for early gastric cancer (EGC) in Asian countries. Although training system has been reported in Asian countries, little was known about the training of European countries for ESD. The most important thing is to prevent a decline in clinical outcome during the introductory period. The aim of this study was to assess the learning curve for ESD of EGC in European countries.

Methods:

Between January 2017 to March 2018, a total of 30 gastric tumors in 30 patients underwent ESD by 2 European trainees over a period of 14 to 9 months. To evaluate the validity of our ESD training program, we analyzed the outcomes of gastric ESD performed by 2 Italian trainees who graduated from medical school 9 years ago. We have criteria which a trainee must meet before they are allowed to do gastric ESD.

Results:

Thirty cases treated with ESD from January 2017 to March 2018 were investigated. They consist of 13 lesions in the antrum; 9 lesions in the angle or the lesser curvature in the body; 8 lesions in other locations. The en-bloc resection rate was 100%, the mean diameter of the resected specimens was 25.1 mm (± 12.8SD), the mean size of the lesions was 37.4 mm (± 11.0SD), the mean procedure time was 102.0minutes (± 55.6SD), and the late bleeding rate was 3.3%(1/30). Complication was controlled by endoscopic treatment. The trainees could complete the whole ESD procedures in all 30 cases (100%).

Conclusions:

Our ESD training program enabled ESD trainees to perform gastric ESD without decline the treatment outcome.