Endoscopic Submucosal Dissection Training in Western Countries

  • Adolfo Parra-Blanco
  • Vitor Arantes
  • Nicolás González
  • Alberto Herreros de Tejada
  • Andrés Donoso


This chapter has been included because there are major differences between Japan, and to a lesser extent South Korea, and western countries in the application of endoscopic submucosal dissection (ESD). Among the differences is the fact that for decades special consideration has been given in Japan to early flat neoplastic lesions in the digestive tract, which forms an important part of their macroscopic classifications. As well, endoscopic mucosal resection (EMR), only now considered standard in western countries, has been applied in Japan for many years (especially before the advent of ESD). Staining and digital chromoendoscopy, and magnification endoscopy for the detailed diagnosis of early neoplasms, are part of the basic knowledge of endoscopists in Japan, while in western countries even traditional chromoendoscopy has not yet been fully adopted. For example, while ESD was being developed in Japan, the importance of flat colorectal lesions was still debated in western countries and EMR was still not routinely performed in many endoscopy units. In effect, Japan and to a lesser extent South Korea are much more advanced than western countries in ESD and should be a reference in training endoscopists in this complex, exciting, and useful technique.


Endoscopic submucosal dissection Training Western countries Animal models 


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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  • Adolfo Parra-Blanco
    • 1
  • Vitor Arantes
    • 2
  • Nicolás González
    • 3
  • Alberto Herreros de Tejada
    • 4
  • Andrés Donoso
    • 5
  1. 1.Department of Gastroenterology, School of MedicinePontificia Universidad Católica de ChileSantiagoChile
  2. 2.Alfa Institute, School of MedicineMinas Gerais Federal UniversityBelo HorizonteBrazil
  3. 3.Department of GastroenterologyHospital de ClínicasMontevideoUruguay
  4. 4.Department of GastroenterologyIDIPHIM. Puerta de Hierro University Hospital, Universidad Autónoma de MadridMadridSpain
  5. 5.Department of Surgery, School of MedicinePontificia Universidad Católica de ChileSantiagoChile

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