ESD Hands-on Course Using Ex Vivo and In Vivo Models in South Korea.
- Author:
Gene Hyun BOK
1
;
Joo Young CHO
Author Information
1. Institute for Digestive Research, Digestive Disease Center, Soonchunhyang University Hospital, Soonchunhyang University College of Medicine, Seoul, Korea. schcjy@schmc.ac.kr
- Publication Type:Review
- Keywords:
Endoscopic submucosal dissection;
Endoscopic submucosal dissection training;
Ex vivo model;
In vivo model
- MeSH:
Learning Curve;
Models, Animal;
Republic of Korea;
Stomach Neoplasms
- From:Clinical Endoscopy
2012;45(4):358-361
- CountryRepublic of Korea
- Language:English
-
Abstract:
Endoscopic submucosal dissection (ESD) is an established treatment for gastric neoplasias especially in regions with a high volume of gastric cancer. Although ESD has many advantages over endoscopic mucosal resection, ESD is technically more difficult and can result in severe complications. Therefore establishment of an effective training system is required to help endoscopists climb the ESD learning curve. Although a standard training system for ESD remains to be established, some centers are incorporating ex vivo and/or in vivo animal models to provide a safe and effective means of ESD training. However, it is unknown if these animal models are more effective than other programs. Moreover the efficacy of the animal model may vary according to socio-economic status and the volume of gastric cancer. In this article we introduce the basic and advanced ESD training model using the ex vivo and in vivo animal model from South Korea and review the associated literature from other regions.
