Colorectal endoscopic submucosal dissection in the USA: The current state and future perspectives

Abstract Endoscopic submucosal dissection (ESD) is a transformative advancement in the endoscopic management of superficial gastrointestinal lesions. Initially conceived for the treatment of early gastric cancer, ESD has demonstrated proficiency in achieving en‐bloc resection of superficial gastroin...

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Main Authors: Abdulrahman Qatomah, Hiroyuki Aihara
Format: Article
Language:English
Published: Wiley 2025-04-01
Series:DEN Open
Subjects:
Online Access:https://doi.org/10.1002/deo2.394
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author Abdulrahman Qatomah
Hiroyuki Aihara
author_facet Abdulrahman Qatomah
Hiroyuki Aihara
author_sort Abdulrahman Qatomah
collection DOAJ
description Abstract Endoscopic submucosal dissection (ESD) is a transformative advancement in the endoscopic management of superficial gastrointestinal lesions. Initially conceived for the treatment of early gastric cancer, ESD has demonstrated proficiency in achieving en‐bloc resection of superficial gastrointestinal lesions. ESD has experienced widespread acceptance in Japan and East Asia; however, its adoption in the USA remains delayed. This initial hesitancy could be attributed to procedural complexity and training demands; nonetheless, recently, ESD has been gaining popularity in the USA. This is due to the advancements in endoscopic technology, tailored training programs, and cumulative evidence regarding the efficacy and safety of ESDs. This review aimed to deliberate the historical progress, current implementation, and prospective trajectory of ESDs in the USA. With ongoing clinical research, technological integration, and educational efforts, ESD is likely to become the gold standard for managing large gastrointesitinal lesions. This progress marks an imperative step toward less invasive, more precise, and patient‐centric approaches regarding advanced therapeutic endoscopy in the USA.
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spelling doaj-art-86d0171aaf814e4b832f9eeb7382b7be2025-08-20T02:18:56ZengWileyDEN Open2692-46092025-04-0151n/an/a10.1002/deo2.394Colorectal endoscopic submucosal dissection in the USA: The current state and future perspectivesAbdulrahman Qatomah0Hiroyuki Aihara1Division of Gastroenterology and Hepatology McGill University Health Center Montreal CanadaDivision of Gastroenterology, Hepatology and Endoscopy Brigham and Women's Hospital, Harvard Medical School Boston Massachusetts USAAbstract Endoscopic submucosal dissection (ESD) is a transformative advancement in the endoscopic management of superficial gastrointestinal lesions. Initially conceived for the treatment of early gastric cancer, ESD has demonstrated proficiency in achieving en‐bloc resection of superficial gastrointestinal lesions. ESD has experienced widespread acceptance in Japan and East Asia; however, its adoption in the USA remains delayed. This initial hesitancy could be attributed to procedural complexity and training demands; nonetheless, recently, ESD has been gaining popularity in the USA. This is due to the advancements in endoscopic technology, tailored training programs, and cumulative evidence regarding the efficacy and safety of ESDs. This review aimed to deliberate the historical progress, current implementation, and prospective trajectory of ESDs in the USA. With ongoing clinical research, technological integration, and educational efforts, ESD is likely to become the gold standard for managing large gastrointesitinal lesions. This progress marks an imperative step toward less invasive, more precise, and patient‐centric approaches regarding advanced therapeutic endoscopy in the USA.https://doi.org/10.1002/deo2.394educationendoscopic submucosal dissectionrobotic endoscopytractiontraining
spellingShingle Abdulrahman Qatomah
Hiroyuki Aihara
Colorectal endoscopic submucosal dissection in the USA: The current state and future perspectives
DEN Open
education
endoscopic submucosal dissection
robotic endoscopy
traction
training
title Colorectal endoscopic submucosal dissection in the USA: The current state and future perspectives
title_full Colorectal endoscopic submucosal dissection in the USA: The current state and future perspectives
title_fullStr Colorectal endoscopic submucosal dissection in the USA: The current state and future perspectives
title_full_unstemmed Colorectal endoscopic submucosal dissection in the USA: The current state and future perspectives
title_short Colorectal endoscopic submucosal dissection in the USA: The current state and future perspectives
title_sort colorectal endoscopic submucosal dissection in the usa the current state and future perspectives
topic education
endoscopic submucosal dissection
robotic endoscopy
traction
training
url https://doi.org/10.1002/deo2.394
work_keys_str_mv AT abdulrahmanqatomah colorectalendoscopicsubmucosaldissectionintheusathecurrentstateandfutureperspectives
AT hiroyukiaihara colorectalendoscopicsubmucosaldissectionintheusathecurrentstateandfutureperspectives