Learning to perform endoscopic resection of esophageal neoplasia is associated with significant complications even within a structured training program

van Vilsteren, FGI; Pouw, RE; Herrero, LA; Peters, FP; Bisschops, Raf; Houben, M; Peters, FTM; Schenk, BE; Weusten, BLAM; Visser, M; Ten Kate, FJW; Fockens, P; Schoon, EJ; Bergman, JJGHM

doi:10.1055/s-0031-1291384

Learning to perform endoscopic resection of esophageal neoplasia is associated with significant complications even within a structured training program

Author:

van Vilsteren, FGI

Pouw, RE ; Herrero, LA ; Peters, FP ; Bisschops, Raf ; Houben, M ; Peters, FTM ; Schenk, BE ; Weusten, BLAM ; Visser, M ; Ten Kate, FJW ; Fockens, P ; Schoon, EJ ; Bergman, JJGHM

Keywords:

Aged, Animals, Barrett Esophagus, Carcinoma, Squamous Cell, Clinical Competence, Education, Medical, Graduate, Esophageal Neoplasms, Esophageal Perforation, Esophagoscopy, Esophagus, Female, Gastrointestinal Hemorrhage, Humans, Learning Curve, Male, Middle Aged, Mucous Membrane, Swine, Treatment Outcome, Science & Technology, Life Sciences & Biomedicine, Gastroenterology & Hepatology, Surgery, HIGH-GRADE DYSPLASIA, EARLY BARRETTS NEOPLASIA, MUCOSAL RESECTION, INTRAEPITHELIAL NEOPLASIA, RADIOFREQUENCY ABLATION, MULTIBAND MUCOSECTOMY, FOCAL ABLATION, ERADICATION, EMR, ADENOCARCINOMA, 1103 Clinical Sciences, 3202 Clinical sciences

Abstract:

Endoscopic resection is the cornerstone of endoscopic treatment of esophageal high grade dysplasia or early cancer. Endoscopic resection is, however, a technically demanding procedure, which requires training and expertise. The aim of the current study was to prospectively evaluate efficacy and safety of the first 120 endoscopic resection procedures of early esophageal neoplasia performed by six endoscopists (20 endoscopic resections each) who were participating in an endoscopic resection training program.