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World J Gastrointest Endosc. Apr 16, 2014; 6(4): 112-120
Published online Apr 16, 2014. doi: 10.4253/wjge.v6.i4.112
ESD training: A challenging path to excellence
Alberto Herreros de Tejada
Alberto Herreros de Tejada, Department of Gastroenterology, IDIPHIM, Puerta de Hierro University Hospital, 28222 Madrid, Spain
Author contributions: Herreros de Tejada A solely contributed to this paper.
Correspondence to: Alberto Herreros de Tejada, MD, PhD, Department of Gastroenterology, IDIPHIM, Puerta de Hierro University Hospital, Joaquin Rodrigo, 2. Majadahonda, 28222 Madrid, Spain.
Telephone: +34-911-917909 Fax: +34-911-916729
Received: November 26, 2013
Revised: February 11, 2014
Accepted: March 3, 2014
Published online: April 16, 2014
Core Tip

Core tip: This mini review focuses on endoscopic submucosal dissection (ESD) training. ESD is a relatively novel advanced technique used for en bloc resection of gastrointestinal early neoplasia. ESD training has become a challenge for Western endoscopists due to several factors: low detection rate of early gastric cancer, the perfect scenario for starters; lack of experts in the technique for adequate tutoring; and finally, most of the target lesions in Western countries are colorectal neoplasias, representing the highest peak of difficulty in ESD. We will review some of the most important steps that could shape a training program in ESD, including animal training. Particular attention is focused on colorectal ESD.