Learning curve in esophageal endoscopic submucosal dissection by western endoscospists trained in japan: experience in latin america
| dc.creator | Josuéaliaga Ramos | |
| dc.creator | Naohisa Yoshida | |
| dc.creator | Rafiz Abdul Rani | |
| dc.creator | Vitor Nunes Arantes | |
| dc.date.accessioned | 2025-07-24T19:18:59Z | |
| dc.date.accessioned | 2025-09-08T23:07:13Z | |
| dc.date.available | 2025-07-24T19:18:59Z | |
| dc.date.issued | 2023 | |
| dc.format.mimetype | ||
| dc.identifier.doi | https://doi.org/10.1590/S0004-2803.20230222-168 | |
| dc.identifier.issn | 16784219 | |
| dc.identifier.uri | https://hdl.handle.net/1843/83824 | |
| dc.language | eng | |
| dc.publisher | Universidade Federal de Minas Gerais | |
| dc.relation.ispartof | Arquivos de Gastroenterologia | |
| dc.rights | Acesso Aberto | |
| dc.subject | Endoscopic Mucosal Resection | |
| dc.subject | Learning Curve | |
| dc.subject.other | Endoscopic Mucosal Resection | |
| dc.subject.other | Learning Curve | |
| dc.subject.other | superficial esophageal neoplasms. | |
| dc.title | Learning curve in esophageal endoscopic submucosal dissection by western endoscospists trained in japan: experience in latin america | |
| dc.type | Artigo de periódico | |
| local.citation.epage | 216 | |
| local.citation.issue | 2 | |
| local.citation.spage | 208 | |
| local.citation.volume | 60 | |
| local.description.resumo | Esophageal endoscopic submucosal dissection (EESD) is a complex and time-consuming procedure at which training are mainly available in Japan. There is a paucity of data concerning the learning curve to master EESD by Western endoscopists. Objective – This study aimed to assess the learning curve effect on patient’s clinical outcome for EESD. Methods – This is a retrospective observational study. Enrolling patients that underwent EESD from 2009 to 2021. The analysis was divided into two periods; T1: case 1 to 49 and T2: case 50 to 98. The following features were analyzed for each group: patients and tumors characteristics, en-bloc, complete and curative resection rates, procedure duration and adverse events rate. Results – Ninety-eight EESD procedures were performed. Mean procedure time was 111.8 min and 103.6 min for T1 and T2, respectively (P=0.004). En bloc resection rate was 93.8% and 97.9% for T1 and T2, respectively (P=0.307). Complete resection rate was 79.5% and 85.7% for T1 and T2, respectively (P=0.424). Curative resection rate was 65.3% and 71.4% for T1 and T2, respectively (P=0.258). Four patients had complications; three during T1 period and one during T2 period. Overall mortality rate: 0%. Conclusion – The esophageal endoscopic submucosal dissection could be performed effectively and safely by an adequately trained Western endoscopist | |
| local.publisher.country | Brasil | |
| local.publisher.department | MED - DEPARTAMENTO DE CIRURGIA | |
| local.publisher.initials | UFMG | |
| local.url.externa | https://www.scielo.br/j/ag/a/GfbpKP5nPNQNg7LwpMdxxdN/?lang=en |