Endoscopic submucosal dissection in Spain: outcomes and development possibilities

Rev Esp Enferm Dig. 2013 Oct;105(9):544-52. doi: 10.4321/s1130-01082013000900006.


Endoscopic submucosal dissection (ESD) allows endoscopic, curative, en-bloc resection of superficial malignant or premalignant lesions. This procedure was conceived over 10 years ago in Japan, but has not experienced great expansion in Western countries for different reasons. This article reviews ESD indications and outcomes, and reflects on the reasons that prevent ESD from becoming common clinical practice in Western hospitals. Finally, recommendations on ESD training in our setting are made.

Publication types

  • Review

MeSH terms

  • Diffusion of Innovation
  • Endoscopy, Gastrointestinal / methods*
  • Endoscopy, Gastrointestinal / statistics & numerical data
  • Gastric Mucosa / surgery*
  • Humans
  • Spain
  • Stomach Neoplasms / surgery*
  • Treatment Outcome