Learning Curve for Gastric Endoscopic Submucosal Dissection

Soon Chun Hyang University

Status: Completed

Conditions: Gastric Neoplasm; Endoscopic Submucosal Dissection

Treatments: Procedure: Endoscopic submucosal dissection

Study type: Observational

Funder types: Other

Identifiers

NCT05265221

SCH-ESD-2022

Details and patient eligibility

About

Endoscopic submucosal dissection (ESD) for early gastric cancer is a widely accepted treatment option of expanded indication worldwide.

ESD is relatively difficult compared with endoscopic mucosal resection, thus, proper training is essential for the safe performance of the procedure. Thus, it is necessary to receive proper training in the procedure for safe performance of ESD. Previous studies reported that there was a learning curve in ESD training and preceptees needed to perform at least 30-40 procedures in order to master this technique. However, there is few study about the association between the clinical characteristics and competence level for gastric ESD.

Full description

This study aims to evaluate the clinical outcomes of ESD and to describe the learning curve for ESD of the gastric neoplasm, based on the analysis of a single endoscopist's experience.

Enrollment: 356 patients

Sex: All

Ages: 20+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Pathologically confirmed gastric neoplasm

Exclusion criteria

• Age < 20
• History of gastric surgery
• Severe systemic disease
• Advanced chronic liver disease
• Recent history of upper gastrointestinal bleeding