Endoscopic submucosal dissection: Italian national survey on current practices, training and outcomes.

Roberta Maselli, Federico Iacopini, Francesco Azzolini, Lucio Petruzziello, Mauro Manno, Luca De Luca, Paolo Cecinato, Giancarla Fiori, Teresa Staiano, Erik Rosa Rizzotto, Stefano Angeletti, Angelo Caruso, Franco Coppola, Gianluca Andrisani, Edi Viale, Guido Missale, Alba Panarese, Alessandro Mazzocchi, Paola Cesaro, Mariachiara CampanalePietro Occhipinti, Ottaviano Tarantino, Cristiano Crosta, Piero Brosolo, Sandro Sferrazza, Emanuele Rondonotti, Arnaldo Amato, Lorenzo Fuccio, Guido Costamagna, Alessandro Repici

Research output: Contribution to journalArticlepeer-review

Abstract

Most of the evidence supporting endoscopic submucosal dissection (ESD) comes from Asia. European data are primarily reported by specialized referral centers and thus may not be representative of common European ESD practice. The aim of this study is to understand the current state of ESD practice across Italian endoscopy centers. All Italian endoscopists who were known to perform ESD were invited to complete a structured questionnaire including: operator features and competencies, ESD training details and clinical outcomes over a 2-year period. Twenty-nine operators from 23 centers (69% response rate) completed the questionnaire: 18 (62%) were 150 in 8 (27.5%). Colorectal ESD was predominant for operators with an experience >80 cases. En-bloc resection rates ranged from 77.2 to 97.2% depending on the anatomic location with an R0 resection rate range of 75.3-93.6%. ESD perforation rates in the colon and rectum were significantly lower when experience was >150 compared to 80-150 cases (p 
Original languageUndefined/Unknown
Pages (from-to)64-71
Number of pages8
JournalDigestive and Liver Disease
Volume52
DOIs
Publication statusPublished - Jan 1 2020
Externally publishedYes

Keywords

  • Aged
  • Clinical Competence
  • Colon
  • surgery
  • Colonoscopy
  • adverse effects
  • education
  • methods
  • Dissection
  • Education
  • Medical
  • Graduate
  • Female
  • Gastric Mucosa
  • Gastroscopy
  • Humans
  • Intestinal Mucosa
  • Italy
  • Learning Curve
  • Male
  • Middle Aged
  • Postoperative Complications
  • prevention & control
  • Rectum
  • Retrospective Studies
  • Surveys and Questionnaires
  • Treatment Outcome
  • ESD
  • Early GI tumor
  • Endoscopy
  • Survey

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