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 Campanale; Pietro Occhipinti; Ottaviano Tarantino; Cristiano Crosta; Piero Brosolo; Sandro Sferrazza; Emanuele Rondonotti; Arnaldo Amato; Lorenzo Fuccio; Guido Costamagna; Alessandro Repici

doi:10.1016/j.dld.2019.09.009

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 journal › Article › peer-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 language	Undefined/Unknown
Pages (from-to)	64-71
Number of pages	8
Journal	Digestive and Liver Disease
Volume	52
DOIs	https://doi.org/10.1016/j.dld.2019.09.009
Publication status	Published - Jan 1 2020
Externally published	Yes

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

Access to Document

10.1016/j.dld.2019.09.009

Cite this

Maselli, R., Iacopini, F., Azzolini, F., Petruzziello, L., Manno, M., De Luca, L., Cecinato, P., Fiori, G., Staiano, T., Rosa Rizzotto, E., Angeletti, S., Caruso, A., Coppola, F., Andrisani, G., Viale, E., Missale, G., Panarese, A., Mazzocchi, A., Cesaro, P., ... Repici, A. (2020). Endoscopic submucosal dissection: Italian national survey on current practices, training and outcomes. Digestive and Liver Disease, 52, 64-71. https://doi.org/10.1016/j.dld.2019.09.009

Endoscopic submucosal dissection: Italian national survey on current practices, training and outcomes. / Maselli, Roberta; Iacopini, Federico; Azzolini, Francesco; Petruzziello, Lucio; Manno, Mauro; De Luca, Luca; Cecinato, Paolo; Fiori, Giancarla; Staiano, Teresa; Rosa Rizzotto, Erik; Angeletti, Stefano; Caruso, Angelo; Coppola, Franco; Andrisani, Gianluca; Viale, Edi; Missale, Guido; Panarese, Alba; Mazzocchi, Alessandro; Cesaro, Paola; Campanale, Mariachiara; Occhipinti, Pietro; Tarantino, Ottaviano; Crosta, Cristiano; Brosolo, Piero; Sferrazza, Sandro; Rondonotti, Emanuele; Amato, Arnaldo; Fuccio, Lorenzo; Costamagna, Guido; Repici, Alessandro.

In: Digestive and Liver Disease, Vol. 52, 01.01.2020, p. 64-71.

Research output: Contribution to journal › Article › peer-review

Maselli, R, Iacopini, F, Azzolini, F, Petruzziello, L, Manno, M, De Luca, L, Cecinato, P, Fiori, G, Staiano, T, Rosa Rizzotto, E, Angeletti, S, Caruso, A, Coppola, F, Andrisani, G, Viale, E, Missale, G, Panarese, A, Mazzocchi, A, Cesaro, P, Campanale, M, Occhipinti, P, Tarantino, O, Crosta, C, Brosolo, P, Sferrazza, S, Rondonotti, E, Amato, A, Fuccio, L, Costamagna, G & Repici, A 2020, 'Endoscopic submucosal dissection: Italian national survey on current practices, training and outcomes.', Digestive and Liver Disease, vol. 52, pp. 64-71. https://doi.org/10.1016/j.dld.2019.09.009

Maselli, Roberta ; Iacopini, Federico ; Azzolini, Francesco ; Petruzziello, Lucio ; Manno, Mauro ; De Luca, Luca ; Cecinato, Paolo ; Fiori, Giancarla ; Staiano, Teresa ; Rosa Rizzotto, Erik ; Angeletti, Stefano ; Caruso, Angelo ; Coppola, Franco ; Andrisani, Gianluca ; Viale, Edi ; Missale, Guido ; Panarese, Alba ; Mazzocchi, Alessandro ; Cesaro, Paola ; Campanale, Mariachiara ; Occhipinti, Pietro ; Tarantino, Ottaviano ; Crosta, Cristiano ; Brosolo, Piero ; Sferrazza, Sandro ; Rondonotti, Emanuele ; Amato, Arnaldo ; Fuccio, Lorenzo ; Costamagna, Guido ; Repici, Alessandro. / Endoscopic submucosal dissection: Italian national survey on current practices, training and outcomes. In: Digestive and Liver Disease. 2020 ; Vol. 52. pp. 64-71.

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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 ",

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AU - Manno, Mauro

AU - De Luca, Luca

AU - Cecinato, Paolo

AU - Fiori, Giancarla

AU - Staiano, Teresa

AU - Rosa Rizzotto, Erik

AU - Angeletti, Stefano

AU - Caruso, Angelo

AU - Coppola, Franco

AU - Andrisani, Gianluca

AU - Viale, Edi

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AU - Panarese, Alba

AU - Mazzocchi, Alessandro

AU - Cesaro, Paola

AU - Campanale, Mariachiara

AU - Occhipinti, Pietro

AU - Tarantino, Ottaviano

AU - Crosta, Cristiano

AU - Brosolo, Piero

AU - Sferrazza, Sandro

AU - Rondonotti, Emanuele

AU - Amato, Arnaldo

AU - Fuccio, Lorenzo

AU - Costamagna, Guido

AU - Repici, Alessandro

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JO - Digestive and Liver Disease

JF - Digestive and Liver Disease

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