Amrita Sethi, MD, MASGE, NYSGEF, Editor
In this issue, we are reminded of the origins of ESD as well as the considerations that must be made as we integrate the field into Western practice. We learn of indications and techniques of submucosal endoscopy for early neoplasms and submucosal lesions, in the esophagus, stomach, duodenum, colon, and rectum. Furthermore, we discuss resection of lesions not traditionally considered GI in nature but made possible by such techniques as TSE and EFTR. The expansive reach of the access created by the submucosal tunneling techniques in treating disorders that target muscular layers, such as achalasia, is thoroughly explored, including indications, outcomes, and techniques. For innovation to proceed, we must understand all aspects of submucosal endoscopy, including electrocautery principles, the tools currently available to perform these techniques, ways in which to manage adverse events, and how to consider training and measuring competency. It is equally important to see modifications and developing technology (ie, robotics) that will help guide growth in the field.
Given the rapid pace at which the field of ESD and TSE is moving, it is important to not only maintain perspectives from the pioneers in the field but also appreciate how emerging endoscopists are adopting and innovating techniques to make these procedures safe and more effective and develop novel indications. I am grateful to the authors for providing their excellent guidance to help navigate the path ahead. And, on behalf of myself and all of the authors, I thank the editor, Dr Lightdale, for this opportunity to share our passion for this field.
Article info
Publication history
Published online: October 23, 2022
Identification
Copyright
© 2022 Published by Elsevier Inc.
00082-4&id=fx1.jpg){kind=link}