The current state of endoscopic submucosal dissection in the UK: a nationwide cross-sectional survey - Takeaways - MDSpire

The current state of endoscopic submucosal dissection in the UK: a nationwide cross-sectional survey

  • By

  • Said Alyacoubi

  • Sung Pil Hong

  • Nisha Patel

  • Amyn Haji

  • Mark Runciman

  • Ara Darzi

  • George Mylonas

  • Christopher J. Peters

  • April 13, 2026

  • 0 min

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  • 1

    Endoscopic submucosal dissection (ESD) allows for en bloc removal of early gastrointestinal neoplasia, showing higher efficacy than endoscopic mucosal resection.

  • 2

    The adoption of ESD in the UK is slower compared to Asia due to limited training pathways and institutional barriers.

  • 3

    A nationwide survey of UK endoscopists revealed insights into ESD practices, including demographics, training, and perceived barriers.

  • 4

    Most respondents were experienced gastroenterologists, with the majority having completed advanced endoscopy fellowships, primarily in the UK.

  • 5

    The study highlights the need for structured training and increased case availability to enhance ESD practice in the UK.

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