Endoscopic Submucosal Dissection for Colorectal Neoplasms: Is the West Catching Up?
Ishaan Vohra·Neil Sharma·Anuraga Meyyappan·Cody Chen·Garrett Blatter·Brian Martins·Shyam Thakkar·Harishankar Gopakumar
Endoscopic submucosal dissection (ESD) has revolutionized the management of superficial colorectal neoplasms, offering superior en bloc resection rates compared with conventional endoscopic mucosal resection (EMR). While ESD has been the standard of care in East Asian countries for over two decades, its adoption in Western countries has been considerably slower, hampered by the steep learning curve, prolonged procedural times, limited training infrastructure, and differences in disease epidemiol