Basic Requirements in Establishing a Submucosal Program
Skilled endoscopists |
Training models and workshops to train staff |
Specific and appropriate equipment |
• ESD knives |
• Coagulation forceps |
• Haemostatic devices |
• TTS clips |
• OTSC |
• Enteral stents |
• Electrosurgical units |
Multidisciplinary team involvement |
Surgical support |
Institutional and credentialing board approval |
Nursing support |
Tertiary referral network |
ESD, endoscopic submucosal dissection; TTS, through-the-scope; OTSC, over-the-scope clips.