Establishing endoscopic submucosal dissection (ESD) - Learning curve experience in an Austrian referral centre

Introduction: ESD is the treatment of choice for mucosal pre-/cancers of the gastrointestinal (GI) tract. Benefits of ESD are curative resection en-bloc, conclusive histopathology, and near zero rate of local recurrence [1]. ESD was introduced in Japan, where it spreads by clinical tutoring. In Europe, however, ESD is to be established without clinical tutoring.