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Before you implement a new technique or technology in your unit: a strategic perspective of endoscopy

Published:August 03, 2022DOI:https://doi.org/10.1016/j.gie.2022.07.027
      Endoscopy has evolved rapidly in the past decades because of significant increases in the number of endoscopy units, development of specific tools and accessories, ease of access (eg, open-access endoscopy), and high-quality prospective data showing good long-term patient-oriented outcomes, cost-effectiveness, and feasibility. Concomitantly, leaders of the scientific community have continuously pushed the envelope and expanded the indications and possibilities of digestive endoscopy. Where therapy is concerned, the development of innovative techniques is driven by a superior risk-to-benefit profile when compared with the more invasive classic approaches (eg, surgery). For a new technique to be widely adopted, it needs to fulfill certain criteria, such as time-tested proof of desirable outcome, availability of instruments, and stakeholder endorsement.

      Abbreviation:

      ESD (endoscopic submucosal dissection)
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