INITIATIVES

Description

Endoscopic submucosal dissection (ESD) is a well-established technique of endoscopic resection that allows for whole removal of GI epithelial lesions. With ESD, the submucosa is dissected under the lesion with a specialized knife. This enables removal of larger and potentially deeper lesions with an expected cure. This CME-accredited ESD workshop is presented in four modules providing in-depth instruction on how to start a ESD practice, lesion selection, performing safe and effective ESD and concluding with post-ESD care. The total workshop is presented in two 2-hour time blocks on two consecutive weeks.  

 

Module I: Issues to Consider Before Starting ESD Practice

This module is devoted to the practical considerations including obtaining proper training, setting up an endoscopic unit, billing considerations and finally fitting ESD into your busy practice.

 

Learning objectives

1. Identify proper methods of training for ESD

2. Describe the learning curve for ESD and methods to shorten the process

3. Discuss how to prepare the unit and the staff  

4. Discuss the use of correct coding for each procedure

 

Module 2: Lesion Selections for ESD

Proper patient and lesion selection for ESD are essential. This module focuses on indications in the east versus the west, gastric lesions, esophageal lesions, colonic lesions as well as miscellaneous indications.

 

Learning objectives: 

1. Discuss the proper indication of ESD in each anatomic site

2. Describe the different needs for ESD between the East and the West

3. Discuss the high-risk associated with performing duodenal ESD

 

Module 3: How to Perform Safe and Effective ESD

This module delineates the essential ESD tools: electrosurgical generator, caps, knifes, coagulation grasper as well as additional tools such as stabilization devices, traction and closure devices. This is followed by  in-depth instruction on standard, pocket, tunneling techniques and intraprocedural adverse events.

 

Learning objectives:

1. Discuss knife designs and how to leverage the knife design based on lesion characteristics for ESD

2. Describe the pros and cons of every ESD technique

3. Discuss the value of traction and stabilization devices to achieve safer ESD

 

Module 4: Post-ESD care

This final, but important module focuses on when to admit or discharge patients after ESD and how to identify and manage post procedural adverse events. Critical post-procedure surveillance and interpretation of pathology reports will be closely examined.

 

Learning objectives:

1. Discuss the criteria for admission post-ESD

2. Recognize and manage post-procedural adverse events  

3. Describe indications for surgery post-ESD

 

Faculty Bio

Dr. Mohamed Othman is currently Professor, Department of Internal Medicine, Gastroenterology and Hepatology Section, Baylor College of Medicine, Chief Gastroenterology Service, Baylor/St. Luke’s Medical Center, the William T. Butler Chair of Distinguished Faculty and Chair of Texas Division Digestive Disease Service Line, Catholic Health Initiative. Dr Othman has been a recipient of many awards including Baylor St Luke’s Medical Center Innovator of the Year Award. Actively involved in several research projects funded by the NIH including Consortium for the Study Chronic Pancreatitis, Diabetes and Pancreatic Cancer. He has published nearly a 100 studies/articles in peer-reviewed journals and several book chapters. A highly sought-after speaker, Dr. Othman has presented at numerous national and international medical conferences.

 

 

Continuing Education for Physicians and Nurses

Earn 4 CME AMA PRA Category 1 Credits (TM) or 4 CNEs for completing 2 sessions.

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Your CE Source and Saxe Healthcare Communications. 

Provider Saxe Healthcare Communications approved by California Board of Nursing, Provider # 14477
and the Florida Board of Nursing Provider # 50-17032.