Introduction of endoscopic submucosal dissection in the West

Table 8 Benefits of institution endoscopic submucosal dissection program

Potential benefit in avoiding surgery/organ resection

“Downstream revenue “from increased services and subsequent referral to surgery/oncology of patients (possibly up to 20% of ESD’s performed)

Enhancement of overall institutional prestige

ESD is a necessity for any institution purporting to be a tertiary referral center for luminal GI tract

Enhanced recruitment of trainees and faculty after establishment of ESD program

ESD: Endoscopic submucosal dissection; GI: Gastrointestinal.