Editorial
Copyright ©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Oncol. Apr 15, 2025; 17(4): 101832
Published online Apr 15, 2025. doi: 10.4251/wjgo.v17.i4.101832
Endoscopic resection of gastrointestinal tumors: Training levels and professional roles explored
Ahmed Tawheed, Alaa Ismail, Mohamed El-Kassas, Amr El-Fouly, Ahmad Madkour
Ahmed Tawheed, Mohamed El-Kassas, Amr El-Fouly, Ahmad Madkour, Department of Endemic Medicine, Faculty of Medicine, Helwan University, Cairo 11795, Egypt
Alaa Ismail, Faculty of Medicine, Helwan University, Cairo 11795, Egypt
Author contributions: All authors have contributed to this article and have approved the final version of the manuscript; El-Kassas M designed the overall concept and outline of the manuscript; Tawheed A wrote the manuscript; Ismail A conducted the literature search; Madkour A and El-Fouly A provided important technical details and revised the manuscript.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Ahmed Tawheed, MD, MSc, PhD, Consultant Physician-Scientist, Lecturer, Department of Endemic Medicine, Faculty of Medicine, Helwan University, Ain helwan, Cairo 11795, Egypt. ahmed.tawhid@med.helwan.edu.eg
Received: September 27, 2024
Revised: January 26, 2025
Accepted: February 11, 2025
Published online: April 15, 2025
Processing time: 178 Days and 16.9 Hours
Abstract

In this editorial, we provide commentary on a recently published study by Zhao et al in the World Journal of Gastrointestinal Oncology. The study discusses the clinical characteristics of patients undergoing endoscopic resection for gastric cancers. We feel it is important to engage our endoscopy community in a discussion on the current evidence in the literature on the necessary number of cases for training in endoluminal surgery techniques, particularly endoscopic submucosal dissection. This includes the latest recommendations from the European Society of Gastrointestinal Endoscopy, as well as a summary of key studies on the learning curve for these techniques. Additionally, we explore the impact of an endoscopist’s specialty on endoscopy outcomes, drawing from current evidence in the literature to shape our perspective in this evolving field.

Keywords: Learning curve; Endoluminal surgery; Endoscopic submucosal dissection; Gastroenterologist; Surgeons; Endoscopic mucosal resection

Core Tip: In this editorial, we provide an overview of existing societies’ and associations’ guidelines and data regarding the requisite training standards for conducting endoluminal endoscopic procedures for resection of gastrointestinal tumors. We also emphasize the superior outcomes of endoscopies carried out by gastroenterologists in comparison to those performed by surgeons.