Advanced Therapeutic Endoscopy: Submucosal Dissection and Third Space Endoscopy – 4th ed.

November 03 - 05, 2022
Advanced Therapeutic Endoscopy: Submucosal Dissection and Third Space Endoscopy – 4th ed.

Course Features


Endoscopic resection is a surgical method used to treat malignant and potentially malignant gastrointestinal lesions. In recent years, the technique has advanced significantly, progressing from polypectomy to endoscopic mucosal resection (EMR) and more recently endoscopic submucosal dissection (ESD). This minimally invasive technique is considered first-line therapy in patients with colorectal, gastric and oesophageal lesions who do not yet have invasive cancer. Certainty about the endoscopic and histological integrity of the lesion once resected is needed to avoid unnecessary major surgical treatment in these patients. Although many superficial gastrointestinal neoplasms can be treated by EMR, it is not suitable for en bloc resection of lesions larger than 20 mm or lesions with mucosal fibrosis. Hence the current importance of acquiring skills in ESD.
This course does not have any sections.


At the end of the event participants will be able to:

  • Recognise the indications and note possible technical difficulties of submucosal endoscopic dissection (ESD) in oesophagus, stomach and colon.
    Recognise precisely the dissection planes and the anatomy of the third space.
  • Have acquired proficiency in the appropriate endoscope movements for ESD, and how they differ from movements in other therapeutic endoscopy techniques.
  • Recognise the characteristics of electrosurgical systems, their mechanism of action and parameters to be used during the different phases of ESD, POEM, GPOEM, STER, Zenker’s diverticulotomy.
  • Recognise the characteristics of the hydrodissection system, its mechanism of action and parameters to be used according to the conditions of the area to be dissected.
  • Know the characteristics of endoscopic scalpels and how to make the most of their use.
  • Efficiently handle the manoeuvres and instruments of haemostasis during ESD and third space endoscopy.
  • Acquire basic skills in the recognition and closure of perforations with the use of endoclips.
  • Recognise when and how to use available traction and counter-traction systems to facilitate dissection.
  • Recognise one’s own limitations and weaknesses in order to identify which phases of dissection the participant should emphasise during further training.


Dr. Ana Bargalló. Gastroenterologist. Endos Medicina, Barcelona

Dr. Alfredo Mata. Gastroenterologist. Hospital de Sant Joan Despí Moisès Broggi, Barcelona

Dr. Felipe Ramos. Gastroenterologist. Hospital Universitario HM Montepríncipe, Madrid

Dr. Francisco Martín. Gastroenterologist. Hospital Clínico Universitario de Santiago de Compostela

Dr. Hugo Uchima. Gastroenterologist. Hospital Universitario Germans Trías i Pujol, Badalona

Dr. David Barquero. Gastroenterologist. Hospital de Sant Joan Despí Moisés Broggi, Barcelona

Dr. Álvaro Terán. Gastroenterologist. Hospital Universitario Marqués de Valdecilla, Santander


Digestive system specialists, with previous knowledge of digestive endoscopy and conventional endoscopic therapy (polypectomy, mucosectomy).

Course details

The learning methodology will be active and eminently practical, student-centred. A small part of the course will be devoted to theoretical concepts, with an update on fundamental and advanced concepts, and a time specifically for discussion between students, speakers and course monitors. Audiovisuals will be shown on the techniques that the students will have to practise afterwards, encouraging the participation of the students in order to resolve their specific doubts. The rest of the teaching time will be practical using advanced simulation models and animal models, with the constant support of the monitors.

The monitors will accompany the students throughout the learning process. The acquisition of specific skills will be supervised and will be recorded in an evaluation checklist. Students will be allowed to repeat the manoeuvres as many times as required until they are correctly performed.

Number of places: 12

Class hours: 19.5 hours; 13.5 hours of which are in vivo simulation.



Course ACREDITADO by “Consell Català de Formació Continuada de les Professions Sanitàries” and “Comisión de Formación Continuada del Sistema Nacional de Salud”


With the endorsement of: