The ACG grant recipient traveled to the National Cancer Center Hospital in Tokyo, Japan to receive training in endoscopic submucosal dissection (ESD) from Dr. Yutako Saito. ESD is an advanced endoscopic technique used in Japan to resect early gastric cancer. The grant recipient observed ESD procedures, participated in multi-specialty conferences, and practiced ESD on ex vivo pig models. The intensive training experience has helped the grant recipient implement an ESD training program at their home institution in the United States.