ASGE International Sampler (On-Demand)-Live Procedure 1: Mayo Clinic

Video Transcription

Video Summary

In this video, Dr. Vivek Kumbhari performs an endoscopic submucosal dissection (ESD) procedure on a patient with a rectal polyp. The video begins with Dr. Kumbhari thanking everyone involved in making the procedure possible. He introduces Dr. Mia Mizrahi, an expert in ESD, who will assist him in performing the case. Dr. Mizrahi provides an overview of the patient's medical history and the plan for the procedure. They discuss the equipment they will be using, including the Fuji ELOX system, dual-channel scopes, and various knives.<br /><br />The video then shows clips of the actual procedure. Dr. Kumbhari demonstrates the use of a traction device called track motion, which allows them to grasp and pull the tissue for better visualization and dissection. The use of the device is shown in several videos, along with commentary from Dr. Mizrahi. They navigate the lesion, use chromatoscopy for better visualization, and discuss their approach to the procedure. They also address questions from the moderators and viewers, discussing topics such as pain management, scope stability, and suturing techniques.<br /><br />The video concludes with Dr. Kumbhari suturing the resection site and discussing their decision to suture. Dr. Kumbhari suggests that the use of active injection and traction devices like track motion can make ESD procedures faster, safer, and more effective. Dr. Mizrahi adds that the use of traction devices should be introduced early in training for ESD procedures. The video provides an in-depth look at the procedure, the equipment used, and the expert commentary and discussion between Dr. Kumbhari and Dr. Mizrahi.<br /><br />This video was produced by Mayo Clinic and features Dr. Vivek Kumbhari and Dr. Mia Mizrahi.

Asset Subtitle

Vivek Kumbhari, MD

Keywords

endoscopic submucosal dissection

rectal polyp

ESD procedure

Fuji ELOX system

dual-channel scopes

traction device

chromatoscopy

suturing techniques