ASGE Advanced Endoscopic Lesion Resection Course

Video Transcription

Video Summary

In the video, Dr. Neil Gupta and Dr. Shifa Umar discuss various devices and techniques used in endoscopic resection procedures. They start by introducing themselves and explaining that they will be demonstrating different hands-on techniques and tools that are used in endoscopic resections. They emphasize the importance of asking questions and audience participation. They begin the demonstration with an EMR technique using an injection needle to create a submucosal lift. They then use a snare to cut out the lifted portion, demonstrating the resection of a lesion. They discuss the use of different snares for different resections and the importance of selecting the appropriate size based on the type of resection being performed. They also answer audience questions regarding the use of epinephrine and the technique for injecting the lifting agent. They demonstrate the injection technique and describe the importance of going tangential to the plane of the mucosa and lumen. They also discuss the use of proprietary lifting agents that have a longer dissipation time, making it easier to perform resections without the lifting agent dissipating before snaring. Finally, they demonstrate the use of coagulation forceps to remove residual tissue and answer audience questions about sending the tissue to pathology.

Keywords

endoscopic resection

techniques

EMR

snare

lesion resection

injection technique

coagulation forceps