ASGE Advanced Endoscopic Lesion Resection Course

Video Transcription

Video Summary

In the video, the speaker demonstrates an endoscopic submucosal dissection (ESD) procedure using various knives and techniques. He explains that each person finds the knives that work best for them when adopting ESD. The first step is a submucosal injection using a device that has a knife and the ability to inject simultaneously. The speaker and his assistant demonstrate the technique, injecting and lifting the tissue. They also discuss different solutions used for the injection. They then move on to discussing the choice between EMR and ESD for lesions. The speaker explains that if the lesion is only pre-neoplastic, EMR is acceptable, but if there is a risk of cancer and the area is too large to resect with EMR, ESD is the preferred technique. They further explain and demonstrate the use of different knives for ESD, specifically the dual knife and the IT knife. The video concludes with a discussion on dealing with ulcerated polyps concerning for cancer and the importance of photo documentation, tattooing, and discussing with an experienced practitioner. Overall, the video provides an overview of ESD techniques and considerations for lesion resection.<br />No credits are granted.

Keywords

endoscopic submucosal dissection

ESD procedure

knives and techniques

submucosal injection

EMR vs ESD

ulcerated polyps