ASGE Advanced Endoscopic Lesion Resection Course (On-Demand)

Video Transcription

Video Summary

The video features Dr. Neil Gupta and Dr. Shifa Umar discussing various endoscopic devices and techniques for resectioning lesions. They begin by introducing themselves and explaining that they will be showcasing hands-on techniques and tools used in endoscopy. They emphasize the importance of asking questions and tailoring the session to the viewers' interests. <br /><br />The video then proceeds to demonstrate an endoscopic mucosal resection (EMR) technique. Dr. Gupta injects a submucosal solution to separate the lesion from the muscularis propria. He explains the use of different lifting agents and demonstrates how to inject and lift the lesion. Dr. Gupta uses a snare to resect the lifted portion, ensuring a clean resection base. They answer audience questions about the technique, such as using epinephrine in the lifting agent and preferred size of the snare.<br /><br />They also discuss the use of band EMR in the esophagus and rectum, highlighting safety considerations and potential complications. Dr. Gupta explains that injecting tangentially to the mucosal plane helps find the submucosal space. They address concerns about the lifting agent dissipating over time and recommend using more viscous proprietary agents.<br /><br />Towards the end of the video, they address residual strips of the lesion that may be difficult to remove. Dr. Gupta demonstrates the use of coagulation forceps to avulse the tissue and answers questions regarding the coagulation settings and specimen handling.<br /><br />Overall, the video provides detailed explanations and demonstrations of endoscopic devices and techniques used in EMR. It offers insights into lifting agents, snare selection, and tips for successful resection. The presenters encourage audience engagement and customization of the session.

Keywords

endoscopic devices

techniques

lesion resection

endoscopic mucosal resection

lifting agents

snare resection

band EMR