ASGE Advanced Endoscopic Lesion Resection Course (On-Demand) | November 2022-Endoscopic Full Thickness Resection

Video Transcription

Video Summary

In this video, the presenter demonstrates the technique of endoscopic full thickness resection in a colon model. They emphasize the importance of correct setup and proper training of assistants and technicians. The presenter explains that endoscopic marking of the lesion edges using APC or a snare tip before the procedure is helpful for adequate visualization and capture of the entire lesion. They also discuss lesion selection, mentioning that the device used is rated for lesions up to three centimeters, but larger or harder lesions may require smaller size selection. The presenter provides a detailed description of the setup process, including attaching the control wheel and the guiding catheter to the endoscope, as well as attaching the resection snare and the sheath. They highlight the importance of taping the sheath to the endoscope to maintain alignment. The presenter demonstrates the insertion of the combined device into the model and the use of a grasper to pull the lesion into the cap. They deploy a clip to close the hole and proceed with the cut. The presenter displays the resected tissue and discusses the suitability of this technique for submucosal lesions, particularly carcinoids. They conclude by encouraging viewers to ask questions and provide suggestions for further demonstrations.

Keywords

endoscopic full thickness resection

colon model

lesion selection

setup process

tissue resection

submucosal lesions