ASGE DDW Videos from Around the World | 2022-AN EASIER METHOD FOR EFFICACIOUS AND SAFE MANAGEMENT OF EPITHELIAL GASTROINTESTINAL NEOPLASMS

AN EASIER METHOD FOR EFFICACIOUS AND SAFE MANAGEMENT OF EPITHELIAL GASTROINTESTINAL NEOPLASMS

Video Transcription

Video Summary

In this video, Dr. Andrew Leopold discusses an easier method for managing epithelial gastrointestinal neoplasms using endoscopic submucosal dissection (ESD). He mentions that ESD has proven to be effective in removing neoplasms limited to the epithelial layer of the GI tract, with low recurrence rates and high cure rates. However, ESD has limitations such as technical difficulty, long procedure times, and the risk of bleeding and perforation. Dr. Leopold introduces two endoscopic methods, retraction wire deployment and endoscopic suturing, to overcome these limitations. He demonstrates three cases where these techniques were used successfully to remove neoplasms with no adverse events and same-day discharge. The use of a retraction strip and endoscopic suturing improves procedural ease without compromising safety or effectiveness. The technique achieved 100% end block resection rates and R0 margins in these cases.

Keywords

endoscopic submucosal dissection

epithelial gastrointestinal neoplasms

ESD limitations

retraction wire deployment

endoscopic suturing