ASGE DDW Videos from Around the World | 2023-DILUTE EPINEPHRINE AND COMMERCIALLY AVAILABLE VISCOUS SUBMUCOSAL LIFTING AGENT FOR COLD DUODENAL EMR

DILUTE EPINEPHRINE AND COMMERCIALLY AVAILABLE VISCOUS SUBMUCOSAL LIFTING AGENT FOR COLD DUODENAL EMR

Video Transcription

Video Summary

The video discusses the use of a mixture of dilute epinephrine and a commercially available viscous lifting agent for duodenal cold EMR (endoscopic mucosal resection). Cold EMR is a popular technique for removing duodenal adenomas, although bleeding can be a challenge during the procedure. The combination of dilute epinephrine and lifting agents has previously been used to improve visibility, but this video introduces the use of epinephrine with viscous agents. The benefits of this mixture include decreased bleeding, improved visualization, and a longer duration of lifting. The video demonstrates the preparation of the epinephrine-lifting agent solution and shows the successful resection of a duodenal adenoma with minimal bleeding. Overall, this technique can be applied to other procedures that require a clear visual field and adequate lift. No credits are mentioned in the transcript. (147 words)

Asset Subtitle

Honorable Mention

Keywords

duodenal cold EMR

dilute epinephrine

viscous lifting agent

bleeding

visualization