ASGE DDW Videos from Around the World | 2023-NOVEL TECHNOLOGY AND NEW TRANS ANAL PLATFORM TO EXCISE A COMPLEX LEFT COLONIC LESION AND PREVENT LUMINAL NARROWING

NOVEL TECHNOLOGY AND NEW TRANS ANAL PLATFORM TO EXCISE A COMPLEX LEFT COLONIC LESION AND PREVENT LUMINAL NARROWING

Video Transcription

Video Summary

The video discusses a novel trans-anal platform and technology for removing a complex left colonic lesion and preventing luminal narrowing. Western endoscopies have been slow to adopt colorectal ESD due to time constraints and high risks of adverse events. Bipolar devices, which offer precise tissue cutting and low voltage current, show potential benefits compared to monopolar knives. The trans-anal technique involves a novel ESD device with a bipolar radiofrequency energy for cutting and a microwave energy for coagulation. This technique was successfully used on a patient with a lateral sputum tumor, resulting in a bloodless dissection and complete resection of the lesion without complications. The technique shows potential for preventing major operations and further research is needed to determine its effectiveness.

Asset Subtitle

Video Plenary
Authors: Zacharias P. Tsiamoulos, Brian P. Saunders, Shady Zeidan, Yutaka Saito, Alessandro Repici, Mohamed O. Othman, Joseph Sebastian, Norio Fukami

Keywords

colonic lesion

bipolar devices

trans-anal technique

ESD device

lateral sputum tumor