ASGE DDW Videos from Around the World | 2025-A NOVEL APPROACH TO ENDOSCOPIC SUBMUCOSAL RESECTION OF A LARGE ANTRAL LESION

A NOVEL APPROACH TO ENDOSCOPIC SUBMUCOSAL RESECTION OF A LARGE ANTRAL LESION

Video Transcription

Video Summary

This video presents a novel technique for endoscopic submucosal dissection (ESD) to manage large enteral lesions. Traditional ESD struggles with exposure and closure, especially in deep lesions. This approach uses enhanced traction-assisted resection with a purse-string suture for effective closure. A 40-year-old patient with a gastric lesion underwent this procedure. Key steps included marking, submucosal injection, circumferential incision, and dissection using a double-channel scope. Traction was applied via a two-bite suture to lift the lesion for excision. The purse-string suture ensured complete defect closure. This technique enhances precision, safety, and healing in resecting large, deep lesions.

Asset Subtitle

Joelle Sleiman

Meta Tag

Concept Endoscopic Submucosal Dissection

Concept En Bloc Resection

Concept Gastrointestinal Lesion

Concept Gastric Subepithelial Lesion

Concept Traction-Assisted Resection

Keywords

endoscopic submucosal dissection

enhanced traction-assisted resection

purse-string suture

gastric lesion

double-channel scope

Endoscopic Submucosal Dissection

En Bloc Resection

Gastrointestinal Lesion

Gastric Subepithelial Lesion

Traction-Assisted Resection