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

Keywords

endoscopic submucosal dissection

enhanced traction-assisted resection

purse-string suture

gastric lesion

double-channel scope