ASGE/JGES Advanced ESD (Live and Virtual)| July 14-15 2023-7-15-23 Bring Your Case 3

Video Transcription

Video Summary

In this video, the speaker discusses troubleshooting for unexpected massive bleeding during gastric and esophageal ESD procedures. They introduce a simple method using gel to control bleeding. By filling the stomach with gel instead of water, the blood flow becomes slow and easier to manage. The speaker demonstrates how to find and coagulate bleeding points using gel, which does not contain electrolytes. They emphasize the importance of finding the bleeding point and securing the visual field. The gel they use is called Biscochlear, which is free of electrolytes and allows for better application of electric current. The gel is not commercially available in the United States but can be found in Japan and China. The cost of one bottle is around $15.

Keywords

troubleshooting

massive bleeding

gastric ESD

esophageal ESD

gel method