ASGE/JGES Advanced ESD (Live and Virtual)| July 14-15 2023-Complex ESD Case- Learn from Mistakes and Difficult Cases

Video Transcription

Video Summary

The video transcript discussed several cases of ESD (endoscopic submucosal dissection) procedures, focusing on specific aspects and challenges encountered during the procedures. In the first case, the video talked about a 77-year-old lady who had a colonoscopy and was found to have a small ulcerated lesion with high-grade dysplasia. The patient was initially recommended surgery but decided to explore alternative options. A CT scan showed no signs of metastasis, so the patient was referred for ESD. The video then showed an in-depth discussion between multiple experts on the classification and morphology of the lesion, as well as different techniques for dissection and hemostasis during ESD. The second case discussed a patient who had a large blood vessel transected during ESD, leading to severe bleeding. The video highlighted the challenges of managing such bleeding and various techniques for hemostasis, such as using different coagulation modes and grasping devices. Finally, the last case discussed ESD performed after an EMR procedure, where a perforation occurred. The video emphasized the importance of changing operators when switching from EMR to ESD and demonstrated the technique of using a traction device for dissection. Overall, the video discussed key considerations, challenges, and techniques involved in ESD procedures.

Keywords

ESD

endoscopic submucosal dissection

procedures

cases

challenges

ulcerated lesion

high-grade dysplasia

hemostasis

bleeding

coagulation modes

traction device