ASGE/JGES Advanced ESD (Live and Virtual)| July 14-15 2023-Effective Use of ESD Tools

Video Transcription

Video Summary

The video discusses the effective use of ESD tools in procedures. The speaker emphasizes the importance of maintaining a straight endoscope position for successful results. They advise holding the endoscope straight and controlling the up-down and right-left wheels only with the left hand. They caution against bending or twisting the endoscope too much and demonstrate how to control the direction of the endoscope tip effectively. The speaker also discusses the importance of proper injection technique, locating the puncture site a few millimeters away from the marked area to avoid bleeding, and using RDI (red dichromatic imaging) to visualize blood vessels during the procedure. They demonstrate various techniques for mucosal incision and submucosal dissection and discuss strategies for controlling bleeding, including using closed tip of dual knife, coagulaspar, and bipolar hemostatic forceps. They also mention the use of traction techniques, pocket creation method, and water pressure method in challenging situations. The speaker concludes by discussing the benefits of RDI, reducing stress during hemostasis, and sharing findings from a study on the efficacy of RDI. No credits were given in the video.

Asset Subtitle

Naohisa Yahagi, MD, PhD

Keywords

ESD tools

endoscope position

injection technique

RDI imaging

mucosal incision

hemostatic forceps