ASGE/JGES Advanced ESD (Live and Virtual)| July 14-15 2023-Lab Hands-On Virtual Demonstration Part 6

Video Transcription

Video Summary

In this video, a demonstration of an endoscopic submucosal dissection (ESD) procedure is shown. The speaker explains that they will be using the overstitch device from Boston Scientific Apollo for the pulley method. They start by injecting a solution into the marked area and then proceed with the incision and dissection using the dual knife. They emphasize the importance of avoiding muscle involvement and maintaining precise control. Next, they demonstrate the pulley method using the overstitch device, which allows for traction and easier dissection. The speaker explains that the advantage of using the overstitch for traction is that the same suture can be used for defect closure later. They show how to place the sutures strategically to obtain the desired traction. The speaker also provides troubleshooting tips, such as cutting the suture if the muscle is unintentionally grabbed. The video ends with the speaker demonstrating how to release the specimen and close the defect using the overstitch suture.

Keywords

endoscopic submucosal dissection

overstitch device

pulley method

dual knife

traction

defect closure