ASGE/JGES Advanced ESD (Live and Virtual)| July 14-15 2023-New Methods, Techniques and Technologies for ESD

Video Transcription

Video Summary

In this video, Dr. Sergei Samiylenko discusses the use of traction devices in endoscopic submucosal dissection (ESD) procedures. He begins by noting that watching videos of experts performing ESD can be deceiving, as it may give the impression that the procedure can be done with ease and beauty. Dr. Samiylenko explains that ESD is not just a learned skill, but some individuals may be naturally adept at it. For the rest, he emphasizes the use of additional devices to compensate for not being born with the skill. <br /><br />He then introduces several devices that aid in ESD procedures. The first is the Prodigy Multi-Knife, which has two positions: a knife for cutting and an isolated tip (IT) knife for working within the submucosal space. He also discusses the Prodigy Traction Wire, a device that provides static retraction for optimal exposure of the submucosal space. Dr. Samiylenko highlights the limitations of static retraction and introduces the Track Motion Device, which offers dynamic and multidirectional retraction using a double-channel endoscope.<br /><br />Additionally, he introduces Lumendi, an overtube that provides traction and stabilization of the endoscope during ESD procedures. He demonstrates how Lumendi can be used in conjunction with other devices for effective traction and dissection. Lastly, he introduces the EnderCage, a device that provides traction without obstructing the view during ESD procedures. Dr. Samiylenko concludes by highlighting the benefits of traction in reducing procedure time, improving bleeding control, and making ESD procedures more manageable.

Asset Subtitle

Sergey Kantsevoy, MD, FASGE and Norio Fukami, MD, MASGE

Keywords

traction devices

endoscopic submucosal dissection

ESD procedures

Prodigy Multi-Knife

Prodigy Traction Wire

Track Motion Device