ASGE/JGES Advanced ESD (Live and Virtual) | July 16-17 2023-7-15-23 Bring Your Case 3

Video Transcription

Video Summary

The video discusses a case of unexpected massive bleeding during gastric and esophageal ESD (endoscopic submucosal dissection). The presenter introduces a simple method to troubleshoot this issue using gel. By using gel instead of water, the bleeding can be easily collected and the bleeding point can be identified. The gel does not have electrolytes, allowing for better visualization and coagulation. The method involves filling the food (area with bleeding) with gel and continuing injection to find the bleeding point. The gel used in the video is called Biscochlear, which is not commercially available in the United States but is available in China and Japan. The cost is approximately $15 per bottle. Overall, this technique is praised for its ability to quickly identify and treat bleeding points in closed areas.

Keywords

gastric and esophageal ESD

massive bleeding

gel troubleshooting method

bleeding point identification

Biscochlear gel