ASGE/JGES Advanced ESD (Live and Virtual) | July 16-17 2023-7-17-23Lab Hands-On Virtual Demonstration Part 6

Video Transcription

Video Summary

In this video, Dr. Makoto Nishimura and Dr. Takashi Toyonaga demonstrate a pocket vibration method for endoscopic submucosal dissection (ESD). They inject water into the stomach and use an endocut knife to create a pocket in the submucosal layer. They discuss the importance of maintaining an anti-gravity position and using precise movements to prevent muscle damage. They also mention the benefits of using a 2mm pro knife for dissection. Dr. Nishimura explains his technique of creating a tunnel and then extending the incision from the inside. He demonstrates how to open the pocket from the sides while maintaining traction and discusses the difficulty of this step. Dr. Toyonaga suggests using retroflexion for counter-traction and urges caution to avoid tearing the tissue. They end by deploying a clip to close the incision. Overall, the video provides an inside look at the pocket vibration method used in ESD procedures.

Asset Subtitle

New Devices
Norio Fukami, MD, MASGE
Sergey Kantesvoy, MD, FASGE

Keywords

pocket vibration method

endoscopic submucosal dissection

ESD

anti-gravity position

2mm pro knife

tunnel technique

retroflexion