ASGE/JGES Advanced ESD (Live and Virtual) | July 16-17 2023-Complex ESD Case- Learn from Mistakes and Difficult Cases

Video Transcription

Video Summary

The video transcript discusses various cases related to endoscopic submucosal dissection (ESD), a procedure used to remove abnormal tissue from the gastrointestinal tract. In one case, a 77-year-old woman underwent colonoscopy and was found to have a small ulcerated lesion in her colon. The lesion was biopsied, and high-grade dysplasia was confirmed. Surgery was recommended, but the patient sought alternative options and was referred for ESD. The video shows the ESD procedure being performed, with the lesion being dissected and removed. Another case involves a perforation during an EMR procedure, which was subsequently converted to ESD. The perforation was closed with a clip, and ESD was performed to remove the remaining lesion. In both cases, various techniques for managing bleeding and complications during the procedures are discussed. The importance of careful evaluation, precise dissection, and close monitoring for complications is highlighted. No credits are mentioned in the transcript for the video content.

Keywords

endoscopic submucosal dissection

ESD

abnormal tissue removal

gastrointestinal tract

colonoscopy

ulcerated lesion

high-grade dysplasia

surgery alternative

perforation

EMR procedure

bleeding management