ASGE/JGES Advanced ESD (Live and Virtual) | July 16-17 2023-Effective Use of ESD Tools

Video Transcription

Video Summary

The video discusses the effective use of ESD tools for successful procedures. The speaker emphasizes the importance of keeping the endoscope straight to transmit movement directly to the tip. They recommend controlling the endoscope with the left hand and avoiding controlling the right-left channel with the right hand. Straight endoscope positioning is crucial for stable conditions during mucosal incision and submucosal dissection. The speaker demonstrates techniques for creating a submucosal fluid cushion, avoiding bleeding, and recognizing the location of blood vessels during punctures. They also discuss strategies for mucosal incision and submucosal dissection using different devices. Tips for hemostasis, such as using closed tip of a dual knife and bipolar forceps, are shared. The speaker highlights the benefits of using RDI (red dichromatic imaging) for visualization and reducing stress during hemostasis. Additional techniques for difficult situations, such as traction and pocket creation, are explained, along with the water pressure method for opening the submucosal space. The speaker concludes by emphasizing the importance of carefully conducting initial submucosal dissection and ensuring the cleanliness and proper contact of tools.

Asset Subtitle

Naohisa Yahagi, MD, PhD

Keywords

ESD tools

endoscope positioning

mucosal incision

submucosal dissection

hemostasis techniques

RDI imaging