ASGE JGES Advanced ESD (On-Demand) | September 2022 OLESDSEPT22ADV-Advanced ESD Knives

Video Transcription

Video Summary

The speaker discusses the IT knife, a tool used for endoscopic submucosal dissection (ESD). The IT knife has an insulated ceramic ball at the end, with short blades on the back of the ball and a long blade extending to the catheter. There are two main types: the IT 2 knife with longer short blades, and the IT Nano knife with a streamlined ceramic chip and a disc instead of blades. The IT 2 knife is used for gastric ESD, while the IT Nano knife is preferred for colonic or esophageal ESD. The speaker demonstrates how to use the IT knife for gastric, esophageal, and colonic ESD through video examples. They emphasize the importance of understanding the knife's nuances and proper technique, including creating an edge, hooking the submucosa, and cutting with both the long and short blades. The discussion also covers tips regarding bleeding, angle, and contact with the tissue when using the IT knife. The cost-effectiveness of the knife is briefly mentioned, with the reprocessible needle knife as an alternative option.

Asset Subtitle

Amit Bhatt, MD

Keywords

IT knife

endoscopic submucosal dissection

ESD

IT 2 knife

IT Nano knife