ASGE JGES Advanced ESD (On-Demand) | September 2022 OLESDSEPT22ADV-Case Study Discussion 1

Video Transcription

Video Summary

In this video, a physician discusses a difficult case of gastric adenoma recurrence. Previous EMR attempts did not successfully remove the adenoma, and the physician decides to take a closer look. The video shows the physician examining the lesion and discussing the characteristics observed. The physician explains that larger adenomas have a higher risk of containing cancerous components. The video then transitions to the procedure itself, where the physician performs ESD (endoscopic submucosal dissection) to remove the adenoma. The procedure is challenging due to the location and the thinning of the muscle layer. The physician uses traction methods to facilitate dissection and successfully removes the adenoma. The video ends with a discussion on closing the defect left by the procedure, with different physicians offering their insights on the best approach. Overall, the video highlights the difficulty and complexity of removing gastric adenomas through endoscopic procedures. No credits were provided in the transcript.

Asset Subtitle

Norio Fukami, MD, MASGE

Keywords

physician

gastric adenoma recurrence

EMR attempts

endoscopic submucosal dissection

cancerous components

traction methods

closing the defect