ASGE JGES Advanced ESD (On-Demand) | September 2022 OLESDSEPT22ADV-Submucosal Dissection: Which Setting to Use

Video Transcription

Video Summary

In this video, the speaker discusses his approach to making endoscopic submucosal dissection (ESD) as simple as possible. He emphasizes the importance of minimizing changes to parameters during the procedure. There are numerous parameters to consider, such as the type of generator used, the knife thickness, the surface area in contact with the electrode, movement speed, pressure applied to the tissue, and knife cleanliness. The speaker recommends choosing one modality and sticking to it, using a spray coagulation method for dissection, and limiting parameters to dry cut or endo cut for incision, spray for dissection, and soft coagulation with a coag grasper. The speaker also addresses questions about generator settings and the differences between various modes. The video features Dr. Kanzaboi and Dr. Tayanaga.

Asset Subtitle

Sergey V. Kantsevoy, MD, PhD, FJGES

Keywords

endoscopic submucosal dissection

parameters

generator

knife cleanliness

modality