ASGE JGES Advanced ESD (On-Demand) | September 2022 OLESDSEPT22ADV-Water Pressure Method

Video Transcription

Video Summary

The video discusses a natural traction technique called the water pressure method, which can be used in difficult situations such as lesions with fibrosis. This technique involves using the power of water to open the submucosal space, making it simpler and less time-consuming than using traction devices. The speaker mentions using the ST-FOOD, created by Dr. Yamamoto, along with normal saline to immerse the area and conduct the procedure underwater. They explain that the water pressure method allows for easier opening of the submucosal layer, providing better visualization of the dissection plane and reducing complications. The video includes two clinical cases to demonstrate the effectiveness of the technique. The speaker also addresses questions from the audience related to cleaning the area, using different knives, and managing bleeding during the procedure. Overall, the water pressure method is described as a relatively simple and cost-effective technique that allows for more aggressive procedures and easy control of the endoscope direction.

Asset Subtitle

Naohisa Yahagi, MD, PhD

Keywords

water pressure method

natural traction technique

lesions with fibrosis

ST-FOOD

submucosal space

dissection plane