ASGE/JGES Advanced ESD (On-demand)| July 2023-7-15-23 Bring Your Case 4

Video Transcription

Video Summary

The video transcript discusses a case involving a 93-year-old female with rectal bleeding and a large mass in the rectum. The speaker performs an endoscopic submucosal dissection (ESD) to remove the mass. During the dissection, the speaker accidentally goes into the muscle layer and encounters a large artery. The speaker seeks advice from other attendees on how to deal with the artery. The discussion includes using a coagulasper, using clips to stop bleeding, and the importance of observing the pulsation and color of the blood vessel after coagulation. The speaker successfully removes the mass and applies an X powder to cover the defect to minimize bleeding risk. The case is deemed a curative resection.

Keywords

rectal bleeding

endoscopic submucosal dissection

mass removal

artery management

curative resection