ASGE/JGES Advanced ESD (On-demand)| July 2023-Effective Use of ESD Tools

Video Transcription

Video Summary

In this video, the speaker discusses the effective use of ESD (endoscopic submucosal dissection) tools. They emphasize the importance of keeping the endoscope straight during the procedure, as bending the endoscope hinders the transmission of wrist movement to the tip of the endoscope. The speaker advises controlling the up-down and right-left wheels with the left hand only and not using the right hand to control the right-left channel. They also discuss the proper technique for submucosal injection, including the location of puncture sites and avoiding bleeding situations. The speaker highlights the use of RDI (red dichromatic imaging) for visualizing blood vessels during puncture, hemostasis, and submucosal dissection. They demonstrate various techniques for mucosal incision and submucosal dissection, emphasizing the importance of good contact with the target tissue. The speaker also provides tips for controlling bleeding and using traction techniques in difficult cases. They discuss different strategies for ESD procedures depending on the type of device used and suggest alternative approaches and techniques for challenging situations. The video concludes with a reminder to maintain a calm psychological state during the procedure.

Asset Subtitle

Naohisa Yahagi, MD, PhD

Keywords

endoscopic submucosal dissection

ESD tools

endoscope

submucosal injection

RDI

mucosal incision