ASGE JGES Advanced ESD | September 2022-Case Study Discussion 1

Video Transcription

Video Summary

In this video, a physician discusses a challenging case of gastric adenoma recurrence. The patient had previously undergone multiple EMR procedures which resulted in positive biopsies for adenoma. The physician examines the lesion using a retroflex position and discusses the difficulty of accessing the fundus and the risk of cancer in adenomas larger than 2 centimeters. The physician decides to perform an ESD procedure and discusses the use of traction and the choice of instruments. The video shows the procedure, including the dissection and closure of the defect. The physician emphasizes the importance of careful tissue dissection and control of bleeding during the procedure. Finally, the physician cautions that this case should only be attempted by experienced experts. The final pathology result is not mentioned in the video. No credits were mentioned in the video transcript.

Asset Subtitle

Norio Fukami, MD, MASGE

Keywords

physician

gastric adenoma recurrence

EMR procedures

retroflex position

adenomas larger than 2 centimeters

ESD procedure

tissue dissection