ASGE JGES Advanced ESD | September 2022-Case Study Discussion 3

Video Transcription

Video Summary

In this video, the speaker shares their experience with a difficult endoscopic submucosal dissection (ESD) procedure for a case of well-differentiated adenocarcinoma in the gastric pharynx. The speaker utilizes a multi-bending endoscope, which allowed for easier access to the difficult region. They describe the steps they took, such as starting the procedure from the upper side and utilizing gravity to dissect most of the region, as well as approaching from the lateral side and utilizing a clip-and-line traction technique to open the submucosal space. Despite some challenges, including severe bleeding and limited working space, the speaker successfully completes the procedure and achieves a good clinical outcome. The speaker also discusses pain management strategies for patients post-procedure and their use of glycerol solution for lifting the lesion and preventing strict deformity. The video concludes with a discussion on the challenges and techniques for another challenging rectal case. No credits are mentioned in the video.

Asset Subtitle

Naohisa Yahagi, MD, PhD

Keywords

endoscopic submucosal dissection

ESD procedure

gastric pharynx

multi-bending endoscope

clip-and-line traction technique

pain management strategies