ASGE JGES Advanced ESD | September 2022-ESD with Pocket-Creation Method: Concept and Technical Tips

Video Transcription

Video Summary

The video discusses the pocket creation method in endoscopic submucosal dissection (ESD) for the treatment of cancer. The speaker explains that ESD is performed to remove tumors entirely and prevent metastasis. The benefits of ESD include reliable envelope resection and a high-quality specimen for examination. The speaker emphasizes the importance of obtaining enough submucosal tissue for a clear and vertical margin. The pocket creation method is described as a technique to select the dissection plane right above the muscle layer and obtain a good specimen for pathological examination. The use of the ST hood and water jet are highlighted for stable control of the endoscope, recognition of blood vessels, and prevention of bleeding. The speaker demonstrates the steps for performing the pocket creation method and addresses audience questions regarding feasibility and potential challenges. The video provides valuable insights into the pocket creation method and its applications in ESD.

Asset Subtitle

Hironori Yamamoto, MD

Keywords

pocket creation method

endoscopic submucosal dissection

cancer treatment

metastasis prevention

reliable envelope resection

high-quality specimen