ASGE JGES Advanced ESD | September 2022-Lab Hands-On Virtual Demonstration Part 1

Video Transcription

Video Summary

In this video, Dr. Takashi Tono from Kobe University Hospital and Professor Yamamoto from Jitsuhi Music School demonstrate an advanced endoscopic procedure. The video begins with Dr. Tono creating an incision in a region with a wide curve and perpendicular approach. He uses a J-shape or C-shape incision and a traction device for difficult cases. Throughout the procedure, Dr. Sakaguchi assists him. Dr. Tono explains that he uses saline in the stomach and controls the direction and approach using the endoscope. He demonstrates the technique of incising the mucosa and cautious dissection to prevent bleeding. He also discusses the use of the traction device to control the endoscope independently of the traction. He demonstrates the use of pre-coagulation techniques and emphasizes the importance of careful dissection around penetrating vessels and fibrotic tissue. The video concludes with Dr. Tono successfully completing the dissection. Overall, the video provides insight into an advanced endoscopic procedure and the techniques used to ensure safe and effective dissection.

Keywords

endoscopic procedure

incision

traction device

saline

mucosa

cautious dissection

pre-coagulation techniques

fibrotic tissue