ASGE JGES Primer ESD (On-Demand) | September 2022-ESD Basic Techniques

Video Transcription

Video Summary

In this video, Dr. Yuto Shimamura from Showa University Koto Toyosu Hospital in Tokyo, Japan discusses the basic techniques and essential tips for endoscopic submucosal dissection (ESD). He begins by discussing the importance of proper preparation and equipment placement. He explains that distal attachment is required in all cases and discusses different types of attachments for various lesions. Dr. Shimamura then introduces the different types of knives used in ESD, including the distal knife and scissor type, and highlights their functions and movement directions. He emphasizes the importance of maintaining clear visibility during the procedure and recommends the use of CO2 instead of air insufflation. Dr. Shimamura provides detailed explanations of each step of the ESD procedure, including marking, injection, mucosal incision, trimming, and submucosal dissection. He also discusses the use of traction techniques, both external (such as the clip-align method) and internal (such as the loop traction device). He concludes by highlighting important things to avoid and tips for a successful ESD procedure.

Asset Subtitle

Yuto Shimamura, MD

Keywords

endoscopic submucosal dissection

techniques

equipment placement

knives

visibility

traction techniques