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

Video Transcription

Video Summary

In this video, the presenter discusses the topic of esophageal ESD (endoscopic submucosal dissection) and provides an overview of the basic strategy and techniques involved. They explain the four phases of the ESD procedure: marking, injection, mucosal incision, and submucosal dissection. The presenter highlights the importance of careful marking using iodine staining and shares a technique called the pink color sign that can help identify squamous cell carcinoma. They also discuss specific considerations for esophageal ESD, such as the use of a soft coagulation mode and the management of stricture after large resections. The presenter introduces two useful techniques for esophageal ESD, including the clip with line method and pocket creation method. They also address differences between Japan and Western countries in terms of target lesions and the diagnosis of Barrett esophagus. The video concludes with a Q&A session, where the presenter answers questions about the use of ultrathin endoscopy and the dissection of superficial vessels during the procedure. No credits were provided in the video.

Asset Subtitle

Daisuke Kikuchi, MD

Keywords

esophageal ESD

endoscopic submucosal dissection

marking

injection

mucosal incision

submucosal dissection