ASGE JGES Primer ESD (On-Demand) | September 2022-Fundamentals of ESD and Appropriate Patient Selection

Video Transcription

Video Summary

In this video, the speaker discusses the history, techniques, and advantages of Endoscopic Submucosal Dissection (ESD) as a treatment for various types of cancer. They describe the development of different instruments and techniques used in ESD, such as needle knives and tapered tip attachment caps, and how they have improved patient outcomes. The speaker also explains the steps involved in ESD, including marking, submucosal injection, peripheral mucosal incision, and submucosal dissection, as well as the importance of accurate histopathological analysis in determining the success of the procedure. They then go on to discuss the appropriate patient selection for ESD, based on factors such as the presence of lymph node metastasis and the size and type of the tumor. The speaker mentions the differences between the guidelines of the Japanese Gastric Cancer Association (JGCA) and the National Comprehensive Cancer Network (NCCN) regarding the indications for ESD in different cancer types. They also highlight the advantages of ESD over traditional EMR (endoscopic mucosal resection) and surgical resection, including higher unblocked resection rates, lower recurrence rates, and less invasive treatment. The speaker concludes by emphasizing the importance of considering ESD as an alternative to traditional cancer treatments, particularly for localized and superficial cancers. The video does not provide any specific credits for the information presented.

Asset Subtitle

Hiroyuki Aihara, MD

Keywords

Endoscopic Submucosal Dissection

ESD

cancer treatment

needle knives

patient outcomes

histopathological analysis