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

Video Transcription

Video Summary

In this video, the speaker discusses the setting of an electro-surgical unit for gas leak endoscopic submucosal dissection (ESD) procedures. The speaker highlights the importance of predicting the technical difficulty of the procedure, which can vary based on the region location in the stomach. They explain that the greater curvature in the anterior or posterior wall of the antrum is the easiest location, while the gas leak fundus is the most difficult part. The speaker also discusses factors such as region size, submucosal invasion, and fold convergence that contribute to the technical difficulty. They provide tips on performing lateral flex positions and mucosal incisions, emphasizing the need for steady contact, slow manipulation of the endoscope, and shallow cuts to avoid injury and bleeding. The speaker also explains the steps involved in submucosal injection and deeper cuts. The video concludes with the speaker discussing the importance of predicting technical difficulty, getting used to retroflexion, good submucosal injections, and dissecting as deep as possible for success. No credits were provided in the video.

Asset Subtitle

Motohiko Kato, MD

Keywords

electro-surgical unit

gas leak endoscopic submucosal dissection

technical difficulty

region location

lateral flex positions

submucosal injection