ASGE JGES Primer ESD (On-Demand) | September 2022-Hands on Virtual Demonstration Part 1

Video Transcription

Video Summary

In this video from Jitsi Medical University in Japan, Dr. Hironori Yamamoto demonstrates his technique for performing ESD (endoscopic submucosal dissection). He begins by explaining how to control the endoscope for the procedure, using both the big and small wheels with his left hand. He also shows how to rotate the endoscope using a loop outside the patient's body. Dr. Yamamoto uses a special cap called an ST hood, which he applies a lens cleaner to before inserting the endoscope. He then demonstrates the steps of the ESD procedure, including injecting and elevating the mucosa, creating a submucosal pocket, and making a mucosal incision. Dr. Yamamoto emphasizes the importance of controlling bleeding and the proper dissection depth. He also discusses the use of post-coagulation and the advantages of using the zoom scope during the procedure. Dr. Takashi Kuroda from Kobe University Hospital then continues the demonstration and discusses his technique for ESD. He explains the importance of controlling bleeding and the selection of the dissection plane. He also discusses the use of the cut mode and the benefits of using post-coagulation over swift coagulation. The video concludes with Dr. Yamamoto summarizing the different techniques and emphasizing the importance of practicing and developing proficiency with both the pocket creation method and the conventional method of ESD. No credits were mentioned in the video.

Asset Subtitle

Dr. Yamamoto and Dr. Toyonaga

Keywords

ESD

endoscopic submucosal dissection

endoscope control

ST hood

mucosal incision

bleeding control

dissection depth

zoom scope

pocket creation method