ASGE JGES Primer ESD (On-Demand) | September 2022-Hands on Virtual Demonstration Part 2

Video Transcription

Video Summary

In this video, Dr. Norio Fukami demonstrates the use of the Dual Knife-J for endoscopic submucosal dissection (ESD) procedures. The Dual Knife-J is a simple device with multiple functions, including the ability to place marking dots or provide hemostasis. Dr. Fukami explains that the device can also inject fluid cushion at any time. He emphasizes the importance of maintaining a straight endoscope position and using precise hand control to transmit movement to the tip of the endoscope. He demonstrates how to create a submucosal fluid cushion, perform mucosal incision, and conduct submucosal dissection. Throughout the procedure, he offers technical tips and highlights the need for constant rhythm and careful control of the cutting current. He also explains how to handle bleeding and maintain a clean knife tip. Dr. Fukami concludes by discussing post-resection care and the importance of communicating with pathologists. This video was conducted as a live demonstration and includes questions and answers with Dr. Hisao Yamamoto and Dr. Toyonaga.

Asset Subtitle

Suture Closure (Dr. Fukami)

Keywords

Dual Knife-J

endoscopic submucosal dissection

ESD procedures

marking dots

hemostasis

fluid cushion

straight endoscope position

precise hand control