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

Video Transcription

Video Summary

In this video, Dr. Inoue discusses the traction method during ESD (endoscopic submucosal dissection) procedures. He explains that traction is used to keep tissue tension during the procedure, making dissection easier and faster. He discusses different techniques of traction, such as external traction using forceps, internal traction using sub-devices, magnetic traction, and the use of clips. Dr. Inoue mentions that traction techniques have been found to reduce procedure time and improve safety. He also highlights the importance of maintaining good endoscopic vision during the procedure and explains how different types of traction devices can be used in specific situations. In relation to dissections near greater or lesser curve regions, Dr. Inoue explains that proper care must be taken to avoid injury to adjacent vessels, and he recommends using ultrasonography to identify large vessels if necessary. The video ends with Dr. Inoue demonstrating a multi-point traction technique and discussing the potential applications of traction beyond ESD, such as full-thickness resections. This video was presented by Dr. Haruhiro Inoue and his colleagues, Dr. Fukami and Dr. Hagi.

Asset Subtitle

Haruhiro Inoue, MD, FASGE, PhD

Keywords

traction method

ESD

tissue tension

traction techniques

procedure time

endoscopic vision

traction devices