ASGE JGES Primer ESD | September 2022-Case Study 1

Video Transcription

Video Summary

In the video, Dr. Hashimoto discusses endoscopic sub-mucosal dissection (ESD) tools and knives. He explains that ESD is a multi-step procedure that involves marking, injection, incision, and dissection. He emphasizes the importance of achieving hemostasis during the procedure. Dr. Hashimoto showcases various types of knives, including needle-type, hook-type, IT knife, hybrid knife, and scissor-type knife, highlighting the advantages and applications of each. He also introduces distal attachment and traction devices that aid in visualization and improve the safety and effectiveness of ESD. Throughout the presentation, Dr. Hashimoto presents several cases to illustrate the use of different knives and techniques for ESD in various regions, such as the stomach, esophagus, sigmoid, and colon. He concludes by emphasizing that while ESD is a technically challenging procedure, the wide range of available tools and knives make it easier, particularly when used in conjunction with tractions. Dr. Hashimoto suggests that operators familiarize themselves with the different devices and seek guidance from mentors or companies to enhance their ESD skills.

Asset Subtitle

Basic ESD Knife and Tool Selection
Yusuke Hashimoto, MD

Keywords

endoscopic sub-mucosal dissection

ESD tools

knives

hemostasis

distal attachment

traction devices