ASGE JGES Primer ESD | September 2022-Case Study 2

Video Transcription

Video Summary

In this video, Dr. Adam discusses the use of an exosurgical unit and case studies for ESD procedures. He explains that the target tissue is variable and different currents can be applied depending on the desired outcome. Cut current is used for clean cuts, while coagulation current is used to disrupt submucosal tissue. Dr. Adam highlights the importance of coagulating before cutting through blood vessels to minimize bleeding. He discusses the use of different currents and techniques based on the fibrosis and type of tissue being dissected. Dr. Adam emphasizes the need for pre-planning and adaptation during procedures. He also explains the different effects of cut and coagulation currents, as well as the importance of speed and tension in achieving optimal results. Dr. Adam mentions the use of different electrosurgical devices and their settings for ESD, including PreciseSec and the VIO3. He concludes by discussing the use of soft coagulation, the benefits of bipolar devices, and the challenges of using precise sec.

Asset Subtitle

In-depth Electrosurgical Generator settings for ESD
Norio Fukami, MD, MASGE

Keywords

exosurgical unit

ESD procedures

coagulation current

fibrosis

electrosurgical devices

precise sec