ASGE JGES Primer ESD | September 2022-ESD Basic Techniques

Video Transcription

Video Summary

In this video, Dr. Yuto Shimamura from Showa University Koto Toyosu Hospital in Tokyo, Japan discusses the basics of endoscopic submucosal dissection (ESD), a minimally invasive technique for removing lesions from the gastrointestinal tract. He covers various topics such as preparation, equipment, knife techniques, electrocautery settings, and different steps involved in ESD including marking, injection, mucosal incision, trimming, and submucosal dissection. Dr. Shimamura emphasizes the importance of clear visibility, proper equipment placement, and the use of CO2 for insufflation. He also highlights the need for traction techniques to achieve a good view of the operative field and discusses the clip-align and loop traction methods. Additionally, he provides tips to avoid common mistakes, such as not rushing, staying close to the lesion, and being cautious with air insufflation. Overall, Dr. Shimamura provides essential tips and strategies to safely and effectively perform ESD.

Asset Subtitle

Yuto Shimamura, MD

Keywords

endoscopic submucosal dissection

minimally invasive technique

gastrointestinal tract

preparation

equipment

traction techniques