ASGE JGES Primer ESD | September 2022-Fundamentals of ESD and Appropriate Patient Selection

Fundamentals of ESD and Appropriate Patient Selection

Video Transcription

Video Summary

In the video, the speaker discusses the fundamentals of endoscopic submucosal dissection (ESD) and appropriate patient selection. They provide a brief history of ESD, starting with the development of the needle knife with a ceramic ball at the tip for safe peripheral mucosal incision in 1999. They also mention the development of other ESD knives and the eventual approval of ESD knives by the FDA in 2008. The speaker emphasizes the advantages of ESD over traditional EMR (endoscopic mucosal resection) and surgery, including higher unblocked resection rates, accurate histopathological analysis, and curative resection for superficial cancers. They discuss the criteria for curative resection according to JGS and NCCN guidelines, as well as the importance of accurate T-staging with ESD. The speaker concludes by highlighting the outpatient nature of ESD and minimal adverse events. The video does not provide any specific credits.

Asset Subtitle

Hiroyuki Aihara, MD

Keywords

endoscopic submucosal dissection

patient selection

ESD history

ESD knives

advantages of ESD

curative resection criteria