ASGE JGES Primer ESD | September 2022-Identifying and Managing Complications

Video Transcription

Video Summary

The video is a lecture on complications and their management during endoscopic submucosal dissection (ESD). The speaker discusses the different types of complications that can occur during ESD, including bleeding, perforation, and stricture formation. They explain that dealing with complications during ESD is different from other procedures, as there are limitations in endoscopy and the ability to stop bleeding or repair damage. The speaker emphasizes the importance of using electric current controlled by the processors to prevent complications such as bleeding. They also discuss the use of hemispray to stop major bleeding and the use of endoscopic suturing devices for closing perforations. The speaker highlights the benefits of suturing device closure for preventing delayed bleeding, delayed perforation, and stricture formation. They also discuss the challenges of recognizing invasive cancer during ESD and differentiating it from fibrosis or other causes of submucosal fibrosis. The lecture includes case examples and personal experiences to illustrate the points. No credits were granted in the video.

Asset Subtitle

Sergey V. Kantsevoy, MD, PhD

Keywords

endoscopic submucosal dissection

complications

bleeding

perforation

stricture formation

electric current

hemispray

endoscopic suturing devices