Advanced Endoscopy Fellows Program | September 2022-Lab Hands on Virtual Demonstration Part 2

Video Transcription

Video Summary

The video discusses different techniques used in endoscopic procedures, specifically focusing on the wet suction technique and the hybrid EMR ESD technique. The wet suction technique involves putting saline in the channel and needle before puncturing, creating a small meniscus of saline inside the needle. This technique works well with 19 gauge FNA and FNB needles. The video also briefly mentions the heparinized technique, which involves using heparin before puncturing, but the speaker states that they haven't seen much difference in specimen quality compared to the wet suction technique.<br /><br />The second technique discussed is the hybrid EMR ESD technique, which involves using a snare to remove a lesion in one piece after circumferential incision. This technique is suitable for mucosal-based lesions without suspected submucosal invasion.<br /><br />The video also mentions using coag graspers to dissect submucosa and skeletonize vessels during ESD procedures, as well as the possibility of using traction devices for larger lesions. In addition, the speaker briefly demonstrates using clips to close a muscle injury during an ESD procedure.<br /><br />The transcript does not mention the source or any specific credits for the video.

Keywords

endoscopic procedures

wet suction technique

hybrid EMR ESD technique

saline

19 gauge FNA and FNB needles

mucosal-based lesions

submucosal invasion

ESD procedure