Endoscopic Submucosal Dissection (ESD) (In-person or Virtual) | December 2024-Lab Demo 1

Video Transcription

Video Summary

In this live demonstration, Dr. Fei Inoki from Showa University illustrates the use of the IT knife for Gastric Endoscopic Submucosal Dissection (ESD). The process starts with marking the lesion using a dual J knife before switching to the IT knife, which requires a higher power setting for ex-plants due to lower water content than live tissue. The importance of precision in marking and incising, and effective air deflation during the process is discussed. Dr. Inoki emphasizes the need to manage air volume for better visibility and softer tissues. Throughout the procedure, different techniques for injecting and making mucosal incisions are explained, highlighting the edge-to-edge technique for IT knife efficiency. Differences in ESD practices between Japan and the U.S., such as post-procedure care and closure techniques, are also examined. The session concludes with a Q&A on post-ESD management, emphasizing early intervention for any complications like strictures.

Keywords

Gastric Endoscopic Submucosal Dissection

IT knife

Showa University

mucosal incisions

ESD practices

post-ESD management