Endoscopic Submucosal Dissection (ESD) (In-person or Virtual) | December 2024-Lab Demo 3

Video Transcription

Video Summary

The video is a detailed demonstration of an Endoscopic Submucosal Dissection (ESD) procedure using a dual knife for the removal of a specified area in the stomach. Dr. Aihara and Dr. Dragunov participate alongside Sawonee, the lead demonstrator. The approach involves marking the target, making micro incisions, and injecting solutions using specialized needles to create a submucosal lift. They emphasize injecting outside the lesion, a deviation from traditional methods. Sawonee discusses various strategies for effectively managing the knife's angle to avoid muscle perforation and maintain sufficient lift. They use high-viscosity solutions like Endocrot for prolonged lift, and the procedure is performed mostly in a retroflexed view to improve visibility and precision. The importance of consistent communication between the endoscopist and assistant is stressed, and safety considerations, such as minimal stomach inflation to avoid perforations, are highlighted. The session concludes with a successful demonstration, followed by a question-and-answer segment.

Keywords

Endoscopic Submucosal Dissection

dual knife

submucosal lift

retroflexed view

Endocrot

stomach procedure