Endoscopic Submucosal Dissection (ESD) (In-person or Virtual)

Video Transcription

Video Summary

In this discussion, experts exchanged insights on techniques for pocket creation in ESD (Endoscopic Submucosal Dissection). Key points included favoring wide tunnels for better traction and using a needle-type knife. Retroflexion offers scope stability, enhancing the approach along the muscle. Underwater ESD, which employs water pressure for magnification, sparked debate, especially concerning increased perforation risks and infection in the colon. The participants agreed on diversifying their techniques, rather than relying on one method, for better adaptability. Additionally, they shared tips on managing lens fogging, such as using anti-fog solutions and cutting currents instead of coagulating currents to avoid lens grease.

Keywords

Endoscopic Submucosal Dissection

pocket creation

underwater ESD

scope stability

lens fogging