Endoscopic Submucosal Dissection (ESD) (On-Demand)-Indications for ESD

Video Transcription

Video Summary

The lecture emphasizes the importance of careful consideration before performing Endoscopic Submucosal Dissection (ESD), particularly due to the varying complexity of indications. Initial recommendations suggest starting with lesions smaller than 3 cm, especially in the antrum or rectum, during the first 20 procedures. Training and following a structured curriculum is vital for success in ESD, with European guidelines suggesting that confidence and competence can take years to develop. Key factors for successful procedures include handling rectal lesions and achieving adequate training milestones. The talk also discusses updated guideline recommendations for ESD, detailing scenarios for gastric and esophageal cancers and acknowledging the challenges of treating squamous cell carcinoma. It notes the balance between ensuring complete lesion removal while recognizing the risks of lymph node metastasis, especially in submucosal cancers. The lecture concludes by highlighting the evolving guidelines and their implications for clinical practice in the U.S. and Europe.

Asset Subtitle

Mohamed Othman

Meta Tag

Concept Endoscopic Submucosal Dissection

Concept Lesion Selection

Concept Oncologic Curability

Concept Indication Criteria

Concept En Bloc Resection

Keywords

Endoscopic Submucosal Dissection

training

guidelines

gastric and esophageal cancers

rectal lesions

submucosal cancers

Endoscopic Submucosal Dissection

Lesion Selection

Oncologic Curability

Indication Criteria

En Bloc Resection