Endoscopic Submucosal Dissection (ESD) (On-Demand)-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.

Meta Tag

Concept Gastric Endoscopic Submucosal Dissection

Concept Submucosal Dissection

Concept Insulated-Tip Knife

Concept Injection

Concept Mucosal Incision

Keywords

Gastric Endoscopic Submucosal Dissection

IT knife

Dr. Fei Inoki

Showa University

ESD techniques

post-ESD management

Gastric Endoscopic Submucosal Dissection

Submucosal Dissection

Insulated-Tip Knife

Injection

Mucosal Incision