Endoscopic Submucosal Dissection (ESD) (On-Demandl) | December 2024-Lab Demo 10

Video Transcription

Video Summary

In this lengthy demonstration, Dr. Juha Wang from Stanford showcases the use of advanced endoscopic techniques for gastric Endoscopic Submucosal Dissection (ESD) using the SureTrack traction device and a gold-plated knife. The session involves detailed steps from peripheral marking to submucosal injection and precision cutting. Dr. Wang emphasizes the importance of body stabilization to enhance control and precision during the procedure, explaining his technique of resting the endoscope on his body to steady his view and movements.<br /><br />The demonstration also highlights key techniques for applying traction to achieve clear visualization of the submucosal layer for effective dissection. Dr. Wang uses interchangeable clips and bands for traction, suggesting strategies for maintaining clear visibility and control, and explaining how injecting while cutting can help avoid complications like muscle injury. Throughout, he stresses the importance of precision, stability, and careful tool management to ensure successful outcomes in complex ESD procedures. The session is educational, offering insight into innovative practices and devices that enhance the effectiveness and safety of advanced endoscopic procedures.

Keywords

Endoscopic Submucosal Dissection

SureTrack traction device

gastric ESD

gold-plated knife

body stabilization

submucosal injection

Dr. Juha Wang