Endoscopic Submucosal Dissection (ESD) (On-Demandl) | December 2024-Lab Demo 2

Video Transcription

Video Summary

The session addressed important questions regarding the use of snares and endocarp techniques in hybrid Endoscopic Submucosal Dissection (ESD). It was clarified that traction must be removed when using a snare in hybrid ESD, although it aids in submucosal dissection. A study highlighted that hybrid ESD with a snare is faster but has a lower unblocked resection rate due to mispositioning. For the endocarp pedal technique, tapping offers more control, reducing inadvertent deep cuts. Regarding steroid application for stricture prevention, perfection in dilution and technique is essential to avoid muscle necrosis. Dr. Nishimura demonstrated ESD using a Pro knife, emphasizing technique adaptations for effective submucosal dissection. He showed strategies using the Pro knife, including controlling insufflation to enhance visibility and avoiding muscle layer perforation. The session emphasized individualized strategies for lesion removal and addressed closure of defects, suggesting clip placement in cases involving anticoagulation.

Keywords

hybrid ESD

snare technique

endocarp pedal

steroid application

Pro knife

lesion removal