Endoscopic Submucosal Dissection (ESD) (On-Demandl) | December 2024-Lab Demo 8

Lab Demo 8 - Closure with Overstitch

Video Transcription

Video Summary

Dr. Sergei Kantsevoy demonstrates the use of an overstitch device to perform continuous suturing for closing ESD defects. He explains the technique of taking mucosal and submucosal bites, ensuring no dog ears or crisscrossing of sutures, and maintaining proper tension for effective approximation. This method involves both mucosal and submucosal closure, offering improved stability compared to traditional clips. Dr. Kantsevoy avoids using PPIs post-procedure unless infection risk necessitates antibiotic use. The suturing is intended to avoid full-thickness penetration for safety, showcasing a precise and efficient defect closure process.

Keywords

overstitch device

ESD defects

continuous suturing

mucosal and submucosal closure

defect closure process