Endoscopic Submucosal Dissection (ESD) (On-Demandl) | December 2024-Principles of flap ESD technique

Video Transcription

Video Summary

The session discusses the creation of a mucosal flap during Endoscopic Submucosal Dissection (ESD). Experts provide insights on handling lesions, focusing on the importance of a proper incision and careful technique to avoid specimen damage. Key pointers emphasize maintaining the right cutting depth, stabilizing the entry point, and managing bleeding with appropriate cap use. The discussion highlights crucial steps such as making a generous incision and planning for effective traction application. Various experts share their preferred techniques, including considerations for lesion location and methodical injection to elevate the mucosa. The consensus underlines the need for thoughtful preparation, evaluation of gravity and margins, and cautions against premature dissection that could lead to complications, particularly avoiding ESD in the duodenum for early practitioners due to its complexity. The session offers a comprehensive overview of the meticulous approach required for successful ESD flap creation.

Asset Subtitle

Alex Schlachterman

Keywords

Endoscopic Submucosal Dissection

mucosal flap creation

lesion handling

incision technique

bleeding management

traction application