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Endoscopy Live: GERD & Barrett's Esophagus: The Jo ...
Procedure 9: Multi Band Ligation EMR
Procedure 9: Multi Band Ligation EMR
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Video Transcription
Video Summary
In this video, Dr. Sreenath Komanduri presents a case of a 73-year-old patient with Barrett's esophagus and high-grade dysplasia. He demonstrates the use of a multiband ligation EMR for treatment. Dr. Komanduri emphasizes the importance of a high-quality exam before proceeding with the treatment. He uses a cap to improve visualization and a mucolytic to remove mucus and improve the view. The video shows the endoscopic view and highlights the areas of concern. Dr. Komanduri discusses the need for a wide-margin resection and performs the EMR using a Captivator device. He also discusses the use of blended currents for coagulation during the procedure. After the resection, he demonstrates the use of soft coagulation for hemostasis. Overall, the procedure is successful, and Dr. Komanduri concludes that wide margin resection is crucial in EMR for Barrett's esophagus.<br /><br />Note: The summary is based on a video transcript and has been edited for clarity.
Asset Subtitle
Sri Komanduri, MD
Keywords
Barrett's esophagus
high-grade dysplasia
multiband ligation EMR
wide-margin resection
Captivator device
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