Endoscopy Live (On Demand) | October 2021-Live Procedure 2: New York University

Video Transcription

Video Summary

In the video, Dr. Gregory Haber from New York University presents a case of endoscopic submucosal dissection (ESD) for a patient with esophageal adenocarcinoma. Dr. Haber discusses various techniques and tools used in ESD, including scopes with adequate retroflexion capacity for effective retroflexion positioning, different solutions such as saline and viscous solutions for submucosal space stretching, and different knives like the hybrid knife and the Pro knife for dissection. He also describes the importance of good visibility and a dry field during ESD and the use of traction methods like tunneling for effective dissection. Dr. Haber demonstrates the dissection of the lesion, utilizing injection, dissection, and coagulation techniques to complete the process. He mentions the use of steroids and the need for early endoscopy and possible dilations to manage post-ESD strictures. The video concludes with Dr. Haber closing the defect using clips and discussing post-procedure care.

Asset Subtitle

Greg Haber, MD

Keywords

endoscopic submucosal dissection

ESD

esophageal adenocarcinoma

retroflexion capacity

submucosal space stretching

hybrid knife

Pro knife

traction methods

post-ESD strictures