Endoscopy Live (virtual) | 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 on endoscopic submucosal dissection (ESD). He discusses various aspects such as the importance of retroflexion in ESD procedures and the use of different knives and solutions. Dr. Haber highlights the need for good scope retroflexion and adequate retroflexion capability for successful ESD. He also discusses the use of viscous and non-viscous solutions in different parts of the gastrointestinal tract. Dr. Haber goes on to demonstrate the use of different knives, including the Irby hybrid knife and the Pro knife from Boston. He discusses the advantages and disadvantages of these knives and the importance of precise length for different mucosal thicknesses. Dr. Haber also discusses the use of different caps for the scope, highlighting the advantages and disadvantages of conical and larger caps. Throughout the video, Dr. Haber performs a live ESD procedure on a patient with esophageal adenocarcinoma. He demonstrates the technique of creating a tunnel and dissection of the lesion using different tools and discusses the importance of maintaining a dry field and controlling bleeding. The video also includes discussions on patient positioning, use of traction devices, and the need for post-procedure management such as steroids and follow-up endoscopy.

Asset Subtitle

Greg Haber, MD

Keywords

endoscopic submucosal dissection

retroflexion

knives

solutions

viscous solutions

non-viscous solutions

caps for scope

mucosal thicknesses

ESD procedure