Tip 26: The Use of Hot Avulsion in the Management of Fibrosis

Video Transcription

Video Summary

The video discusses the use of hot avulsion in completing endoscopic mucosal resection (EMR) in cases of increased submucosal fibrosis. The speaker provides examples of different lesions and explains how certain factors, such as lesion morphology and previous resection attempts, can increase the risk of submucosal fibrosis. The technique of hot avulsion is demonstrated, where forceps are used to grasp the target tissue and then cutting current is applied to remove it. The video emphasizes the challenges of dealing with submucosal fibrosis and the importance of using avulsion to salvage EMR. No credits are mentioned.

Keywords

hot avulsion

endoscopic mucosal resection

submucosal fibrosis

lesion morphology

previous resection attempts