STRATEGIES & SOLUTIONS TO TECHNIQUE RELATED PROBLEMS NOTED DURING ESD DONE WITH A COLONOSCOPIC OVERTUBE DEVICE WITH RETRACTION CAPABILITIES.
Neil Mitra*1, Xiaohong Yan1, Dasuni Niyagama Gamage2, Vesna Cekic1, HMC Shantha Kumara1, Abhinit Shah1, Richard L. Whelan1
1Lenox Hill Hospital/ Northwell Health, New York, NY; 2Vassar Brother's Medical Center/ Nuvance Health, Poughkeepsie, NY
ESD is a surgical procedure performed with an endoscope and an electrosurgical knife that is used to systematically detach sessile polyps after first establishing a mucosal lift. The only means of exposing dissection planes are gravity and the dissection cap. With the use of a colonic overtube device with independent instrument channels it is possible to retract the cut edge of the target disc with a grasper which facilitates ESD. There is a learning curve and challenges associated with the device. Our abstract addresses these unique challenges and provide solutions so that operators will have a better understanding of the device.
Back to 2020 Abstracts