This video was part of the Video Loop during the SAGES 2020 Virtual Meeting. Topic: Colorectal use of a manually operated combined needle knife / injectioncatheter for colonic ESD eliminates the need for instrument exchanges. Neil Mitra, MD, Xiaohong Yan, PhD, Vesna Cekic, RN, HMC Shantha Kumara, PhD, Richard L Whelan, MD. Lenox Hill. ESD is the gold standard for removal of large sessile adenomas and superficial cancers. Establishing and maintaining a mucosal by injecting saline or other solution into the submucosa is a critical requirement; Once established, lifts are refreshed via either:
1) sclerotherapy catheter insertion and injection (post removal of knife) or
2) injection via a needle knife that contains a thin catheter (no instrument exchange needed).
This video demonstrates ESD done with a new combined needle knife/catheter that utilizes manual injections (no machine pump).
The ability to refresh the lift and to immediately cut tissue facilitates ESD and shortens cases.
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