WEO Video: Dr. Byeon Jeong Sik
Dr. Byeon Jeong Sik from the Asian Medical Center, University Usan, Seoul, Korea performs an Endoscopic Submucosal Dissection (ESD) in the colon
Dr. Byeon Jeong Sik from the Asian Medical Center, University Usan, Seoul, Korea performs an Endoscopic Submucosal Dissection (ESD) in the colon. This technique, developed in Japan, requires that a considerable amount of fluid is injected into the submucosa under a polyp prior to removal. An incision is made into the mucosa and then dissection is carried out in the submucosal plane under the tumor with a needle-knife type of device. After most of the tumor has been undermined, a snare is used to complete the polypectomy. A single large specimen is delivered to the pathology laboratory for precise determination of margins and depth of penetration of the neoplasm.
Live demonstration recording from the 2008 Annual Endoscopy Workshop of the Malaysian Society of Gastroenterolgy and Hepatology.
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