Professor Dr. Ken Ohata
Chief and Director of Endoscopy Center,
Department of Gastroenterology, NTT Medical Center Tokyo,
5-9-22, Higashigotanda, Shinagawa-ku, Tokyo, Japan
Disclaimer: The positions and statements made herein by Dr. Ohata are based on Dr. Ohata’s experiences, thoughts and opinions. As with any product, results may vary, and the techniques, instruments, and settings can vary from facility to facility. The content hereof should not be considered as a substitute for carefully reading all applicable labeling, including the Instructions for Use. Please thoroughly review the relevant user manual(s) for instructions, risks, warnings, and cautions. Techniques, instruments, and setting can vary from facility to facility. It is the clinician’s decision and responsibility in each clinical situation to decide which products, modes, medications, applications, and settings to use.
Gastric ESD
The lesion located on the greater curvature to slightly posterior wall of antrum.
Step 1: Circumferential Incision and Trimming
✔ Master “Press and Pull” technique for effective incision.
✔ Effective trimming by “hooking and pulling triangular electrode”.
Step 2: Dissection
✔ Hook the edge” is the key for effective dissection with ITKnife2™ device.
✔ “Pull and Cut” from both sides, from distal side to proximal side for creating enough space.
✔ “Control Cut mode and Coagulation mode for smooth dissection.
Step 3: Complete Dissection
✔ “Create Margin” for pulling the knife, hooking and pulling tissue bundles for safety dissection.
✔ Effectively use the “Coagulation” mode for safe dissection when the knife contacts fibrous tissue perpendicularly.
Disclaimer: Any content or information (“Content”) presented herein is illustrative in nature and does not guarantee or represent specific information, outcomes, or results. Olympus Medical Systems Corp. and its parents, subsidiaries, affiliates, directors, officers, employees, agents, and representatives (collectively “Olympus”) does not represent to or warrant the accuracy or applicability of the Content. Under no circumstances shall Olympus be liable for any costs, expenses, losses, claims, liabilities, or other damages (whether direct, indirect, special, incidental, consequential, or otherwise) that may arise from, or be incurred in connection with, the Content or any use thereof.
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