Uploaded April 2017 | Updated September 2026, 4 hours ago
A common problem encountered during a rectal submucosal dissection is the management of bleedings. This video focuses on the different techniques of coagulation during an ESD including the use of the ESD Knife and of the biopsy forceps.
You may watch more educational videos related to endoscopic submucosal dissection here:
Classification based on the demonstrated technique
• Tunneling technique for the colon: youtu.be/NHjPKPbcjoo?list=PL_DeFO6lp5xLltO92l9FkuV9UhXyl3_QW
• Pocket creation method for gastric submucosal lesions: youtube.com/watch?v=F9IybJBb-R4&index=7&list=PL_DeFO6lp5xLltO92l9FkuV9UhXyl3_QW
• Pocket creation method in the stomach: youtube.com/watch?v=BYewXtzJhiM&index=8&list=PL_DeFO6lp5xLltO92l9FkuV9UhXyl3_QW
• Step by Step ESD in the stomach youtube.com/watch?v=5huY0k9GocA&list=PL_DeFO6lp5xLltO92l9FkuV9UhXyl3_QW&index=2&t=809s and youtube.com/watch?v=PVmscXysW08&index=4&list=PL_DeFO6lp5xLltO92l9FkuV9UhXyl3_QW
• Bleedings during ESD: youtube.com/watch?v=tJMp8Xu61fw&index=5&list=PL_DeFO6lp5xLltO92l9FkuV9UhXyl3_QW
• Perforations during ESD: youtube.com/watch?v=BYewXtzJhiM&index=8&list=PL_DeFO6lp5xLltO92l9FkuV9UhXyl3_QW
• Clip and snare technique: youtube.com/watch?v=ThNpoZsCiMc&list=PL_DeFO6lp5xLltO92l9FkuV9UhXyl3_QW&index=9
• ESD of condylomas: youtube.com/watch?v=My5EfJn3ego&index=11&list=PL_DeFO6lp5xLltO92l9FkuV9UhXyl3_QW
• Use of ITKnife nano: youtube.com/watch?v=EKfcqHMBFAA&index=14&list=PL_DeFO6lp5xLltO92l9FkuV9UhXyl3_QW
• Treatment of esophageal strictures with ESD: youtube.com/watch?v=YrQ39eVaNgA
Classification based on the location of the lesion
• ESD at the cecum: youtube.com/watch?v=THZXa_4EWwU and youtube.com/watch?v=EKfcqHMBFAA&t=37s
• ESD at the transverse colon: youtube.com/watch?v=NHjPKPbcjoo
• ESD near the ileocecal valve: youtube.com/edit?o=U&video_id=oxIJjN8gldw
• ESD at the rectum: youtube.com/watch?v=tJMp8Xu61fw&t=123s
• Gastric carcinoid youtube.com/watch?v=aVeptKx7ZZQ&t=2s and youtube.com/watch?v=BYewXtzJhiM&t=46s and youtube.com/watch?v=KcDxJHW2eKw&t=20s
• ESD of gastric lipomas: youtube.com/watch?v=F9IybJBb-R4&index=7&list=PL_DeFO6lp5xLltO92l9FkuV9UhXyl3_QW
• ESD of gastric fibroid inflammatory polyp: youtube.com/watch?v=Tzmu17UKksE
A common problem encountered during a rectal submucosal dissection is the management of bleedings. This video focuses on the different techniques of coagulation during an ESD including the use of the ESD Knife and of the biopsy forceps.
You may watch more educational videos related to endoscopic submucosal dissection here:
Classification based on the demonstrated technique
• Tunneling technique for the colon: youtu.be/NHjPKPbcjoo?list=PL_DeFO6lp5xLltO92l9FkuV9UhXyl3_QW
• Pocket creation method for gastric submucosal lesions: youtube.com/watch?v=F9IybJBb-R4&index=7&list=PL_DeFO6lp5xLltO92l9FkuV9UhXyl3_QW
• Pocket creation method in the stomach: youtube.com/watch?v=BYewXtzJhiM&index=8&list=PL_DeFO6lp5xLltO92l9FkuV9UhXyl3_QW
• Step by Step ESD in the stomach youtube.com/watch?v=5huY0k9GocA&list=PL_DeFO6lp5xLltO92l9FkuV9UhXyl3_QW&index=2&t=809s and youtube.com/watch?v=PVmscXysW08&index=4&list=PL_DeFO6lp5xLltO92l9FkuV9UhXyl3_QW
• Bleedings during ESD: youtube.com/watch?v=tJMp8Xu61fw&index=5&list=PL_DeFO6lp5xLltO92l9FkuV9UhXyl3_QW
• Perforations during ESD: youtube.com/watch?v=BYewXtzJhiM&index=8&list=PL_DeFO6lp5xLltO92l9FkuV9UhXyl3_QW
• Clip and snare technique: youtube.com/watch?v=ThNpoZsCiMc&list=PL_DeFO6lp5xLltO92l9FkuV9UhXyl3_QW&index=9
• ESD of condylomas: youtube.com/watch?v=My5EfJn3ego&index=11&list=PL_DeFO6lp5xLltO92l9FkuV9UhXyl3_QW
• Use of ITKnife nano: youtube.com/watch?v=EKfcqHMBFAA&index=14&list=PL_DeFO6lp5xLltO92l9FkuV9UhXyl3_QW
• Treatment of esophageal strictures with ESD: youtube.com/watch?v=YrQ39eVaNgA
Classification based on the location of the lesion
• ESD at the cecum: youtube.com/watch?v=THZXa_4EWwU and youtube.com/watch?v=EKfcqHMBFAA&t=37s
• ESD at the transverse colon: youtube.com/watch?v=NHjPKPbcjoo
• ESD near the ileocecal valve: youtube.com/edit?o=U&video_id=oxIJjN8gldw
• ESD at the rectum: youtube.com/watch?v=tJMp8Xu61fw&t=123s
• Gastric carcinoid youtube.com/watch?v=aVeptKx7ZZQ&t=2s and youtube.com/watch?v=BYewXtzJhiM&t=46s and youtube.com/watch?v=KcDxJHW2eKw&t=20s
• ESD of gastric lipomas: youtube.com/watch?v=F9IybJBb-R4&index=7&list=PL_DeFO6lp5xLltO92l9FkuV9UhXyl3_QW
• ESD of gastric fibroid inflammatory polyp: youtube.com/watch?v=Tzmu17UKksE







![Clip and band ESD for obstructive lipoma of the ileocecal valve.
A 50-year-old male with chronic colicky abdominal pain underwent colonoscopy. Endoscopy disclosed an obstructive smooth submucosal lesion, resembling to a lipoma, that originated from the ileocecal valve (Fig.1). After multidisciplinary discussion we decided to proceed to endoscopic resection of the lesion by means of endoscopic submucosal dissection (ESD) (Video 1), as previously described [1]. In order to facilitate the endoscopic resection two complexes of clip and band were placed during the procedure in order to achieve adequate dynamic multifocal traction (Fig. 2) [2]. After circumferential incision with a Hook Knife (Olympus, Tokyo, Japan) the thick submucosal tissue was progressively dissected (Fig. 3) (Endocut Q, Effect 3, Interval 3, Duration 3, ERBE, Tubingen, Germany). Visible vessels were coagulated with the knife (forced Coag, 40 watts). Dissection of the fattish component of the lesion resulted into blurring of the view due to deposition of fat droplets at the lens. Therefore, the endoscope was retracted several times for cleaning the lens. Finally, the lesion was safely removed and the patency of the ileocecal valve was re-established (Fig 4,5). Visible vessels were coagulated with a coagrasper (Olympus) and the resection bed was closed with clips. The patient was discharged after 24 h and had an uneventful recovery. At 3 months of follow-up, he remains symptom free. Clip and band ESD for obstructive lipoma of the ileocecal valve.](https://i.ytimg.com/vi/wBvO10UEpxE/mqdefault.jpg)


