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Francisco Gallego
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Mas vale un trabajo bien hecho que 20 a medio hacer
Mas vale un trabajo bien hecho que 20 a medio hacer

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We present a new case of ESD in sigma of a lesion with morphology Is (3 cm) (Classification of Paris) made completely with Dualknife J 2.0. The Olympus ESG-300 electrosurgical unit with the configuration of Dr. Rosón (Hospital Quirón, Málaga) has been used. We have improved the procedure time. In this case, only 40 minutes.
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We present a new case of gastric ESD (antrum) of a lesion with morphology IIa (Classification of Paris) made entirely with Flushknife BT 2.0. The Olympus ESG-300 electrosurgical unit with the configuration of Dr. Rosón (Hospital Quirón, Málaga) has been used. We have improved the procedure time. In this case, only 35 minutes.
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A hybrid resection (Hybrid-ESD) of a 25 mm hair lesion with Is morphology in low rectum is performed. Dual Knife J of 1.5 mm has been used.
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ESD performed by Dr. J. Guilarte at the Hospital de Baza of a lesion with non-homogenous LST-G morphology of 65 x 45 mm of rectal location. The tunneling technique has been used. The resection was complete (R0). Congratulations to Dr. Guilarte for the work done. Colorectal ESD is already a reality at its center.
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An ESD of a lesion with IIa + IIb morphology in the sigmoid colon is exposed. This is our DSE number 11 in the hospital in Poniente. A 1.5 mm BT flush-knife and coagrasper for hemostasis has been used as a hydrodissector. Demirex has been used as a submucosa injection solution (excellent master formula of our friend J. Antonio Morales Molina from the Pharmacy service of the Poniente Hospital). Many thanks to Dr. Katsumi Yamamoto (my dear Japanese friend and ESD world expert) for his good advice in this difficult learning curve of the ESD as well as my good friends, Dr. Rosón (an Andalusian and Spanish expert of the ESD), Dr. Guilarte (friend for 24 years and excellent endoscopist) and of course the group of the "DSE polygonera" (a large endoscopic family).
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