DiLumen facilitates, simplifies, and saves time in colonic ESD procedures. Doctors Alberto Herreros de Tejada, Pedro J. Rosón, and Francisco Fernandez use DiLumen’s dynamic retraction benefits during this recorded ESD case. This case, recorded from a live case observation performed during Málaga Live Endoscopy 2020 in Málaga, Spain, comes to us from Izasa Hospital S.L.U ., in Barcelona, Lumendi’s valued distribution partner in Spain.
This is, uh, insertion device with a double balloon. So there's a, uh, uh, Diestel balloon approximate balloon. And both can be separated or through a progressing the, uh, Diestel balloon from the sea. From the intention on, we can inflate and deflate both. We're gonna show you now. Thank you. So this is a proximal balloon is now were inflated it and we're gonna completed uh, this balloon. Yeah. Or the girl? Yeah. So we can use thes w system to advance the scope. Ana, stabilize the scope in difficult areas. Difficult positions on you. See there in the let's see the first shots in between. Yeah, there are two strings this source string long string you can use for traction so you can use a clip. Grasp the line on apply to the lesion on use the balloon. The election has, uh, keep it like this was deflated, but to do to do attraction in the Lishan eso That's when I I'm gonna try to show you, uh, for me, one of the main advantages is the capability off position in the scope, eh? Stabilize the scope. And, um, for those difficult cases in the right column to reduce the amount of Colin and the reduce the loops so you can stabilize the scope and, uh, and create like Earth's number or what? December between the boat balloons. Uh, so now, because you can create distance by advances the or al balloon you can create Ah, in office space and fixed with by inflating both balloons, you can fix your scope. Uh, the last case I performing, uh, in the right column. E was very helpful. Uh, this is not particularly difficult to reach, but we want we want Thio. We want to show you Ah, the capability of the balloon to do to perform traction. Uh, I'm advanced separating. I'm advancing the, uh or El Balloon. But you need to pass the lesion. Yeah, way already passed it. I'm good. Yeah, Let's see. Now can you fix it? Okay, now we can, uh, through the balloon. Yeah. Okay. Now I have both alone. Fix it and I can move my scope. You see, if I withdraw the scope, you will see my balloon is distant. Yeah, here. So advance again. I have it fixed in the distal descending column. When I'm advancing the scope, it is very important. It's well lubricated. Now you see the situation. Um on. I have now acquired a stabilized, uh, start by injecting money. Okay. Establishing you can know. See you. See you. See? You see, a serious, serious, serious serious here, Uh, about the Yeah. Close. Mm. So maybe I hope sooner or later I can I can put the try to the attraction. Okay. E, I think that the only two models are the differences based on the length of the off the off the tube, there's 11 or three centimeters on 1, 13 31 31 30 one. So now can we write e k e Put on Carmelo. See? So what I'm gonna do is I'm gonna deflate the balloon toe advance a little bit deflate, so yeah. Yep, I'm pulling a little bit. I'm pulling the scope. We are too close. Uh, deflate, please. I want to play the distal balloon. Close, but not so close. Yeah. Deflate Deflate plate Onda. Okay, Now can you inflate now? Disturb alone, please. Yeah, Okay. Okay, Okay. Okay, Now, now I'm gonna advance the scope now way are pulled. Uh, poquito. Don't think the honeymoon keep so money What's the difference between the long, the long third and the sharp threat? Uh, they have functions are you can use a development for multi directional traction. So the short one usually you use when you would like to pull away from you all the words Orel and but the longer one you can use if you would like toa pull towards you or towards an end. So, for example, if you have quality embedded in their panics and you want to pull it out, you will use the long one. And it's a special technique for that, uh, for rectal case, for example, it depends which, Which part? Uh, you would like toa attraction on. So for this lesion, I when I saw it, I believe that the short one was most suitable to start with. And now he can even clip on the Orel and and, uh, do attraction towards. And, um and so you could do really multi them and multi directional attraction. This really help? I'm gonna try. So you see the leash in? I'm gonna try to apply toe the most more or less the center open. Okay. I don't mind if I get the lesion close. Okay, fine. I e I will open you then afterwards. Okay. Uh, okay. Yes, I'm antimony. Oh, stop mystery. Wait. I mean, he knows him away because the colonists money, Money. Okay, okay. Out. Bonnie, do you have any experience with polyps in Appendix? Yes. Uh, not in Europe, But there was a case done by Dr Canst Boy in the States. And this case is published. We can share with you the video and the publication. It's a specific technique because what you need to use to pull the pull it out, but with the help of that woman was possible. So the patient didn't need to go for surgery. Iwas really possible to do it that way? Same. You would do this kind of traction if delusion is at the Sikh. Um, because you cannot traction attraction away from you are towards Orel. And so you need to really do attraction towards, um, you know, and so you kind off use. You can use the short threat for that, but you can use longer one, so it depends. I mean, definitely it's for multi directional traction, the one that it's used in Europe. I see with this rubber band and this dental flaws you've got on Lee One sided detection and you need to apply. Oh, no. Learning cookies, possibly bombs are ksc Oprah phonedog means please, Molly Croquet yah Putting just two unit based S O s. Yeah. L a r l endoscope eo tradition. Dillaman is a very acerca part of a key. Let's get this question, OK, so not even in camp under state criminal in your area? Uh, yeah e a, uh A, uh Yeah. Okay. You know credito, because what, you see interest in some poker? Thomas D s Osaka based mass tension. It's over. Phil Thomas Mesa. I think it comes to the final maximum attention, No problem. Close. So I was just going to say that in my story experience, I I hardly have used that. I've used the direction, but not I haven't experienced this very nice experience off effective in a difficult position out. So, yes, it's been a good experience of the traction capability because this was not a far lesion in the right in the right column, but the difficult approach Uh huh. Because of the off the full, sir? Yeah. No, on. Yep. Okay. you? No, A. Now you can see the conduit off that woman. You can take the legion out through the conduit and you can come back toe close the defect in no time, like less than one minute. So this is another. You save a lot of time by doing this. And if you have a movie, are piecemeal or you want to take more pieces out or different lesions, then you can just reposition the element. But this this really saves your time so we can now drop the We can pull the all the system now or what? How can we wait? You can take You can disconnect or cut the future to disconnect the legion from the, uh, if you have, like, a, uh, tonight. Or you can take the complete system out. But it's good to take the delusion. Take it out. A flip flop or Cleveland Cleveland lawyers supply kado, Allah, Allah, Sumako. Intentional operation scripts, occasional final con cuidado. Tim. Okay. Okay. Yeah, a You know, you know, But, um yeah,
