ASGE Adult and Pediatric Gastroenterology and Endoscopy Board Preparatory and Review Course

Andrew Wang_Colonic Neoplasia

Pdf Summary

This document appears to be a summary or presentation from Andrew Wang, a gastroenterologist at the University of Virginia. The content focuses on various aspects of colonic neoplasia and endoscopic resection. Here are the key points:<br /><br />- The document begins with Andrew Wang disclosing any potential financial conflicts of interest related to the content.<br />- A challenge question is presented involving a case of a large polyp in the cecum with high-grade dysplasia and invasive adenocarcinoma.<br />- The correct answer to the challenge question is identified as a NICE type 3 lesion, which indicates a high risk for deep submucosal invasion and is best managed with surgery.<br />- References are listed for further reading on topics related to the management and assessment of malignant polyps.<br />- Data on the healthcare cost and utilization of surgeries for polyps and colorectal cancer in the US is provided.<br />- It is noted that colorectal mucosa does not have lymphatic drainage.<br />- Various important themes in managing colorectal neoplasia are discussed, including the use of endoscopic resection as a first-line treatment for dysplasia confined to the mucosa, the importance of accurate assessment and proper techniques for resection, and the risk factors associated with recurrence after EMR.<br />- The document also includes case presentations highlighting the assessment and management of different types of polyps.<br /><br />Overall, the document provides a summary of the challenges and considerations in managing colonic neoplasia and emphasizes the importance of proper assessment and techniques for endoscopic resection.

Keywords

colonic neoplasia

endoscopic resection

challenge question

NICE type 3 lesion

surgery

malignant polyps

healthcare cost

lymphatic drainage

first-line treatment

EMR