ASGE Advanced Endoscopic Lesion Resection Course | November 2022-9 Maranki

9 Maranki_PreProcExpectationsComplications

Pdf Summary

This document discusses pre-procedure expectations and post-procedure complications related to complex polypectomy. Pre-procedure preparation includes reviewing the patient's medical history, assessing the need for anticoagulation, and evaluating any previous suboptimal bowel preps. Informed consent is emphasized as an opportunity to establish rapport with the patient and discuss the procedure, potential complications, and alternatives. The importance of a high-quality bowel prep is highlighted for diagnostic accuracy and therapeutic safety. In terms of complications, the document mentions bleeding as the most common adverse event, with rates ranging from 11% to 22% after colonic lesion removal. Other complications discussed include perforation, post-polypectomy syndrome, and incomplete resection. Best practices for surveillance intervals are also provided, including recommendations for follow-up after colonoscopy and polypectomy. The document concludes by emphasizing the importance of reviewing patient information, obtaining informed consent, optimizing bowel prep, developing a resection plan, and following recommended surveillance intervals.

Keywords

complex polypectomy

pre-procedure expectations

post-procedure complications

informed consent

high-quality bowel prep

bleeding

perforation

post-polypectomy syndrome

incomplete resection

surveillance intervals