ASGE Advanced Endoscopic Lesion Resection Course | November 2022-Fibrotic Fixes: Use of Avulsive and Ablative Therapies for Fibrotic Lesions

Fibrotic Fixes: Use of Avulsive and Ablative Therapies for Fibrotic Lesions

Video Transcription

Video Summary

In this video, Mark Benson, an interventional endoscopist at the University of Wisconsin, discusses techniques for removing advanced or fixed lesions that can be challenging to remove. He discusses three techniques: cap-assisted avulsion, endorotor, and hot biopsy avulsion. He also discusses an art project he created, a wooden colon, which won third place in an art contest. <br /><br />Cap-assisted avulsion involves lifting the polyp with a submucosal injection, using a transparent cap on the endoscope or colonoscope to suck up the mucosa, and then using a snare to resect the polyp. Endorotor is a catheter that spins and suctions up the fibrotic area to resect it. Hot biopsy avulsion uses a hot biopsy forceps to remove fibrotic areas that can't be snared easily.<br /><br />Benson discusses studies on these techniques, including their success rates, recurrence rates, and complications. He concludes that all three techniques are safe and effective, but each has its own considerations and learning curve.

Asset Subtitle

Mark Benson, MD

Keywords

Mark Benson

advanced lesions

cap-assisted avulsion

endorotor

hot biopsy avulsion