ASGE Advanced Endoscopic Lesion Resection Course (On-Demand) | November 2022-9 Maranki

9 Maranki_PreProcExpectationsComplications

Pdf Summary

This document discusses pre-procedure expectations and post-procedure complications in GI endoscopic procedures, specifically focusing on complex polypectomy. The document highlights the importance of informed consent, including the key components that should be discussed with the patient. It also emphasizes the significance of a high-quality bowel prep, as inadequate bowel prep can lead to failed detection of neoplastic lesions and increased risk of procedural adverse events.<br /><br />The document outlines the complications that can occur after polypectomy, including bleeding, perforation, and post-polypectomy syndrome. It provides information on the incidence, risk factors, and management of these complications. Additionally, the document discusses the benefits of polyp removal and the alternatives to the procedure.<br /><br />The document also addresses best practices for surveillance intervals after polypectomy. It suggests that piecemeal polyp resection increases the risk of metachronous neoplasia and recommends specific surveillance intervals for polyps larger than 20mm that have been resected in a piecemeal fashion.<br /><br />In summary, the document emphasizes the importance of pre-procedure preparation, informed consent, high-quality bowel prep, and proper management of complications. It provides recommendations for surveillance intervals after polypectomy.

Keywords

pre-procedure expectations

post-procedure complications

complex polypectomy

informed consent

high-quality bowel prep

neoplastic lesions

procedural adverse events

bleeding

perforation

post-polypectomy syndrome