ASGE Advanced Endoscopic Lesion Resection Course (On-Demand) | November 2022-Adverse Events Case Studies

Video Transcription

Video Summary

The video content summary consists of a series of cases and discussions regarding adverse events in endoscopic procedures, specifically focusing on adverse events related to colon and duodenal polyps. The video discusses the challenges and management strategies for incomplete resection of polyps, including the high recurrence rate and the need for complete removal. It also highlights the common adverse events of perforation and bleeding during polypectomy procedures, with emphasis on the importance of recognizing and managing these complications promptly. The video showcases various techniques used to achieve hemostasis, including the use of clips, cautery, and newer devices such as the over-the-scope clip and X-Tag. Additionally, steps to prevent bleeding in duodenal polyps are discussed, such as careful examination of the resection bed, soft coagulation of exposed vessels, and potential use of prophylactic gels. The video concludes with examples of cases where bleeding could not be controlled endoscopically, requiring interventional radiology embolization or surgical intervention. Overall, the video provides insights into the challenges and management strategies for adverse events associated with endoscopic procedures. No credits were mentioned in the video.

Asset Subtitle

Rajesh N. Keswani, MD

Keywords

adverse events

endoscopic procedures

colon polyps

duodenal polyps

incomplete resection

recurrence rate

perforation

bleeding

hemostasis