ASGE Advanced Endoscopic Lesion Resection Course (On-Demand) | 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 the video, Dr. Mark Benson from the University of Wisconsin discusses techniques for removing fibrotic lesions during endoscopic procedures. He mentions three techniques: cap-assisted avulsion, endorotor, and hot biopsy avulsion. Cap-assisted avulsion involves lifting the polyp with a submucosal injection and using a snare to resect it. It has been used since 1990 and has evolved over time. Endorotor is a catheter made of metal that spins and has suction. It is used to resect fibrotic areas by sucking up the mucosa and collecting it in a filter for pathology analysis. Hot biopsy avulsion uses a hot biopsy forcep to remove fibrotic areas that cannot be snared easily. Dr. Benson discusses the effectiveness and safety of these techniques, as well as their recurrence rates and potential complications. Overall, these techniques can be helpful in removing fibrotic lesions, but require skill and additional time during procedures.

Asset Subtitle

Mark Benson, MD

Keywords

fibrotic lesions

endoscopic procedures

cap-assisted avulsion

endorotor

hot biopsy avulsion