ASGE Advanced Endoscopic Lesion Resection Course (On-Demand) | November 2022-The Complex Polyp: What to Resect and When to Pass on Resection

Video Transcription

Video Summary

In this video, Dr. Offman discusses the importance of knowing when to resect polyps and when to pass on resection. He explains that the risk of lymph node invasion is a key factor in determining whether a polyp should be resected. Dr. Offman discusses various classifications and criteria that can be used to assess the risk of lymph node invasion. He highlights the Paris classification, which categorizes lesions based on their morphology, and the Haggit classification, which assesses the risk of lymphovascular invasion. He also discusses the European Society guidelines for colonic ESD, which recommend ESD for depressed morphology or irregular/non-granular surface patterns. Dr. Offman emphasizes the need for proper training and experience before attempting ESD, and suggests starting with easier lesions, such as rectal polyps. He also discusses the possibility of endoscopic removal of appendiceal polyps and IC valve lesions. Dr. Offman concludes by reminding viewers to document their assessments and predictions in patient notes, and to continuously test and fine-tune their skills in assessing and managing polyps. No credits were mentioned in the transcript.

Asset Subtitle

Mohammed Othman, MD

Keywords

resect polyps

pass on resection

lymph node invasion

Paris classification

Haggit classification

European Society guidelines

colonic ESD