ASGE Annual Postgraduate Course: Clinical Challenges and Real-Time Decision Making in GI Endoscopy (Live and Virtual) | May 2023-Cold Resection of Large Lesions Beginning with SSL

Video Transcription

Video Summary

The video discusses the use of Submucosal Injection and Cold EMR (endoscopic mucosal resection) techniques for removing lesions, specifically sessile serrated lesions (SSLs), in the colon. The speaker explains that avoiding electrocautery can help avoid complications and introduces the concept of the "cold revolution" for removing small lesions without electrocautery. SSLs are discussed as being less likely to have invasive cancer compared to conventional adenomas. The importance of counting and monitoring SSLs, as well as the challenges in accurately identifying and detecting them, is highlighted. The speaker demonstrates cold EMR techniques using injection and piecemeal resection on SSLs and emphasizes that biopsies should be avoided before resection to prevent fibrosis. The video concludes by acknowledging that while evidence supports the effectiveness and safety of cold techniques for removing SSLs, no randomized trials have compared them to other methods. (No specific credits were mentioned in the video.)

Keywords

Submucosal Injection

Cold EMR

Sessile Serrated Lesions

Colon

Cold Revolution