ASGE Annual Postgraduate Course: Clinical Challenges and Real-Time Decision Making in GI Endoscopy (Live and Virtual) | May 2023-Session 4 - Video Based Lecture - Top Ten Tips for Better Basic Colonoscopy

Session 4 - Video Based Lecture - Top Ten Tips for Better Basic Colonoscopy

Video Transcription

Video Summary

In this video, the presenter provides tips for improving basic colonoscopy procedures. The first tip highlights the importance of safety and avoiding pushing against fixed resistance during the insertion of the scope. The presenter also emphasizes the need to convert difficult sigmoid colons to water to prevent barotrauma. They discuss the examination of the right colon and rectum twice to avoid missing interval cancers. Other tips include using high-definition colonoscopes for better detection, measuring serrated detection rate, evaluating mucosal exposure devices and highlighting techniques, abandoning cold forceps for smaller polyps, and avoiding clipping cold resection sites unless there is persistent bleeding. The video concludes with recommendations for resecting larger pedunculated polyps to maximize oncologic outcomes.

Asset Subtitle

Douglas K. Rex, MD, MASGE

Keywords

colonoscopy procedures

safety

sigmoid colons

high-definition colonoscopes

oncologic outcomes