ASGE Annual Postgraduate Course: Clinical Challenges and Real-Time Decision Making in GI Endoscopy (Live and Virtual) | May 2023-Session 4

Video Transcription

Video Summary

The video begins with an introduction to the panel of experts who will be discussing practical tips to improve colonoscopy performance and outcomes. They then discuss a video case of a 64-year-old man who had an incomplete colonoscopy due to a redundant colon. The panel discusses strategies to approach the case, such as using a standard scope and going in underwater to keep the colon narrow and shorter. They also discuss the characteristics of a lesion in the cecal base and the low risk of cancer. The panel then discusses different approaches to removing the lesion, such as using cold EMR or hot EMR. They also discuss dealing with unexpected fibrosis during the procedure. Lastly, they demonstrate the use of the cap technique for snare resection and discuss clip closure.

Keywords

incomplete colonoscopy

redundant colon

lesion characteristics

lesion removal techniques

cap technique