ASGE Annual Postgraduate Course: Clinical Challenges and Real-Time Decision Making in GI Endoscopy (Live and Virtual) | May 2023-Session 7 - Video Based Lecture 2 - Endoscopic Decision Making to Prevent Recurrence

Session 7 - Video Based Lecture 2 - Endoscopic Decision Making to Prevent Recurrence

Video Transcription

Video Summary

In this video, the speaker discusses optimal snare resection techniques for polyps, as well as thermal ablation of the margin to avoid recurrence. They emphasize the importance of aligning the snare with the mucosal defect and using firm downward pressure to minimize thermal injury. The speaker also highlights the use of snare tip, a technique that has shown to be safe and reduces recurrence rates. They discuss the classification system for post-resection defects and the importance of closing the muscle defect to prevent perforation. The video also covers the management of delayed post-polypectomy bleeding, including the use of clip closure in the right colon. The speaker acknowledges their team at Westmead.

Asset Subtitle

Michael J. Bourke, MD

Keywords

snare resection techniques

thermal ablation

mucosal defect

snare tip

post-resection defects