ASGE Annual Postgraduate Course: Clinical Challenges and Real-Time Decision Making in GI Endoscopy (Live and Virtual) | May 2023-The Large Colonic Polyp: Tools and Techniques to Get It Out

The Large Colonic Polyp: Tools and Techniques to Get It Out | September 2016

Video Transcription

Video Summary

In this video, the speaker discusses the use of EMR (endoscopic mucosal resection) for treating colonic lesions. They point out that surgery should no longer be the first option for treating benign lesions, as EMR offers better outcomes and is more cost-effective. The speaker outlines the steps involved in performing an accurate assessment of the lesion's morphology and surface topography to determine the risk of invasive disease. They emphasize the importance of using dye in the injectate for better visualizing the lesion and achieving complete excision. The speaker also discusses the special considerations and techniques for treating serrated lesions, as well as the risks and management of bleeding, perforation, and recurrence associated with EMR. They mention the use of snare-tip soft coagulation to reduce recurrence rates. The video highlights the limitations of ESD (endoscopic submucosal dissection) and recommends comparing new innovations against the existing standard of care. The speaker stresses the importance of surveillance and scheduled follow-ups after EMR.

Keywords

EMR

colonic lesions

benign lesions

serrated lesions

recurrence