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

Cold Resection of Large Lesions Beginning with SSL

Video Transcription

Video Summary

In this video, the ASGE SuTab discusses the use of SSLs (sessile serrated lesions) for avoiding complications in lesion removal with electrocautery. The "cold revolution" technique involves removing lesions under one centimeter in size without the use of electrocautery. SSLs, while often feared due to their contribution to interval cancer, are actually less likely to have invasive cancer compared to conventional adenomas of the same size. The video emphasizes the importance of counting and recognizing SSLs, as well as avoiding biopsies before resection. The demonstration showcases the cold EMR (endoscopic mucosal resection) technique for removing SSLs without complications. The video concludes by noting that while observational data supports the effectiveness and safety of cold techniques, randomized trials comparing different methods have yet to be conducted. No credits are given.

Keywords

SSLs

lesion removal

electrocautery

cold techniques

endoscopic mucosal resection