ASGE Annual Postgraduate Course: Clinical Challenges and Real-Time Decision Making in GI Endoscopy (On-demand) | 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 benefits and techniques of endoscopic mucosal resection (EMR) for colonic lesions. They emphasize that surgery is not necessary for benign lesions and that EMR is a cost-effective alternative. The speaker focuses on lesion selection and assessing the risk of recurrence. They explain the importance of accurately assessing lesion morphology and stratifying risk based on the Paris morphology and surface topography. The speaker also discusses the identification and consideration of serrated lesions, as incomplete resection can lead to interval cancer. They advocate for the use of dye in the injectate to aid in complete excision. The speaker also mentions the technique of snare-tip soft coagulation to reduce recurrence. They highlight the importance of proper technique and detection to avoid complications such as bleeding and perforation. The speaker concludes by stating that EMR is an effective technique for lesions of all sizes and emphasizes the importance of scheduled surveillance. The video is not credited.

Keywords

EMR

endoscopic mucosal resection

colonic lesions

lesion selection

risk assessment