ASGE Annual Postgraduate Course Endoscopy 2022: Breakthrough to Excellence | DDW 2022-Basil Hirschowitz Lecture: How to approach a difficult polyp

Basil Hirschowitz Lecture: How to approach a difficult polyp

Video Transcription

Video Summary

In this video, Professor Michael Burke presents the 2022 Basil Hershowitz Endowed Lecture on the approach to a difficult polyp in gastrointestinal endoscopy. He discusses the use of EMR (endoscopic mucosal resection) as the standard of care in 2022 and provides tips for approaching large and difficult polyps. He emphasizes the importance of orientation, optimal access to the lesion, resecting the nodular component first, and working sequentially in the submucosal plane. He also explains the use of snare tip soft coagulation and the CAST technique (cold avulsion followed by snare tip soft coagulation) for previously attempted non-lifting or scarred lesions. The video concludes with a discussion on the approach to large serrated lesions using cold snare. The techniques presented aim to minimize recurrence and complications in endoscopic polyp resection. No credits were provided in the transcript.

Asset Subtitle

Michael J. Bourke, MD, MBBS

Keywords

EMR

approaching large polyps

snare tip soft coagulation

CAST technique

endoscopic polyp resection