ASGE Annual Postgraduate Course Endoscopy 2022: Breakthrough to Excellence | DDW 2022-Live Endoscopy from Milan, Italy

Video Transcription

Video Summary

The video features a live case of an endoscopic mucosal resection (EMR) performed on a 52-year-old female patient with a flat lesion in her right colon. The procedure is led by Dr. Alessandro Repici and his team in Milan, Italy. The panel of experts includes Dr. Michael Kaminski from Poland, Dr. Michael Burke from Australia, and Dr. Monica from the ASG. The procedure is done using a Fujifilm latest generation scope and assisted by AI technology called GI Genius from Medtronic. The team injects a long-lasting solution into the lesion to enhance the view and delineate the borders. They then use a dedicated 15mm snare to remove the lesion in multiple pieces, taking care to include normal tissue at the margin. The experts discuss the importance of accurately resecting serrated lesions and the risk of recurrence. The video also touches on the use of cold EMR versus electrocautery, stabilization techniques, and specimen retrieval. The team successfully completes the procedure without complications and evaluates the resected tissue for any remaining abnormal cells. The video provides valuable insights into the technique and considerations involved in EMR procedures for colorectal lesions. <br /><br />Credits: The video features Dr. Alessandro Repici, Dr. Michael Kaminski, Dr. Michael Burke, Dr. Monica, and the ASG president Doug Rex.

Asset Subtitle

Alessandro Repici, MD and Team

Panelists: Monika Fischer, MD, Amrita Sethi, MD, MASGE, Douglas K. Rex, MD, MASGE, Michael J. Bourke, MD, MBBS

Keywords

endoscopic mucosal resection

EMR

colon

Dr. Alessandro Repici

Milan

Fujifilm

GI Genius

Medtronic