ASGE Annual Postgraduate Course Endoscopy 2022 (On-Demand): Breakthrough to Excellence-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 difficult polyps in gastrointestinal endoscopy. He discusses the use of endoscopic mucosal resection (EMR) as the standard of care in 2022 and shares critical techniques for approaching large and difficult polyps. These techniques include orienting the lesion, optimizing access with injections, resecting the nodular component first, working sequentially in the submucosal plane, and using water jet to expand the defect. Professor Burke also demonstrates techniques for managing intraprocedural bleeding and scarred lesions. Overall, these techniques aim to reduce recurrence rates and improve patient outcomes. The lecture is sponsored by the ASG Foundation in honor of Dr. Basil Hershowitz's contributions to the field.

Asset Subtitle

Michael J. Bourke, MD, MBBS

Keywords

difficult polyps

endoscopic mucosal resection (EMR)

lesion orientation

submucosal plane

intraprocedural bleeding management