ASGE Annual Postgraduate Course Endoscopy 2022 (On-Demand): Breakthrough to Excellence-Live Endoscopy from Milan, Italy

Video Transcription

Video Summary

In the video, a team of doctors from Italy perform live colonoscopy procedures on two patients. The first patient is a 52-year-old female with a history of colorectal cancer. The doctor uses a Fujifilm scope and an AI-assisted colonoscopy system called GI genius to locate and identify a precancerous flat lesion in the right colon. The doctor uses a zoom scope and different imaging techniques to examine the lesion's characteristics and determine the best course of action. The panelists discuss the risks and benefits of injection and snare techniques for lesion removal, as well as the importance of margin treatment and follow-up colonoscopies. The doctor performs a successful hot EMR (endoscopic mucosal resection) procedure on the lesion, meticulously removing all visible tissue. The panelists give feedback on the procedure and discuss variations in technique based on lesion characteristics. <br /><br />The second patient is a 77-year-old with a smaller granular lesion in the right colon. The doctor uses a similar approach to locate and elevate the lesion and performs a cold EMR procedure to remove the lesion. The panelists discuss the advantages and considerations of using electrocautery versus a cold snare for EMR. The doctor completes the procedure and assesses the margins. The panelists discuss specimen retrieval and the management of nodular lesions. The doctor provides a post-procedure update and plans to perform a safe submucosal protection. <br /><br />Overall, the video showcases different techniques and considerations for endoscopic mucosal resection of colorectal lesions, highlighting the importance of careful assessment, proper margins, and personalized approaches to each patient. No specific credits are mentioned in the video.

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

colonoscopy procedures

colorectal cancer

AI-assisted colonoscopy system

precancerous flat lesion

endoscopic mucosal resection

lesion characteristics

follow-up colonoscopies

submucosal protection