ASGE Annual Postgraduate Course: Endoscopy Around the World: Video Case-Based Pearls from the Masters (Virtual) | April 2021-D6-REX_ASGE template ASGE PG talk Top 10 Dos and Dont s of Colonoscopy

D6-REX_ASGE template ASGE PG talk Top 10 Dos and Dont s of Colonoscopy

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The document provides a list of the top 10 dos and don'ts for colonoscopy. The first do is to convert all tight sigmoids to water filling. The second don't is to avoid applying forceful torque with the scope tip in the proximal colon. The third do is to perform a detailed, compulsive examination, including looking behind folds, achieving adequate distention, and cleaning up. The fourth do is to examine the right colon twice. The fifth do is to expand cold resection for certain types of lesions. The sixth do is to practice and assess polypectomy skill. The seventh do is to resect pedunculated lesions low on the stalk. The eighth don't is to not ablate tissue that resists snaring, but to instead avulse it. The ninth do is to treat the margin after piecemeal EMR using electrocautery. The tenth do is to clip close lesions based on available evidence. In summary, the ten dos and don'ts of colonoscopy include using water immersion, being cautious with torque, performing a detailed examination, examining the right colon twice, expanding cold resection, practicing and assessing skills, resecting lesions low on the stalk, avoiding ablation of resistant tissue, treating margins after piecemeal EMR, and clipping close lesions.

Keywords

colonoscopy

dos and don'ts

water immersion

torque caution

detailed examination

right colon

cold resection

polypectomy skill

lesion resection

margin treatment