ASGE Annual Postgraduate Course: Leveraging New Advances to Improve Patient Outcomes (Live and Virtual) | May 2024-The Risky Business of Endoscopic Therapies for Duodenal Adenomas

The Risky Business of Endoscopic Therapies for Duodenal Adenomas

Video Transcription

Video Summary

Dr. Chahal, an expert in advanced endoscopy at Cleveland Clinic, discusses the challenges of removing duodenal adenomas. The duodenum poses risks due to its unique anatomy, rich vascularity, thin layers, and extensive blood supply, leading to bleeding and perforation risks. Various techniques like cold-snare polypectomy, EMR with snare-tip coagulation, and ESD are employed for polyp removal, each with its complications and recurrence rates. Closure after procedures significantly reduces adverse events. Dr. Chahal recommends tailoring the approach based on polyp size and patient risk factors. Careful planning and management of complications are crucial in duodenal polypectomy procedures.

Asset Subtitle

Prabhleen Chahal, MD, FASGE

Keywords

endoscopy

duodenal adenomas

polypectomy techniques

complications

duodenal polypectomy