ASGE DDW Videos from Around the World | 2023-ENDOSCOPIC MANAGEMENT OF RESIDUAL POLYP FROM PREVIOUSLY MANIPULATED COLON LESIONS

ENDOSCOPIC MANAGEMENT OF RESIDUAL POLYP FROM PREVIOUSLY MANIPULATED COLON LESIONS

Video Transcription

Video Summary

In this video, the authors discuss various endoscopic management techniques for residual polyps in the colon that have been previously manipulated. They discuss the use of submucosal injection, underwater endoscopic resection, and the heart avulsion technique to remove scarred tissue. They also mention the use of band ligation endoscopic mucosal resection (EMR) for rectal polyps, but note that it is off-label use. The authors also describe endoscopic full thickness resection (EFTR) and powered endoscopic tissue resection as options for complete resection of scarred lesions. They also introduce the T-scot technique, which dissects tissue surrounding the scar to provide a scaffold for snare capture. The authors highlight the importance of complete resection and note the recurrence rates associated with different techniques. The video concludes by discussing the challenges and expanding tools available for managing scarred lesions.

Asset Subtitle

Video Plenary
Authors: Shifa Umar, Dennis D. Chen, Amrita Sethi, Uzma D. Siddiqui

Keywords

endoscopic management techniques

residual polyps

colon

scarred tissue

complete resection