ASGE ENDO Hangout for GI Fellows: Polypectomy Techniques

Video Transcription

Video Summary

In the video, Tara and Salman expressed their preference for using Hespan solution, a mixture of methylene blue and saline, for injection during polypectomy procedures. They found it to be effective without causing excessive scar tissue or granulation. They also noted that they occasionally use other available solutions, but generally avoid using saline for lifting.<br /><br />The panelists discussed various techniques and tools used in polypectomy procedures. They emphasized the importance of uniform injection for better results and discussed the benefits and challenges of different injection solutions. The use of different snare sizes and types based on the polyp's characteristics was also discussed. Underwater EMR was highlighted as a safe and effective alternative to traditional injection methods, providing good visualization and easy removal.<br /><br />Stabilization devices for post-EMR procedures were mentioned, as well as different hemostasis agents like Puristat and Endoclot for controlling bleeding. The panelists cautioned against using caps in the colon and mentioned the management strategies for complications such as post-resection syndrome and perforation. The Sydney classification system for perforations was discussed, emphasizing the importance of closure based on the type and size of the perforation.<br /><br />The video concluded with a demonstration of the closure of an EMR procedure using a suturing device. Overall, the video provided valuable insights into the techniques and tools used in polypectomy procedures, offering helpful tips and recommendations for fellows and practitioners.<br /><br />No specific credits were mentioned in the summary.

Keywords

Hespan solution

methylene blue

saline

polypectomy procedures

scar tissue

granulation

injection solutions

snare sizes

underwater EMR

stabilization devices

hemostasis agents

post-resection syndrome