ASGE Endoscopy Course at ACG: Everyday Endoscopy: Expertise Meets Evidence (On-demand) | October 2024-Session 5: Polypectomy: Doing it Faster, Safer and Better

Video Transcription

Video Summary

The video transcript details a medical conference focused on colon cancer and polypectomies, starting with Dr. Charles Kahi discussing techniques for polypectomy, emphasizing the importance of choosing the right approach. Dr. Kahi highlights that polypectomy quality is variable and critical for preventing post-colonoscopy colorectal cancers. He introduces classifications like the Paris and NICE classifications for identifying different types of polyps and discusses the importance of macroscopic features in selecting appropriate techniques for polypectomy. Dr. Kahi also details when surgery might be necessary versus when endoscopic procedures are suitable.<br /><br />Following Dr. Kahi, Dr. Vanessa Shami discusses cold snare polypectomy, emphasizing its benefits in reducing bleeding and complications compared to hot techniques. She stresses understanding the nature of polyps and avoiding invasive techniques when characteristics suggest malignancy. Dr. Shami provides practical tips on polypectomy techniques, particularly cold snare methods, noting its advantages in safety and outcomes, especially for serrated lesions.<br /><br />Subsequent speakers, including Dr. Doug Rex and Dr. Asma Shaukat, contribute to the discussion by outlining strategies to prevent and manage complications like bleeding and perforation during procedures. They also discuss recurrence prevention through effective margin treatment post-resection. Dr. Rex highlights the importance of mastering various techniques and being prepared to address incomplete resections or complications. Dr. Shaukat summarizes the key takeaways, reinforcing the importance of lesion assessment, suitable technique selection, and adhering to surveillance guidelines post-polypectomy.<br /><br />The session underscores the evolving science behind polypectomy and the need for tailored approaches considering patient and polyp characteristics to optimize outcomes and safety in colonoscopy practices.

Keywords

colon cancer

polypectomy

Dr. Charles Kahi

Paris classification

NICE classification

cold snare polypectomy

Dr. Vanessa Shami

Dr. Doug Rex

Dr. Asma Shaukat

bleeding prevention

recurrence prevention

colonoscopy safety