ASGE Endoscopy Live: Colonoscopy | November 2024-Endoscopy Live Case 2

Video Transcription

Video Summary

In a detailed discussion led by Dr. John Guardiola, the process of removing large pedunculated colon polyps was highlighted. The session involved a 60-year-old male patient with multiple polyps sized 10 to 30 millimeters that were not initially removed during his colonoscopy. Dr. Guardiola and his team demonstrated optimal techniques for resecting polyps, especially dealing with cold snaring, which is a common method for removing polyps under 10 millimeters. The talk emphasized the challenges and considerations in handling polyps within the 10 to 19-millimeter range due to limited existing data. The discussion explored the use of AI in polyp detection and professional differences in employing cold versus hot techniques. The risks of recurrence, bleeding, and cancer were assessed, with recommendations to focus on effective margin assessments and post-procedure clipping to ensure patient safety. The panel concluded with a practical demonstration of polyp removal, showcasing the importance of thorough procedural steps and the potential benefits of advanced image assessment technologies.

Keywords

colon polyps

cold snaring

AI detection

polyp resection

procedure safety

image assessment