ASGE Endoscopy Live: Colonoscopy | November 2024-Endoscopy Live Case 9

Video Transcription

Video Summary

A team led by Dr. Doug performs a snare tip soft coagulation colonoscopy on a 57-year-old female with end-stage renal disease on peritoneal dialysis. This procedure is part of her kidney transplant evaluation due to identified colon polyps. The team demonstrates evaluation techniques, including retrograde evaluation and injection, showcasing an EMR and closure of a lesion. Concerns such as cancer presence in complex cases motivate multistage procedures to prioritize health safety. Dr. Doug advises caution using retroflexion to prevent perforation, which is rare but possible, particularly outside the right colon. Attention is given to finding and removing potential fibrotic tissue in polyps, considering it could indicate cancerous formation. Dr. Doug emphasizes the importance of teamwork and technique, noting how a good approach ensures effective and efficient procedures. In this particular setup, care is taken about equipment choices, such as snare size or the use of caps, adapting to the individual patient's anatomy and conditions.

Keywords

colonoscopy

end-stage renal disease

kidney transplant evaluation

polyps

retroflexion

fibrotic tissue