ASGE Endoscopy Live: Colonoscopy (On-demand) | November 2024-Endoscopy Live Case 3

Video Transcription

Video Summary

In this medical discussion centered on a colonoscopy procedure, a 50-year-old male presented with several lesions, including adenomas and a significant one in the right colon suspected to be a serrated sessile lesion (SSL). The team debated whether to use cold endoscopic mucosal resection (EMR) or electrocautery due to the lesion's atypical bulkiness and irregular features, indicating possible advanced histology. The process involved detailed observations of the lesion's pit pattern and blood vessel characteristics. When managing the lesion, they used electrocautery to ensure a thorough resection, highlighting the advantage of using it for cutting through bulky tissue. The discussion included insights on current settings for forced coagulation and soft coagulation, emphasizing the use of a product called Everlift, which provides a supportive cushion for polyp removal to aid in complete resection with fewer complications.

Keywords

colonoscopy

serrated sessile lesion

electrocautery

endoscopic mucosal resection

Everlift