ASGE Endoscopy Live: Colonoscopy (On-demand) | November 2024-Endoscopy Live Case 7

Video Transcription

Video Summary

The video discusses colonoscopy procedures focusing on polypectomy techniques. A 66-year-old male had multiple colon lesions, including a partly resected 25mm sessile lesion in the hepatic flexure, identified as tubular villus adenoma. The discussion then shifts to showing successful resection techniques for previously partly resected lesions. The importance of using endoscopic methods over surgery, given its lower morbidity and cost, is underlined. The presentation also explores various techniques, like cold snaring and the use of analgesics to aid resection, how recurrence should be handled, and the necessity of collaboration among endoscopists for complex cases. The video further showcases a hybrid approach incorporating argon plasma coagulation for both margin and base ablation to significantly reduce recurrence rates. It emphasizes thorough inspection and ablation of resection sites, considering factors like fibrosis and muscular tissue exposure, to decrease complication rates.

Keywords

colonoscopy

polypectomy

endoscopic resection

tubular villus adenoma

argon plasma coagulation

recurrence prevention