ASGE Endoscopy Live: Colonoscopy Symposium (On-Demand) | September 2022-Endoscopy Live Case Demonstration 1

Endoscopy Live Case Demonstration 1 - Doug Rex IU Case 1

Video Transcription

Video Summary

In this video, Dr. Doug Lekrex from Indiana University presents a case of a 21-year-old female with familial adenomatous polyposis (FAP). The patient has a heavy burden of polyps in the colon and rectum, and surgery is planned. The options discussed are total proctocolectomy with ileopoietinol anastomosis or subtotal colectomy with preoperative endoscopic clearing of the rectum. The goal is to preserve the patient's fertility. The video demonstrates the cold snaring technique to remove polyps, highlighting its efficiency and low complication rates. The use of forceps for small polyps is also discussed. The video ends with the plan to tattoo the rectosigmoid junction as a marker for the surgeon during the subsequent surgery.

Keywords

familial adenomatous polyposis (FAP)

surgery options

preserving fertility

cold snaring technique

tattooing rectosigmoid junction