ASGE Endoscopy Live: Colonoscopy Symposium (On-Demand) | September 2022-Endoscopy Live Case Demonstration 3

Endoscopy Live Case Demonstration 3 - Doug Rex IU Case 2

Video Transcription

Video Summary

In this video, Dr. Rex presents a case of a 52-year-old female patient who underwent her first colonoscopy. The patient had a positive cologuard test and a family history of colon polyps. During the colonoscopy, multiple polyps were found in different areas of the colon. The polyps were identified as serrated lesions (SSLs) and one hyperplastic polyp. The plan for the patient is to remove a large SSL by cold EMR (Endoscopic Mucosal Resection) and clear the rest of her colon. Dr. Rex discusses the management of the patient and emphasizes the importance of recognizing seriated polyposis syndrome (SPS) in patients with multiple SSLs. He also discusses the biopsy and tattooing of the lesions and provides insights into the technique of cold resection for SSLs. The video concludes with a discussion on the use of snare tip soft coagulation, recurrence rates after cold snaring of SSLs, and resumption of anticoagulation after cold EMR. Dr. Rex demonstrates the technique of cold EMR without injection for another SSL.

Keywords

colonoscopy

cologuard test

colon polyps

serrated lesions

Endoscopic Mucosal Resection

seriated polyposis syndrome