ASGE Endoscopy Live: Colonoscopy Symposium (On-Demand) | September 2022-Endoscopy Live Case Demonstration 5

Endoscopy Live Case Demonstration 5 - Doug Rex IU Case 3

Video Transcription

Video Summary

In this video, Dr. Rex from Indiana University presents a case of a 62-year-old female who underwent a screening colonoscopy. During the procedure, a 30mm tubular adenoma in the cecum was found, along with three other 5mm lesions in the hepatic flexure. The plan for treatment was a hot EMR with a clip closure. Dr. Rex explains that the cecal lesion was granular and larger than expected, but the referring physician did not biopsy or tattoo it, which is common practice in the cecum. He performs thermal treatment on the margin of the lesion and removes all but a small amount of tissue. He discusses the use of glucagon to arrest motility and shares his preference for not using it. Dr. Rex uses hot forceps to remove the remaining tissue and proceeds to close the defect with clips. He addresses questions about clipping into the submucosa and explains the benefits of clip durability. The video concludes with the successful closure of the defect. The presenter and his team are acknowledged. The video transitions to Dr. Saito's segment.

Keywords

screening colonoscopy

tubular adenoma

hepatic flexure

hot EMR

clip closure