ASGE Endoscopy Live: Colonoscopy Symposium (On-Demand) | September 2022-Endoscopy Live Case Demonstration 6

Endoscopy Live Case Demonstration 6 - Doug Rex IU Case 4

Video Transcription

Video Summary

The video features a colonoscopy procedure performed by Dr. Rex. The case involves a 47-year-old male with a 40-millimeter tumor in the hepatic flexure discovered during a screening colonoscopy. Biopsy confirmed it to be a tubular adenoma. Dr. Rex discusses the importance of obtaining photographs from referring doctors to assess the morphology of the lesion. He considers performing retroflexion to access the lesion but ultimately determines it may not be necessary based on the proximal edge accessibility. Dr. Rex also discusses his use of propofol anesthesia and the potential risk of aspiration during the procedure. He proceeds with a hot EMR (endoscopic mucosal resection) using a snare and injects the lesion for better visualization. He discusses the benefits of snare tip soft coagulation to reduce the risk of recurrence. Dr. Rex performs the resection, shares tips on snare placement, and utilizes Boston clips for closure. The discussion also covers the cost of using clips and the definition of complete closure. The video ends with the successful completion of the procedure.

Keywords

colonoscopy procedure

tumor

tubular adenoma

EMR

snare

closure