ASGE Endoscopy Live: Colonoscopy Symposium (On-Demand) | September 2022-Endoscopy Live Case Demonstration 7

Endoscopy Live Case Demonstration 7 - Gregory Haber NYU

Video Transcription

Video Summary

In this video, Dr. Gregory Haber from NYU discusses a case of a 65-year-old woman who had a prior colonoscopy at a side hospital and presented with a 2.5-centimeter descending colon polyp. The initial endoscopic evaluation showed a traditional serrated adenoma, which was removed through piecemeal EMR with hot avulsion biopsy. The pathology revealed focal high-grade dysplasia and an intramucosal adenocarcinoma, but without evidence of submucosal invasion. A follow-up colonoscopy showed a scar in the descending colon and biopsies revealed a self-serrated lesion with high-grade dysplasia. Dr. Haber then discusses the use of a full-thickness resection device (FTRD) to remove the lesion after marking it. He explains the procedure and demonstrates how the device works. Complications, such as bleeding and stenosis, are discussed, as well as a potential fallback position if an arterial resection is not achieved. The video concludes with Dr. Haber showing the captured lesion and discussing further steps if necessary. No specific credits are mentioned in the video.

Keywords

colonoscopy

polyp

serrated adenoma

EMR

lesion

FTRD