ASGE Endoscopy Live: Colonoscopy Symposium (On-Demand) | September 2022-Endoscopy Live Case Demonstration 9

Video Transcription

Video Summary

In this video, Dr. Rex conducts a live case demonstration of a 63-year-old male patient with a 40-millimeter lesion in the hepatic flexure, discovered during a screening colonoscopy. The doctor discusses the significance of synchronous disease in patients with large lesions and the importance of thorough colon examination. He considers different options for removing the lesion, including underwater EMR (endoscopic mucosal resection) and ESD (endoscopic submucosal dissection), ultimately opting for underwater EMR due to the lesion's size and location. Throughout the procedure, Dr. Rex presents different challenges and discusses potential complications. Despite some difficulties, such as a buckled center and fibrotic tissue, he successfully performs the underwater EMR and achieves a complete resection. Dr. Rex notes that the lesion's non-granular aspect made it a good candidate for underwater resection and concludes that the procedure was successful. The video provides valuable insights into the technical aspects and decision-making process involved in endoscopic procedures.

Keywords

live case demonstration

63-year-old male patient

hepatic flexure

screening colonoscopy

underwater EMR