ASGE Endoscopy Live: Colonoscopy Symposium | September 2022-Endoscopy Live Case Demonstration 3

Video Transcription

Video Summary

In this video, Dr. Rex presents a case of a 52-year-old female who underwent her first colonoscopy. The patient had a positive cologuard test and a family history of colon polyps. During the colonoscopy, several polyps were found in different areas of the colon. The largest polyp, measuring 35 millimeters, was found in the ascending colon. It was biopsied and determined to be a sessile serrated lesion (SSL). Other polyps were also identified throughout the colon, including one in the cecum, one in the transverse colon, one in the descending colon, and one in the sigmoid colon. The plan is to remove the large SSL through cold EMR and clear the rest of the colon. Dr. Rex discusses the management of the patient, including the diagnosis of seriated polyposis syndrome type 1 and the importance of recognizing it for increased cancer risk. He also discusses the biopsy of the lesion, the use of tattooing, and the benefits of cold resection for SSLs. The video concludes with a demonstration of the cold EMR procedure. The video is presented by Dr. Rex and includes comments and questions from other physicians. No specific credits are mentioned in the video.

Keywords

colonoscopy

cologuard test

colon polyps

sessile serrated lesion

seriated polyposis syndrome type 1

cold EMR