ASGE Endoscopy Live: Colonoscopy Symposium | September 2022-Endoscopy Live Case Demonstration 4

Video Transcription

Video Summary

In this video, Dr. Kashab and his team at Johns Hopkins perform an endoscopic mucosal resection (EMR) on a 30-millimeter tubular adenoma in an 85-year-old female patient who presented with painless rectal bleeding. They use an Olympus adult colonoscope with GI Genius from Medtronic activated to identify the polyp, and Dr. Kashab demonstrates the lift and snare technique to remove the lesion. They also discuss using AI to examine the margins and the benefits of using PureStat, a transparent peptide gel, to prevent bleeding. Dr. Kashab then showcases the Apollo XTAC through-the-scope suture system for closure of the resection site, explaining the technique and its potential advantages for reducing the risk of bleeding and allowing patients to resume anticoagulants sooner. The video concludes with a discussion of future research and the potential use of XTAC after ESD procedures. This video was presented as part of a medical conference and includes commentary from Dr. Kashab and his colleagues Dr. Repicci and Dr. Ortman. No specific credits were mentioned.

Keywords

endoscopic mucosal resection

tubular adenoma

rectal bleeding

polyp identification

lift and snare technique

Apollo XTAC

resection site closure