ASGE Endoscopy Live: Colonoscopy Symposium | September 2022-Endoscopy Live Case Demonstration 5

Endoscopy Live Case Demonstration 5 - Doug Rex IU Case 3

Video Transcription

Video Summary

In this video, Dr. Rex from Indiana University presents a case of a 62-year-old female patient who underwent a screening colonoscopy. During the procedure, Dr. Rex found a 30-millimeter lesion in the cecum, which was diagnosed as a tubular adenoma on biopsy. Three other lesions, measuring 5 millimeters each, were also found in the hepatic flexure and were removed using a cold snare. The plan for treatment was a hot EMR (endoscopic mucosal resection) with a clip closure. Dr. Rex explains that the lesion was larger than expected and located on the lateral wall opposite the ileocecal valve. He highlights that the referring physician did not biopsy or tattoo the lesion. Throughout the video, Dr. Rex demonstrates the procedure, discussing techniques and considerations while performing the resection and closure. The video concludes with a discussion on the use of clips and the advantages of clipping in certain situations.

Keywords

colonoscopy

tubular adenoma

lesion

endoscopic mucosal resection

clip closure