ASGE Endoscopy Live: Colonoscopy Symposium | September 2022-Endoscopy Live Case Demonstration 8

Endoscopy Live Case Demonstration 8 - Saowanee Ngamruengphong JH

Video Transcription

Video Summary

The video transcript is a discussion between medical professionals on a case involving a 58-year-old female patient who had a large rectal polyp. The patient had a previous history of mental health disability and had undergone a polyp resection in 2021. The pathology report showed tubulovillous adenoma. In 2022, the patient had a repeat surveillance endoscopy, which revealed a 30-millimeter rectal polyp with a central scar. The medical team planned to proceed with flexible sigmoidoscopy with endoscopic submucosal dissection (ESD) of the polyp. The video includes a detailed description of the procedure, including the use of submucosal injections and the challenges posed by scar tissue and blood vessels. The medical professionals also discuss alternative techniques and options, such as using a snare or a surgeon's transanal approach. The video concludes with the completion of the dissection and plans for closure of the site. The transcript does not provide any credits or acknowledgments.

Keywords

rectal polyp

tubulovillous adenoma

surveillance endoscopy

endoscopic submucosal dissection

scar tissue

blood vessels