ASGE Endoscopy Live: Colonoscopy Symposium | September 2022-Endoscopy Live Case Demonstration 9

Endoscopy Live Case Demonstration 9 - Doug Rex IU Case 5

Video Transcription

Video Summary

In this video, Dr. Rex demonstrates a live case of a colonoscopy on a 63-year-old male patient. The patient had a screening colonoscopy in June and a 40-millimeter lesion was found in the hepatic flexure. This lesion was a non-granular LST-fly elevated type, and four other smaller lesions were also removed. Dr. Rex discusses the high levels of synchronous disease in patients with large lesions and the importance of clearing the colon carefully. The panel discusses the characteristics of the lesion and the best approach for its removal. They debate between using underwater EMR or a combination of piecemeal EMR and full thickness resection. Dr. Rex ultimately chooses to use underwater EMR and successfully removes a portion of the lesion. He plans to close the defect with X-Tack. Overall, Dr. Rex is satisfied with the resection and believes it was a good procedure for a non-granular lesion. The video ends with the process of closing the defect. No credits are granted in the transcript.

Keywords

colonoscopy

63-year-old male patient

hepatic flexure

synchronous disease

underwater EMR