ASGE International Sampler (On-Demand)-Lower GI

Video Transcription

Video Summary

Dr. Amir Rumin, an assistant professor of medicine at the University of Oklahoma, presents on the best abstracts related to lower gastrointestinal (GI) issues at an ASGE event. The first theme discussed is improving adenoma detection rate (ADR) during colonoscopies. Dr. Rumin highlights a study that uses artificial intelligence (AI) to aid in detecting adenomas in non-expert endoscopists. The study shows that the AI system increased ADR by 22% without impacting withdrawal time or resection of non-neoplastic polyps. The second theme focuses on improving detection of right-sided sessile serrated lesions (SSLs) using low-tech methods. A study from Greece explores the use of acetic acid chromoendoscopy, which improves the detection of hyperplastic polyps, SSLs, and traditional sessile adenomas without increasing adverse events. The third theme revolves around colonic endoscopic resection. A study shows that cold snare polypectomy is safe for patients on active anti-thrombotic therapy. Another cost-consequence model shows that using endoscopic submucosal dissection (ESD) can be more cost-effective than piecemeal EMR due to higher R0 resection rates, reducing follow-up colonoscopies for surveillance and retreatment. Additionally, the use of endosponge therapy is shown to be effective and safe for managing colorectal leaks. Lastly, the rigidizing overtube is introduced as a potential tool to help salvage difficult colonoscopies and decrease the workload of endoscopists.

Asset Subtitle

Amir Rumman, MD

Keywords

adenoma detection rate

artificial intelligence

acetic acid chromoendoscopy

colonic endoscopic resection

rigidizing overtube