ASGE/JGES Advanced ESD (Live and Virtual)| July 14-15 2023-7-15-23 Bring Your Case 1

Video Transcription

Video Summary

The video transcript features a discussion on several colonic lesions observed during colonoscopies. The first case is a 50-year-old patient with a family history of colon cancer. A nodular lesion is found in the rectum during a screening colonoscopy. The faculty agrees not to perform endoscopic resection due to the risk of contamination and recommends surgery. The second case involves a 70-year-old patient with chronic diarrhea. A lesion is observed in the descending colon, diagnosed as a laterally spreading tumor with a granular mixed type appearance. The faculty agrees that the lesion is suitable for endoscopic submucosal dissection (ESD). The third case features a 53-year-old patient with a personal history of breast cancer. A small, depressed region is found in the cecum. The faculty suspects that it may be intramucosal cancer or high-grade dysplasia and recommends endoscopic resection. The fourth case involves a surveillance colonoscopy of a 69-year-old patient who previously underwent left hemicolectomy. A lesion is observed in the transverse colon, and the faculty suggests further evaluation of the lesion behind the fold before making a treatment decision. The last case is an 86-year-old patient with constipation and Parkinson's disease. An irregular and dirty region is observed in the right side of the colon. The faculty agrees that this region is a surgical candidate due to suspected invasion. Overall, the discussed cases highlight the importance of accurately diagnosing and assessing colonic lesions to determine the appropriate treatment approach.

Keywords

colonic lesions

endoscopic resection

descending colon

endoscopic submucosal dissection

cecum

transverse colon

surgical candidate