ASGE/JGES Advanced ESD (Live and Virtual) | July 16-17 2023-7-15-23 Bring Your Case 1

Video Transcription

Video Summary

The video features a presentation of several cases from the speaker's private and public practice in Mexico, with a focus on premalignant conditions in the colon. The first case highlighted a 50-year-old patient with a family history of colon cancer who underwent a screening colonoscopy. A nodular lesion was found in the rectum, prompting discussion about the best approach for removal. Although endoscopic resection was considered, the consensus was against it due to the risk of converting potentially resectable cancer into uncontrollable contamination. The second case involved a 70-year-old male patient with chronic diarrhea, and an LST granular nodular mixed-type lesion was identified in the descendant colon. The speaker and another panelist agreed that this case would be a suitable candidate for endoscopic resection using ESD. The third case featured a 53-year-old female patient with a history of breast cancer, and a small lesion in the cecum was observed during colonoscopy. The panel discussed the use of acetic acid and non-traumatic catheters to improve visualization, and agreed that this lesion could be an intramucosal cancer or high-grade dysplasia, making it a good candidate for endoscopic resection. The fourth case involved a 69-year-old male patient who had previously undergone left hemicolectomy for colon cancer. A lesion in the transverse colon was identified, and the panel discussed its characteristics and debated whether it was suitable for endoscopic resection or required surgical intervention. The fifth and final case featured an 86-year-old patient with constipation and Parkinson's disease. The colon was heavily soiled, and the panel concluded that this case would require surgery due to the suspicion of deep invasion. Overall, the video provided insights into the assessment and management of various colon lesions using endoscopic procedures.

Keywords

premalignant conditions

colon

cases

screening colonoscopy

endoscopic resection

lesion

colon cancer