ASGE/JGES Advanced ESD (On-demand)| July 2023-7-15-23 Bring Your Case 1

Video Transcription

Video Summary

In this video, the presenter, who is a practicing physician in Mexico, discusses several cases from their private and public practice in Mexicali, Baja California. The first case is a 50-year-old patient with a family history of colon cancer who underwent a screening colonoscopy. The presenter shows a nodular lesion in the rectum of about 1.5-2 centimeters and discusses the potential risks of endoscopic removal. The result was adenocarcinoma, and the recommended treatment is surgery. The second case involves a 70-year-old male patient who underwent colonoscopy due to chronic diarrhea. The presenter identifies a lesion in the descending colon, which appears to be a laterally spreading tumor with a mixed granular type. The recommended treatment is endoscopic submucosal dissection (ESD). The third case is a 53-year-old female patient with a history of T2 breast cancer. The presenter examines the cecum and discusses the use of saline solution for cleaning and the potential use of acetic acid for better assessment. The fourth case is a 69-year-old male patient with a history of colon cancer. The presenter shows a lesion in the transverse colon and discusses the need for further assessment of the backside of the lesion before planning a resection. The final case is an 86-year-old patient with constipation and Parkinson's disease. The presenter examines a lesion in the hepatic flexure and discusses the decision to refer the patient for surgery due to the suspected deep invasion. Overall, the presenter emphasizes the importance of careful assessment and appropriate treatment strategies based on the characteristics of each case. No credits were mentioned in the video.

Keywords

colon cancer

screening colonoscopy

adenocarcinoma

endoscopic submucosal dissection

T2 breast cancer

resection

deep invasion