ASGE Postgraduate Course at ACG 2022: Expanding the Scope of Fundamental and Advanced Endoscopy (On-Demand)

Video Transcription

Video Summary

In this video, Dr. Aris Ahakian discusses two interesting cases. The first case involves a large polyp in the ascending colon with a tattoo under it, making it difficult to remove using standard techniques. Dr. Ahakian demonstrates the use of underwater EMR (Endoscopic Mucosal Resection) to successfully remove the polyp in four pieces, revealing the tattoo underneath. The second case involves a lesion in the rectum that was diagnosed as a tubular villous adenoma. Dr. Ahakian performs an ESD (Endoscopic Submucosal Dissection) to remove the lesion, overcoming submucosal fibrosis with the help of a wire loop device for traction. Both lesions were found to be benign, and Dr. Ahakian emphasizes the importance of choosing the appropriate technique to ensure clean margins for histological evaluation.

Asset Subtitle

Ara S. Sahakian, MD

Keywords

Dr. Aris Ahakian

underwater EMR

Endoscopic Mucosal Resection

tubular villous adenoma

ESD (Endoscopic Submucosal Dissection)