Advanced Endoscopy Fellows Program | September 2023-Presentation 2B

Presentation 2B - Endoscopic Luminal Cases 2

Video Transcription

Video Summary

The video transcript contains a discussion about a complicated endoscopic resection case involving a patient with a large cecum polyp. The patient had a locally advanced sigmoid colon cancer and had already undergone chemotherapy and a diverting colostomy. The endoscopic resection was performed to remove the polyp and potentially avoid a total colectomy. The procedure was challenging due to the location of the polyp and the use of a long cap, which led to a cap detachment. The resection was completed using a combination of ESD and EMR techniques, and the final pathology showed high-grade dysplasia and intramucosal carcinoma. The patient went on to have surgery and was able to keep her colon and rectum without needing a colostomy. The importance of considering the appendiceal orifice and the risks of appendiceal involvement during resection were also discussed.

Keywords

endoscopic resection

cecum polyp

sigmoid colon cancer

chemotherapy

colostomy

pathology