Endoscopy Live (On Demand) | October 2021-Live Procedure 1: Mayo Clinic

Video Transcription

Video Summary

In this video, Dr. Mizrahi introduces a case of a 50-year-old male patient with a six-centimeter rectal polyp involving the anal canal and the dentate line. The patient's medical history includes obstructive sleep apnea, hypertension, and rheumatoid arthritis. The resection is planned using the Fuji system, specifically the ELOX system with a dual-channel scope and the Track Motion device, which provides traction. Dr. Mizrahi explains that the device helps to grasp and pull tissue away, and it can be used with different types of dual-channel scopes by Fuji or Olympus. Dr. Kumbhari takes over the case and demonstrates the use of the Track Motion device in both retroflexion and forward view. The device allows for better maneuverability, stability, and closer access to the lesion. The videos shown during the case demonstrate the polyp, pit pattern investigation, retroflexion technique, use of water jet for submucosal dissection, and the application of chromatoscopy for accurate margin identification. The case concludes with the start of the closure using the overstitch suturing system. Overall, the video showcases the use of the Track Motion device and various techniques for the resection of a large rectal polyp. No credits are mentioned in the video.

Asset Subtitle

Vivek Kumbhari, MD

Keywords

rectal polyp

anal canal

dual-channel scopes

Track Motion device

resection

retroflexion technique

water jet

margin identification