Endoscopy Live (On Demand) | October 2021-Live Procedure 4: Johns Hopkins

Video Transcription

Video Summary

In this video, a case of a rectal polyp in a 59-year-old female patient with a history of hypothyroidism is discussed. The patient presented with rectal bleeding and change in bowel habits. A colonoscopy revealed a 3 to 3.5 centimeter tumor in the distal rectum, close to the dentate line. No biopsies were taken, and the plan was to perform a sigmoidoscopy with endoscopic submucosal dissection (ESD).<br /><br />Dr. Nam performed the procedure using an H190 endoscope, demonstrating the flexibility and maneuverability of the instrument. The lesion was dissected carefully to avoid muscle injury, with the use of swift coagulation and dry cut settings. Injection of orice gel was used to provide lift during dissection. The lesion was completely dissected, with no muscle injury observed. Hemorrhoids were treated, and there was a discussion about the need to close the lesion and the follow-up protocol.<br /><br />Overall, the video showed the step-by-step process of performing an ESD for a rectal polyp, with emphasis on technique, instrument selection, and post-procedure care. The video credits Dr. Nam and refers to discussions with Dr. Pankaj Dhawan, Dr. Amrita Sethi, Dr. Vivek Kumbhari, Dr. Simon Lo, and Dr. Gregory Haber.

Asset Subtitle

Saowanee Ngamruengphong, MD

Keywords

rectal polyp

colonoscopy

ESD

H190 endoscope

muscle injury

follow-up protocol