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

Video Transcription

Video Summary

The video summarizes the case of a 59-year-old female with a rectal polyp and a history of hypothyroidism. She presented with intermittent rectal bleeding and changes 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 to facilitate future endoscopic removal. The plan is to perform a sigmoidoscopy with ESD. The video shows the procedure, with the doctor positioning the patient and using an endoscope to visualize the polyp. The doctor discusses the technique used for dissection and explains how to avoid injecting into the muscle layer. The procedure is successful, with no muscle injury observed. The video emphasizes the importance of follow-up and prescribed stool softeners for the patient. The doctor does not close the defect in the rectum and explains that recurrence is unlikely due to the wide margin of resection. Overall, the video demonstrates the endoscopic removal of a rectal polyp and provides insights into the procedure.

Asset Subtitle

Saowanee Ngamruengphong, MD

Keywords

rectal polyp

hypothyroidism

rectal bleeding

colonoscopy

sigmoidoscopy

endoscopic removal