First Year Fellows Endoscopy Course (August 5 - 6)

Video Transcription

Video Summary

In this video, Dr. John Morris from the University of Utah discusses therapeutic colonoscopy and the various procedures involved. He begins by mentioning that lower GI bleeding cases and polypectomy are common during fellowship. He also discusses the use of colonoscopic decompression for patients with significant colon distension. He then reviews complications that can occur during colonoscopy, such as upper and lower GI bleeding. He emphasizes the importance of understanding the differential diagnosis of GI bleeding based on clinical factors. Dr. Morris discusses various causes of lower GI bleeding, including diverticular bleeding, ischemic colitis, angiodysplasia, and hemorrhoids. He presents a case study and discusses the best next steps for management. He also discusses the management of lower GI bleeding in different contexts, such as occult bleeding and melanoma. Dr. Morris talks about the use of cold snaring for polypectomy and explains the advantages and techniques of this method. He describes the use of injections for submucosal lifting and for tattooing prior to polypectomy. Dr. Morris mentions the different complications that can occur during polypectomy, such as bleeding and perforation. He concludes the video by highlighting the importance of minimizing the risk of complications during colonoscopy and reviewing strategies to avoid complications.

Asset Subtitle

John Morris, MD

Keywords

therapeutic colonoscopy

lower GI bleeding

polypectomy

complications

diverticular bleeding

ischemic colitis

angiodysplasia

hemorrhoids