GI Now for Group Practice-Polypectomy - Prevention & Treatment of Adverse Events

Video Transcription

Video Summary

In this ASGE webinar, Dr. Keith Obstein discusses the management and prevention of adverse events during polypectomy. He emphasizes the importance of visualizing the entire lesion and using enhanced imaging techniques to ensure complete removal of the polyp. Common adverse events related to polypectomy include bleeding, pain, perforation, and incomplete resection. Dr. Obstein discusses approaches for preventing and managing these events, such as proper insufflation, repositioning the patient, and using assistive devices like caps or loops. He also highlights the importance of informed consent and effective communication with the team. In the case of adverse events, he recommends taking a deep breath, checking your own pulse, and calmly managing the situation. Dr. Obstein covers topics including post-polypectomy bleeding, use of hemostatic clips and over-the-scope clips, pain management, post-procedure complications like post-polypectomy coagulation syndrome, and management of perforation. He provides recommendations for documentation and emphasizes the value of transparency and honest reporting. Additionally, he addresses audience questions about lift solutions, injecting substances prior to clipping, and documentation practices.

Keywords

ASGE webinar

Dr. Keith Obstein

adverse events

polypectomy

visualizing lesion

enhanced imaging techniques

bleeding

pain

perforation

incomplete resection