GI Now for Group Practice-What Should Be In Your Polypectomy Toolbox

Video Transcription

Video Summary

In the video, Dr. Tanya Kaltenbach, an associate professor of clinical medicine, discusses the importance of endoscopic resection tools in polypectomy. She highlights the high rate of incomplete polyp resections and the variability in competency levels among gastroenterologists. Dr. Kaltenbach recommends the use of carbon dioxide insufflation instead of air, microprocessor-controlled electrosurgical units, viscous injection solution for larger lesions, and a stiff snare. She emphasizes the importance of mindset, technique, and tools for successful polypectomy. The video also discusses different tools and approaches for the management of colorectal lesions of various sizes and morphology, including cold snare polypectomy, endoscopic mucosal resection, and the use of a nylon loop or ESD knife for specific cases. The goal is to improve the quality of colonoscopy and achieve complete, safe, and efficient polyp resection to prevent complications and the need for surgery. The video credits the U.S. Multicellular Task Force Polypectomy document, published in March, as a source of recommendations.

Keywords

endoscopic resection tools

polypectomy

carbon dioxide insufflation

microprocessor-controlled electrosurgical units

colorectal lesions