Masterclass Colonoscopy: Trends and Recommendations Forward (Virtual) | February 2024-Lesion Assessment Colonoscopy: Translating lesion assessment into resection decisions

Lesion Assessment Colonoscopy: Translating lesion assessment into resection decisions

Video Transcription

Video Summary

The video transcript discusses the importance of lesion assessment in making resection decisions during colonoscopy. The speaker emphasizes the need for accurate diagnosis and characterization of lesions in real time, using tools such as lesion morphology, histology, and classification systems. The goal is to determine the risk of cancer and the suitability for endoscopic resection or surgery. The speaker highlights the significance of lesion assessment in guiding management decisions, ranging from choosing the appropriate resection technique to identifying the need for on-block resection or piecemeal resection. The location of the lesion also plays a role, with rectal lesions presenting unique challenges due to the risk of surgical morbidity. The speaker emphasizes the importance of accurate lesion assessment in avoiding confusion and ensuring the best outcomes for patients. Various techniques and tools are discussed, including injection, snare, ESD (endoscopic submucosal dissection), and FTRD (full thickness resection device). The key takeaway is that lesion assessment is crucial for determining the appropriate diagnosis and management strategy, with the goal of achieving complete, safe, and efficient removal of lesions in a single session.

Asset Subtitle

Tonya R. Kaltenbach, MD, MS, MASGE

Keywords

lesion assessment

colonoscopy

resection decisions

diagnosis

lesion morphology

endoscopic resection

management decisions