Masterclass Colonoscopy: Trends and Recommendations Forward (Virtual) | February 2024-Taking on Larger Polyps in Clinical Practice, pre-referral management, tattooing, and technique

Taking on Larger Polyps in Clinical Practice, pre-referral management, tattooing, and technique

Video Transcription

Video Summary

The speaker addresses terminology questions related to colon polyps and their classification. They explain that conventional adenomas are a group of lesions that always have dysplasia and can have low-grade or high-grade dysplasia, as well as tubular or villous components. Adenomatous polyps without further specification are generally assumed to be tubular adenomas with low-grade dysplasia. High-grade dysplasia, although a risk factor for recurrence, is still generally considered a benign lesion if fully resected. The speaker highlights that the terms granular and non-granular are not useful in the description of serrated lesions, and the terms SSL, SSA, and SSP are all synonymous and used to describe the same type of polyps. They emphasize the importance of not sending benign polyps for surgical resection unless necessary and discuss the risk and efficiency levels of different endoscopic resection techniques. They also touch on the importance of properly coding and documenting procedures and the need for thorough examination of the colon to detect synchronous lesions. The speaker concludes by encouraging practitioners to determine their own risk and efficiency thresholds and choose techniques accordingly.

Asset Subtitle

Douglas K. Rex, MD, MASGE

Keywords

colon polyps

classification

adenomas

dysplasia

tubular adenomas

endoscopic resection techniques

synchronous lesions