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Masterclass: Colorectal Screening Plus (On-Demand) ...
In the Endo: Real-World Colonoscopy Cases Part 2
In the Endo: Real-World Colonoscopy Cases Part 2
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Video Transcription
Video Summary
The video covers a discussion on real-world colonoscopy cases emphasizing colorectal cancer (CRC) screening guidelines, risk assessments, and procedural techniques. A key case involves a 31-year-old man with family history of CRC; screening should begin 10 years earlier than the youngest relative's diagnosis, thus at 33. The Amsterdam II and Bethesda criteria for Lynch syndrome were reviewed, highlighting genetic testing importance. Another case focused on a healthy 77-year-old man with a large sessile serrated colon polyp removed via endoscopic mucosal resection (EMR); guidelines recommend a six-month follow-up colonoscopy. Factors impacting EMR decisions include polyp size, location, morphology, and malignancy risk. Proper tattoo placement for lesion marking was also discussed, with consensus on placing tattoos 3-5 cm distal or on the opposite wall to aid future localization. Lastly, a 27-year-old woman with pan-ulcerative colitis should begin dysplasia screening now, eight years after diagnosis, per guidelines. The session stressed individualized clinical judgment alongside established screening recommendations.
Asset Subtitle
Anna H Owings
Keywords
colorectal cancer screening
Lynch syndrome genetic testing
endoscopic mucosal resection
sessile serrated colon polyp
colonoscopy follow-up guidelines
dysplasia screening in ulcerative colitis
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