Masterclass: Colorectal Screening Plus (Virtual) | September 2025-In the Endo: Real-World Colonoscopy Cases Part 2

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

colonoscopy

colorectal cancer screening

Lynch syndrome

endoscopic mucosal resection

sessile serrated polyp

dysplasia screening