Polypectomy - Prevention & Treatment of Adverse Events (On-Demand)

Webinar Slides

Pdf Summary

This document is a transcript of a presentation on the topic of polypectomy, specifically focusing on the prevention and treatment of adverse events associated with the procedure. The presentation covers various aspects of polypectomy, including the management of residual tissue, bleeding, pain, perforation, and recurrent or residual polyps.<br /><br />In terms of residual tissue, the presenter discusses techniques such as insufflation management, repositioning the patient, using assistive devices, and retroflexion to visualize and avoid incomplete resection.<br /><br />Regarding bleeding, the presentation highlights the incidence and timing of post-polypectomy hemorrhage, as well as the factors that contribute to delayed bleeding. It also explores the role of prophylactic clipping in preventing bleeding and the use of other methods such as detachable snares and speed of cutting through the polyp.<br /><br />The presentation also addresses post-procedure pain, post-polypectomy coagulation syndrome, and the management of perforation should it occur during the procedure. It emphasizes the importance of good preparation, vigilance, and calm endoscopic dexterity in managing these complications.<br /><br />Lastly, the presentation touches on the topic of recurrent or residual polyps and the use of endoscopic submucosal dissection (ESD) as a potential treatment option.<br /><br />Overall, the presentation provides a comprehensive overview of various aspects related to polypectomy and offers recommendations for the prevention and treatment of adverse events associated with the procedure.

Keywords

polypectomy

adverse events

residual tissue

bleeding

pain

perforation

recurrent polyps

insufflation management

prophylactic clipping

endoscopic submucosal dissection