Postgraduate Course at DDW: Complete Clinical Updates for Today's Practice

Video Transcription

Video Summary

Dr. Mohammed Bilal, Director of Third Space Endoscopy and Associate Professor of Medicine at the University of Colorado, spoke on techniques for resecting colon polyps, focusing on EMR (Endoscopic Mucosal Resection) and ESD (Endoscopic Submucosal Dissection). He discussed lesion assessment, emphasizing the need to carefully examine polyps for submucosal invasion or cancer before resection attempts. The talk covered various techniques, including cold EMR, underwater EMR, and their efficacy in minimizing recurrence and complications such as perforation and bleeding. Dr. Bilal also addressed using classification systems to predict histology and risk levels. He highlighted ESD's role in achieving curative resections in early cancers without major surgery, especially in challenging locations like the rectum, due to lower recurrence rates compared to EMR. Additionally, Dr. Bilal explored innovative closure techniques for defect management post-resection and mitigating recurrence and adverse events. He stressed the importance of multidisciplinary approaches for decision-making in complex cases and mentioned ongoing studies to improve cold EMR outcomes. The session concluded with answering audience questions, underscoring shared decision-making and future directions in endoscopic techniques.

Keywords

Endoscopic Mucosal Resection

Endoscopic Submucosal Dissection

colon polyps

lesion assessment

recurrence

complications

closure techniques

multidisciplinary approaches

endoscopic techniques