The Best of ASGE Endoscopy from DDW

Video Transcription

Video Summary

In this video, Dr. Amir Rumin presents on the best American Society for Gastrointestinal Endoscopy (ASGE) lower GI abstracts. The first theme discussed is improving adenoma detection rate (ADR). One abstract examines the use of artificial intelligence (AI) in colonoscopy to aid in adenoma detection. The study finds that the AI system increased the ADR of non-expert endoscopists by 22% without increasing withdrawal time or resection of non-neoplastic polyps. The second theme focuses on acetic acid chromoendoscopy for improved detection of right-sided sessile serrated lesions and hyperplastic polyps. The study shows a significant increase in polyp detection rate using acetic acid chromoendoscopy compared to standard white light examination. The third theme explores colonic endoscopic resection. One study evaluates the safety of cold snare polypectomy in patients on anti-thrombotic therapy, finding no significant adverse events. Another study compares the cost-effectiveness of piecemeal EMR to endoscopic submucosal dissection (ESD), showing potential cost savings with ESD due to higher R0 resection rates. Finally, two device-related abstracts are discussed. Endosponge therapy is found to be effective and safe for managing colorectal leaks, while the use of a rigidizing overtube in difficult colonoscopies shows successful completion of procedures and reduced demands on endoscopists.

Asset Subtitle

Amir Rumman, MD

Keywords

American Society for Gastrointestinal Endoscopy

adenoma detection rate

artificial intelligence

acetic acid chromoendoscopy

colonic endoscopic resection