Tip 1: Snare Tip Soft Coagulation (STSC) to EMR Margins

Video Transcription

Video Summary

In this video, Doug Rex from Indiana University introduces a series of colonoscopy tips called the ASGE SUTAB tip of the week. He discusses the importance of thermal injury to the margin of the EMR defect in reducing the recurrence rate after endoscopic mucosal resection (EMR). He explains that complete resection followed by thermal treatment using soft coagulation current (STSC) significantly reduces recurrence rates. He mentions studies by Brooker and colleagues and Michael Burke's Australian consortium that demonstrate the effectiveness of STSC. Rex emphasizes the importance of inspecting the entire margin and removing all visible bits of polyp before applying STSC. He shows the technique of applying STSC using the snare tip and highlights the safety and precision of this method. The current indication for STSC margin treatment is any colorectal lesion removed by piecemeal inject and resect EMR. The next tip will cover when to perform clip closure of non-penunculated lesions. <br /><br />Credits: Presented by Doug Rex from Indiana University.

Keywords

colonoscopy tips

thermal injury

endoscopic mucosal resection

STSC

margin inspection