Tip 3: Considerations Regarding Closure After Resection of Pedunculated Lesions

Video Transcription

Video Summary

The video discusses considerations for the resection of pedunculated lesions and closure techniques. The Multi-Society Task Force recommends prophylactic treatment using a detachable loop or clips for pedunculated lesions with a head of 20 millimeters or a stalk of 5 millimeters or larger. Key factors to consider during resection include removing the lesion in one piece, choosing the right snare size, and using measures to facilitate snaring. The video also addresses the approach to unexpected cancer findings and the importance of maintaining distance from the tumor during resection. The preference is generally to resect pedunculated lesions closer to the colon wall rather than the polyp head. The use of clips for closure and the potential for improved oncologic outcomes are discussed. Insufficient data is available for determining prophylactic clip closure for smaller lesions in patients on anticoagulants or antiplatelet agents.

Keywords

resection

pedunculated lesions

closure techniques

snare size

oncologic outcomes