Tip 44: EMR Lesions at the Anorectal Junction | December 2021-EMR Lesions at the Anorectal Junction

Video Transcription

Video Summary

In this video, the speaker discusses EMR lesions at the anorectal junction. They identify a granular lateral spreading lesion and adenoma at the dentate line, which has a low risk of cancer. They emphasize the importance of inspecting the lesion and considering block resection if there are concerning characteristics. They explain the injection process for EMR, starting at the distal end adjacent to the skin. They mention the presence of hemorrhoidal cushions and the minimal risk of bleeding. The speaker demonstrates the snare placement and discusses the use of a cap on the end of the scope for improved visualization. They mention the option of using a local anesthetic and prophylactic antibiotics, although they personally do not follow these recommendations. The video concludes with the completion of the EMR procedure. This video is part of the ASGE SuTAP tip of the week series.

Keywords

EMR lesions

anorectal junction

granular lateral spreading lesion

adenoma

block resection