Tip 5: Recognizing and Closing Muscle Injuries Occurring During EMR | February 2021-Recognizing and Closing Muscle Injuries Occurring During EMR

Recognizing and Closing Muscle Injuries Occurring During EMR

Video Transcription

Video Summary

The video discusses the use of clip closure in preventing muscle injury during EMR (Endoscopic Mucosal Resection). The speaker introduces Michael Burke's classification of muscle injuries, which includes Type 1 (exposure of the muscle), Type 2 (loss of the submucosal plane), and Types 3-5 (muscle cut with or without perforation and contamination). Risk factors for muscle injury include using large snares on non-pedunculated lesions, cecum or transverse colon location, prior partial resection, biopsy, tattoo, use of cutting current, and large nodules or 1S lesions. The speaker recommends recognizing muscle injuries using blue contrast in the submucosal injectate and closing the defects with hemostatic clips if feasible. The video emphasizes the importance of recognizing and promptly treating muscle injuries during EMR. No credits were mentioned. (161 words)

Keywords

clip closure

muscle injury

EMR

Endoscopic Mucosal Resection

Michael Burke's classification