Tip 8: SSLs That Warrant Consideration for the Use of Electrocautery for Resection | February 2021-SSLs That Warrant Consideration for the Use of Electrocautery for Resection

SSLs That Warrant Consideration for the Use of Electrocautery for Resection

Video Transcription

Video Summary

In this video, the speaker discusses the use of electrocautery for resecting certain sessile serrated lesions (SSLs) in the gastrointestinal tract. They address the question of whether SSLs with cytological dysplasia should be removed using electrocautery or cold techniques. The speaker explains that there may be varying opinions on this matter but suggests that cold techniques may be acceptable for SSLs without biopsy and with good lifting. They also discuss a case where electrocautery was used to remove a small SSL with dysplasia. The speaker emphasizes the importance of assessing each SSL individually and considering the presence of fibrosis and advanced features before deciding on the appropriate resection method. The video concludes by mentioning the lower but existing risk of cancer in SSLs and the need to evaluate each lesion carefully before performing cold piecemeal resection. The next video will focus on why biopsy before EMR referral for flat lesions should be avoided.

Keywords

electrocautery

sessile serrated lesions

gastrointestinal tract

cytological dysplasia

cold techniques