Tip 9: The Consequences of Biopsy of SSLs Prior to EMR | March 2021-The Consequences of Biopsy of SSLs Prior to EMR

The Consequences of Biopsy of SSLs Prior to EMR

Video Transcription

Video Summary

In this video, the speaker is discussing a case of serrated lesions in the cecum. They mention finding three lesions, two of which were biopsied and one that was not. They compare the difference in removing these lesions using cold EMR (endoscopic mucosal resection). They explain that biopsies cause submucosal fibrosis which makes removing the lesions more challenging and increases the likelihood of incomplete resection. They recommend not biopsying flat lesions unless cancer is suspected, and instead noting the location and referring the patient to an interventional endoscopist. The video concludes by suggesting the use of alternative techniques, such as hot EMR, for lesions with substantial fibrosis.

Keywords

serrated lesions

cecum

biopsied lesions

cold EMR

submucosal fibrosis