Video Tip: NICE Type 1 vs. Type 2 | October 2021-NICE Type 1 vs. Type 2

Video Transcription

Video Summary

The video discusses the clinical utility of type 1 and type 2 lesions in gastrointestinal endoscopy. The speaker mentions that cold resection is becoming more popular for large lesions, particularly flat Paris IIa lesions, while adenomas may still require further evaluation. The use of narrowband imaging (NBI) can help distinguish different lesions. For distal colon type 1 lesions, mainly hyperplastic polyps, it is advised to leave them in place, while resect and discard is an endorsed but underutilized technique for smaller lesions. The lack of medical legal risk and financial incentives are cited as barriers to wider adoption in the United States. The video emphasizes the good evidence supporting the effectiveness of optical imaging techniques, such as NBI, in accurately identifying lesions.

Keywords

clinical utility

gastrointestinal endoscopy

cold resection

narrowband imaging

lesion identification