Video Tip: Preventing Post-polypectomy Bleed | August 2024-Preventing Post-polypectomy Bleed

Video Transcription

This ASG video tip is sponsored by Braintree, maker of the newly approved Soufflave and Soutab.  In summary, I hope that in this 15-minute talk, you've basically, you know, heard and seen what the risk factors are, male sex, hypertension, anticoagulation, polyp size  greater than 10, and polyps on the right colon, and especially when we used endoscopic methods like ESD and also EMR to remove these polyps, puts us at risk.  Hot snare versus cold snare, I think the jury is rendered as verdict, anything that's less than 10 millimeters, you should try to attempt to remove that with a cold snare.  And prophylactic clipping does not really show benefit in those smaller lesions that are removed.  And lastly, through the scope suturing, again, safe, feasible, and also has 100% technical  clinical success rates for closures, especially when you get to a lesion that I saw that is greater than 20 millimeters. But thank you so much.  I want to thank my team and City of Hope and also Therapeutic GI, and thanks so much.

Video Summary

The video sponsored by Braintree discusses risk factors in endoscopic polyp removal. Factors include male sex, hypertension, and polyps larger than 10mm on the right colon. The discussion covers using ESD and EMR techniques in removal, with a preference for cold snare for polyps under 10mm. Prophylactic clipping may not benefit smaller lesions. Through-the-scope suturing is safe with a high success rate, especially for lesions over 20mm. The speaker thanks their team, City of Hope, and Therapeutic GI for their support.

Keywords

endoscopic polyp removal

risk factors

ESD techniques

cold snare

through-the-scope suturing