Video Tip: Recognizing Hemorrhoidal Banding Scars | December 2022-Recognizing Hemorrhoidal Banding Scars

Video Transcription

This ASG video tip is brought to you by an educational grant from Braintree, a part of Cibela Pharmaceuticals, makers of SUTAB.  This is a 62 year old man undergoing his second screening colonoscopy. He's asymptomatic. Retroflexion of the rectum reveals separate flat white areas.  The question is going to be, what are these white areas seen in retro?  There are three white flat areas seen here in the distal rectum. All of these are scars. There are three arrows at the top pointing to one of the scars.  Then there's an arrow pointing to the left in the middle that is directed toward a second scar.  And then in the lower left of the photograph, there are two other arrows pointing to what is really the biggest of the three scars.  So these could be scars from EMR or ESD, but it would be unlikely that there would be three separate scars. This is actually the typical appearance of hemorrhoidal banding scars.  And it looks like it was pretty effective treatment because there isn't much left in the way of internal hemorrhoids in the photograph.

Video Summary

In this video, a 62-year-old man is undergoing his second screening colonoscopy. During the procedure, white flat areas are observed in the distal rectum through retroflexion. The video explains that these white areas are actually scars, specifically from hemorrhoidal banding. The scars are pointed out using arrows, with the biggest scar located in the lower left of the photograph. The video suggests that these scars are likely a result of effective treatment as there are minimal internal hemorrhoids visible. This ASG video tip is sponsored by an educational grant from Braintree, a part of Cibela Pharmaceuticals, makers of SUTAB.

Keywords

colonoscopy

screening

62-year-old man

hemorrhoidal banding

scars