Video Tip: To Treat or Not to Treat? | December 2022-To Treat or Not to Treat?

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 white protruding tissue was seen after Coltsner resection of a seven millimeter adenoma in a single piece and the question will be, what should we do with this?  This white tissue has been called a cold snare protrusion or semicosal cord. It is semicosal tissue that has been gathered up in the snare and as the snare closes,  it pulls the polyp off but leaves that protrusion of semicosal tissue. It's more likely to occur when you are grasping a larger polyp, when there's a greater degree of deflation.  And a couple of studies have taken biopsies of this cord. It very rarely contains residual polyp, sometimes has some muscularis mucosa. It is not a blood vessel,  does not need to be cauterized, and the correct answer is to leave it alone.  you

Video Summary

This video tip, sponsored by Braintree, a part of Cibela Pharmaceuticals, discusses the presence of a white protruding tissue after the removal of a seven millimeter adenoma during a Coltsner resection. This tissue, referred to as a cold snare protrusion or semicosal cord, is actually semicosal tissue that gets gathered up in the snare during polyp removal. It is more likely to occur with larger polyps and greater deflation. Studies have shown that it rarely contains residual polyp and sometimes has muscularis mucosa. The correct approach is to leave this tissue alone as it does not need cauterization.

Keywords

white protruding tissue

adenoma

Coltsner resection

cold snare protrusion

polyp removal