Unveiling the Complexity: Navigating Challenging Polyps in Endoscopy
Uncover the intricacies of managing challenging polyps during endoscopy in this video. Explore the decision-making process, risk assessment, and techniques involved.

In brief

The video presents a large polyp during an endoscopy procedure and discusses the decision-making process involved. The speaker emphasizes the need for a thorough assessment of the polyp's characteristics, such as its surface appearance, location, and associated complexity factors. They suggest using validated calculators and imaging techniques to evaluate the risk of cancer and determine the best course of action. The speaker advises against immediate resection and recommends planning and discussing the procedure with the patient. They mention additional complexity factors, including the presence of a tattoo and submucosal fibrosis. The video briefly touches on using a combination of endoscopic mucosal resection (EMR) and a hybrid technique for the resection. Overall, the video aims to educate healthcare professionals about the complexities and considerations when dealing with a large polyp. 

Detailed Summary

  • Understand the importance of a thorough assessment of polyp characteristics during endoscopy procedures. 

  • Learn how to evaluate surface appearance, location, and associated complexity factors of a polyp. 

  • Recognize the need for validated calculators and imaging techniques to assess the risk of cancer within a polyp. 

  • Understand the significance of planning and discussing complex polyp resections with patients. 

  • Recognize additional complexity factors such as tattoos and submucosal fibrosis that can impact the resection procedure. 

  • Gain awareness of different techniques, such as endoscopic mucosal resection (EMR) and hybrid approaches, for managing complex polyps. 

Tags
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Endoscopic Markers of Submucosal Invasion [colon]
[high risk] presence of nodules
Markers of Polypectomy Difficulty
SMSA + Score
Pathology
Diverticulosis
Polyp Size
Very large (40mm or larger)
Polypectomy Scoring Systems
Risk of Submucosal Invasion
Video Type
Endoscopic Video and Room Video with AudioVideo Short
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