gastroenterology videos
Colonoscopy: Ascending Colon LST-NG lesion EMR
Patient: Elderly patient Lesion: LST-NG Location: Ascending colon Comment on lesion: Lesion has two segments (like leaves) that need to be kept in mind when planning a cut; cut each leaf separately. Injection:...
Colonoscopy: Subtle Flat Lesions
Multiple learning points: 1. Short straight scope: Helps you to rotate the scope in the ascending colon easily and bring the lesion to 6 or 9 ' O clock as shown here. 2. Take time to examine: Look for...
Colonoscopy: Ascending Colon EMR - Prior Colon...
Patient: Sigmoid colectomy for colon cancer in the past Lesion: Flat lesion - SSA Location: Ascending colon - difficult to access lesion; not easy to find out and the endoscope kept slipping back. Injection:...
Colonoscopy: Transverse Colon EMR - SSA
Location: Transverse colon Lesion: Flat lesion with scarring Preparation: Suboptimal that was cleared with large lavage. Injection: 15 ml of saline with Methylene Blue Lift: Satisfactory Snare: 15 mm...
Colonoscopy: Ascending Colon LST-NG -
Lesion: LST-NG Injection: 18 ml saline + Methylene Blue Snare: 15 mm Cut: Endocut Q 3-1-3 APC: Forced - 0.8 lts; and 35 W Clip closure: 10 clips EMR time: 44 min
Colonoscopy: Cecal Polyp Deferred Resection
Due to extensive scarring and contracted cecum and pseudopolyps the resection was deferred.
Colonoscopy: Cecal Polyp Hidden by a Fold
A technically challenging polyp to cut - hidden by a fold. It required submucosal injection followed by underwater EMR.
Colonoscopy: Ascending Colon EMR - Thickened...
Lesion: Ascending colon thickened fold Injection: 6 cc saline with Methylene Blue Snare: 10 mm Endocut: Q3-1-3 APC: Forced APC 0.8 lts and 35 W Clip closure: 4 clips
Colonoscopy: Transverse Colon Piecemeal EMR
Location: Transverse colon Lesion: LST-G Injection: 10 ml saline with a drop or two of Methylene Blue Snare: 15 mm snare tried first; the lesion folded and not good to cut. then used 10 mm snare and cut...
Colonoscopy: Ascending Colon Polyp Cut - Tattoo...
A resection of an ascending colon lesion previously marked with tatoo. Tattoo near the polyp alters the submucosa and results in a longer cut. Avoid placing tattoo close to the polyp
Colonoscopy: Ascending Colon EMR - Large LST-G...
Location: Ascending colon Lesion: LST-G Injection: Saline + Methylene Blue; 44 ml Lift: Satisfactory Resection: 15 mm stiff Olympus snare Cut: ERBE Endocut Q 3-1-3 APC: Forced APC 0.8 lts and 35 W Clip...
Colonoscopy: Cecum EMR - Injection technique
Lesion: LST-NG cecal lesion Injection: 14 ml saline + Methylene Blue; tap, tap, tap technique Lift: Satisfactory Snare resection: 15 mm stiff Olympus Snare; enbloc resection Erbe setting: Endocut 3-1-3...
Colonoscopy: Resection of Sigmoid Colon Stalk
Prior resection of colon polyps in the sigmoid colon revealed a small cancer in a polyp that extended close to the resection margin. No pictures were available to review the images. CT and CEA are unremarkable....
Colonoscopy: Tethered Sigmoid Colon Polyp Resection
A resection of tethered polyp in sigmoid colon. A combination of two techniques - submucosal injection and underwater resection - was used.
Colonoscopy: Ascending Colon Tethered Polyp -...
A video presenting technique for tethered polyp resection
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Gottumukkala Raju
Professor
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Ahmad Hormati
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Gastroenterology Atlas
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EUS - ENDO
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SAGES - Society of American Gastrointestinal and Endoscopic Surgeons
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American Association for Primary Care Endoscopy
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Colonscopy Quiz by Dr. Raju
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