A 60 year old woman with type 2 diabetes and hypertension was found to be FIT+ve under the UK Bowel Cancer Screening Programme. The index colonoscopy, performed by a colleague 2 weeks ago, showed 4 polyps in the sigmoid / rectosigmoid colon. The three smaller polyps (6-15mm diameter) were removed (tubular adenoma, low grade dysplasia). The largest polyp, a 5cm LST-G on a fold at the rectosigmoid junction was left behind for another day. The LST-G was not biopsied. The patient now attends for a further procedure to remove the LST-G (see video…).
The video highlights several tips:
'Rembacken's Resection Rules' is a 'tongue in cheek' list of General Principles which helps me in my endoscopic practise. They have stood the test of time !!!
Sigmoid snare polypectomy in spastic, tight sigmoid. Teaching points include:
Small polyp on thick stalk for snare polypectomy at the recto-sigmoid junction cocked up!
Teaching points include:
EMR of a 20mm sigmoid polyp. Main teaching points includes:
A short clip of Lugol's dye spray. Teaching points includes: