WEO Video: Dr. James East
Dr. James East performs an endoscopic mucosal resection on a large sessile
Dr. James East from St. Marks Hospital in London is performing an endoscopic mucosal resection on a large sessile polyp. Indigo carmine dye spray is used by the direct syringe-application method to enhance the visual characteristics of the Kudo-type pit pattern. The pit pattern is typical of a tubulovillous adenoma. Dr. Ralf Kiesslich of Mainz, Germany aids in the commentary during the EMR. An injection is made in the distal most portion of the polyp using blue tinted saline. The right portion of the distal most edge of the polyp is removed first, followed by injection into the left portion. By multiple snare applications using coagulation current, Dr. East has been able to remove almost all of the polyp. A few small adenomatous remnants are destroyed with the APC in a directed application. This represents classic piecemeal polypectomy with total lesion removal.
This video was taken during the last live course presented at the Academic Medical Center in Amsterdam under the directorship of Dr. Paul Fockens.
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