March 4, 2026
Decision Making in Complex Polypectomy: Hybrid ESD, Bleeding Control, and Defect...
Expert live case teaching decision-making in complex polypectomy, featuring hybrid underwater ESD/EMR of a previously attempted duodenal lesion. Covers technique selection, intraoperative bleeding management with a systematic gravity-water-tamponade framework, and high-risk defect closure using mantis and retention clips. Includes candid discussion of when to transition from ESD knife to snare resection and the importance of patient positioning for optimal access.
Expert live case teaching decision-making in complex polypectomy, featuring hybrid underwater ESD/EMR of a previously attempted duodenal lesion. Covers technique selection, intraoperative bleeding management with a systematic gravity-water-tamponade framework, and high-risk defect closure using mantis and retention clips. Includes candid discussion of when to transition from ESD knife to snare resection and the importance of patient positioning for optimal access.