Defect assessment after endoscopic mucosal resection
Assessment of the post EMR defect is critical to prevent adverse events. Here we explain in some detail the prevention of delayed perforation, delayed bleeding and recurrence by proper assessment of the defect.
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Chapters (12)
0:00Assessment for deep mural injury
0:59Appearance of fat within the defect
1:16Appearance of the muscularis propria
1:35Appearance of suspected residual within defect
1:49Use of topical submucosal chromoendoscopy
3:35Visible vessels in the defect and need for therapy
4:43Assessment for recurrence at the defect margin
5:52STSC of the defect margin
9:37Forceps avulsion of visible residual polyp
10:24Use of antibiotics
10:55Application of soft coagulation at avulsion bed
11:27Clip placement to close defect