Common Difficulties in Polypectomy: A Webinar
Wish you could ask someone how to approach different colorectal polyps? Join us for this video-based webinar with Dr Nick Church from Scotland who will be doing exactly that together with the GIEQs Founders
Want to watch the full video?
Create a free account to access this video and explore 1000+ endoscopy education videos from world-leading experts.
Chapters (54)
0:00Introduction to the Course
1:36Lecture START : Difficult EMR
2:09Lecture : Consequences of Poor Decision Making
4:16Lecture : Avoiding Resection of Subucosally Invasive Disease
5:43Lecture : Attempt at Resection without Completion
6:39Lecture : Matching the Lesion to the Endoscopist SMSA SMSA+
8:10Lecture : Deconstruction of What Makes EMR Difficult
9:12Lecture : Summary
10:31Introduction of the Faculty
12:08Case 1 START : Lesion Assessment
16:41Case 1 : Should I resect? (SMSA)
18:17Case 1 : Approach to Resection
21:15Case 1 : Snare Placement Technique
22:35Case 1 : Approach to Nodule Resection
25:25Case 1 : Snare Placement Technique 2
26:53Case 1 : Dealing with Residual Within the Defect
29:43Case 1 : Defect Residual Adenoma with Underlying Blood Vessel
31:55Case 1 : Dealing with Intraprocedural Bleeding Cold versus Hot
36:46Case 1 : Defect Assessment, Reasons for Appearances
39:21Case 1 : GPAT Result
40:06Case 2 START : Lesion Assessment
45:42Case 2 : Approach to Resection, Snare Placement Technique
47:59Case 2 : Tissue Island overlying a blood vessel, avoidable?
53:26Case 2 : Treatment of Residual Adenoma
56:52Case 3 START : Dealing with Bleeding and Blood Vessels within the Defect
62:18Case 4 START: Lesion Assessment
64:54Case 4 : Difficult EMR in a Nutshell
66:06Case 4 : Approach to Resection of Non-Lifting
68:45Case 4 : Choice of Cold versus Hot Snare
71:31Case 4 : Snare placement technique Cold
72:00Case 4 : Approach to Non-Lifting Area
73:23Case 4 : Snare Placement technique across Fold
75:22Case 4 : Cold forceps Avulsion for completion
77:51Case 4 : Final Result
79:38Case 4 : Surveillance Procedure with Scar Assessment
82:28Case 4 : Discussion and Audience Questions
88:36Whiteboard Summary with Graphics From Cases
89:25Whiteboard : Uphill versus Downhill Polypectomy
90:21Whiteboard : 4 Ps of Polypectomy
94:24Case 5 START: Inadequate Lesion Assessment
95:02Case 5 : Non-purged injection catheter
95:33Case 5 : Poor snare placement technique
96:05Case 5 : Deep Mural Injury Unrecognised
96:35Case 5 : Poor Snare Placement 2
97:00Case 5 : Incorrect Positioning and Bleeding
97:58Case 5 : Faculty Comments on Issues Raised
99:24Case 5 : Poor Recognition of Appendiceal Orifice ? Polyp
100:01Case 5 : Use Gravity to Optimise Fluid Position
101:13Case 5 : Do not Use Clips for Intraprocedural Bleeding
102:09Case 5 : How you SHOULD treat intra-procedural bleeding
105:42Case 5 : Defect Assessment
108:37Case 5 : Learning Points for Others from Faculty
115:31Summary Key Learning Points from the Webinar
121:53Closing Comments
Total duration: 123 minutes