[{"id":"704","chapterid":"3016","timeTo":"163.099 ","timeFrom":"0.0 ","number":"1","chaptername":"Colon intubation Trainer Mid-Transverse ","description":"This chapter discusses the importance of proper cecal visualization during colonoscopy procedures. Techniques to improve visualization, particularly focusing on the medial wall between the cecal valve and appendiceal orifice, are highlighted. The use of left lateral positioning and retroflection for better views is explained, with an emphasis on practical implementation and enhancing procedural safety."},{"id":"704","chapterid":"3018","timeTo":"309.866 ","timeFrom":"241.333 ","number":"2","chaptername":"Polyp 1 : Characterisation ","description":"In this chapter, the characteristics of a small lesion, suspected to be an adenoma, are discussed. The lesion is assessed to be under 10mm, leading to the decision of performing a cold snare polypectomy. The rationale behind using the cold snare technique is explained, emphasizing its appropriateness for lesions smaller than 10mm. Subsequent steps and considerations for performing cold snare polypectomy are introduced."},{"id":"704","chapterid":"3019","timeTo":"364.266 ","timeFrom":"309.867 ","number":"3","chaptername":"Polyp 1 : Best Practice Cold Snare Polypectomy ","description":"This chapter discusses the importance of having stable positioning during polypectomy, specifically during cold snare polypectomy. There is a focus on the difficulties faced in accessing polyps and ensuring adequate removal without taking too much normal tissue. Techniques for dealing with polyp location and management on folds are also examined."},{"id":"704","chapterid":"3020","timeTo":"554.199 ","timeFrom":"364.267 ","number":"4","chaptername":"Best Practice CSP : Snare Placement Technique ","description":"This chapter discusses the technique for performing a cold snare polypectomy. Emphasis is placed on ensuring the polyp is pinned down to enable adequate tissue capture. Differences between cold and hot snare techniques are highlighted, particularly in relation to tissue manipulation and angle adjustments to avoid damage to muscle layers. The impromptu demonstration of the complete resection is reviewed."},{"id":"704","chapterid":"3021","timeTo":"620.666 ","timeFrom":"554.2 ","number":"5","chaptername":"Best Practice CSP : Margin Examination ","description":"The chapter covers the application of narrow-band imaging (NBI) underwater to assess polypectomy defects. Key points include recognizing on-block resections and identifying anatomical features such as the valve, which can be mistaken for residual lesions. The use of NBI underwater offers improved visualization of the pit patterns on the lesion margin."},{"id":"704","chapterid":"3022","timeTo":"657.532 ","timeFrom":"620.667 ","number":"6","chaptername":"Advantages of a (Distal Transparent) Cap for Colonoscopy ","description":"The chapter discusses the advantages of using a cap during endoscopic procedures, emphasizing its role in enhancing underwater techniques. It is highlighted how the cap improves visibility of the polyps and aids in controlling the tip of the endoscope."},{"id":"704","chapterid":"3023","timeTo":"718.899 ","timeFrom":"657.533 ","number":"7","chaptername":"Appearances of Polypectomy Site 3 Weeks Later ","description":"The chapter discusses the appearance and healing stages of a polypectomy defect observed two to three weeks post-procedure. It underscores the necessity of waiting until inflammation subsides, typically four to six months, before any further interventions can be attempted, as early assessments are deemed uninterpretable."},{"id":"704","chapterid":"7629","timeTo":"1012.066","timeFrom":"718.9","number":"8","chaptername":"Polyp 2 : Characterisation and Stabilisation at 6 o'clock","description":"In this chapter, the use of cold snare polypectomy for a sub-centimeter lesion is discussed. The benefits of combining injection with cold snare for better resection and reduced vascular resistance are emphasized. Detailed considerations for optimizing endoscope positioning to achieve a 6 o'clock view are also demonstrated."},{"id":"704","chapterid":"3024","timeTo":"1088.466 ","timeFrom":"1012.067 ","number":"9","chaptername":"Polyp 2 : Injection Technique ","description":"In this chapter, the dynamic pullback technique is demonstrated, emphasizing the importance of active maneuvering for optimal endoscope positioning. It highlights the practical approach to handling endoscope positioning and injections in challenging scenarios, with a focus on achieving stability and pragmatism in the procedure."},{"id":"704","chapterid":"3025","timeTo":"1088.466 ","timeFrom":"1012.067 ","number":"9","chaptername":"Polyp 2 : Injection Technique ","description":" "},{"id":"704","chapterid":"3026","timeTo":"1345.832 ","timeFrom":"1088.467 ","number":"10","chaptername":"Polyp 2 : Snare Placement Technique ","description":"The chapter discusses the intricacies of performing a cold snare polypectomy, focusing on snare placement and scope positioning for optimal lesion resection. Techniques for controlling the snare and adjustments to improve access to challenging polyp locations are explored."},{"id":"704","chapterid":"3027","timeTo":"1606.599 ","timeFrom":"1345.833 ","number":"11","chaptername":"Polyp 2 : Incomplete Resection Switch to Piecemeal ","description":"This chapter emphasizes the challenges and techniques involved in cold snare polypectomy, particularly focusing on the importance of position control to facilitate effective polyp resection. It discusses the use of patient repositioning and specific maneuvers to ensure the snare's optimal placement and efficacy. The necessity of a wide margin to ensure complete removal without diathermy and the considerations of switching to a hot snare for incomplete resections are also explored."},{"id":"704","chapterid":"3028","timeTo":"1678.366 ","timeFrom":"1606.6 ","number":"12","chaptername":"Polyp 2 : Trainer Takeover ","description":"This chapter demonstrates precision in handling a cold snare technique. Emphasis is placed on achieving proper positioning and tissue management to ensure secure polyp resection. The procedural steps and adjustments required for optimal polyp removal are discussed."},{"id":"704","chapterid":"3029","timeTo":"1884.232 ","timeFrom":"1678.367 ","number":"13","chaptername":"Polyp 2 : Defect Assessment ","description":"This chapter addresses the considerations and challenges in cold snare polypectomy, highlighting the importance of appropriate snare size and positioning. It discusses the difficulties of cutting larger tissue with a cold snare and emphasizes on technique adjustments, such as lifting, to facilitate resection. The preference for starting the procedure with patients in different positions is also explored."},{"id":"704","chapterid":"3030","timeTo":"2248.899 ","timeFrom":"1884.233 ","number":"14","chaptername":"Polyp 3 : Assessment and Resection ","description":"In this chapter, the techniques and considerations for performing a cold snare polypectomy on small polyps less than 10mm are discussed. It addresses the advantages of cold snaring, positioning challenges, and provides insights on managing complications such as handling deeper tissue and achieving effective snare placement without lifting."},{"id":"704","chapterid":"3031","timeTo":"2488.099 ","timeFrom":"2248.9 ","number":"15","chaptername":"Polyp 4 : Pedunculated Sigmoid Polyp : Technique? ","description":"It was discussed the considerations for resecting an ulcerated polyp, focusing on bleeding risks and mechanical ligation options. Techniques such as clip and loop applications were evaluated for their effectiveness in preventing bleeding and ensuring complete resection. The challenges of ensuring adequate adenoma tissue removal and the complications of incomplete resection were also addressed."},{"id":"704","chapterid":"3032","timeTo":"2769.632 ","timeFrom":"2488.1 ","number":"16","chaptername":"Polyp 4 : Flexible Nylon Loop Placement Technique ","description":"The chapter discusses the intricacies of applying loops and clips to the stalk of a polyp to cut off blood supply effectively. The emphasis is on ensuring proper technique to avoid complications, such as over-tightening or under-tightening the loop or clip. Furthermore, it includes guidance on utilizing gravity and patient positioning for optimal access and control during the procedure."},{"id":"704","chapterid":"3033","timeTo":"2861.366 ","timeFrom":"2769.633 ","number":"17","chaptername":"Polyp 4 : Nursing Loop Deployment Technique ","description":"This chapter discusses the detailed steps involved in deploying a loop at the base of a polyp, including catheter adjustments and coordination between medical professionals. The importance of proper snare placement for effective polyp removal is also highlighted, with insights into avoiding complications during the procedure."},{"id":"704","chapterid":"3034","timeTo":"3160.899 ","timeFrom":"2861.367 ","number":"18","chaptername":"Polyp 4 : Attempt at Snare Placement ","description":"This chapter details the intricacies involved in visualizing and maneuvering a polyp during an endoscopic procedure. Emphasis is placed on utilizing the pullback technique, adjusting patient positioning, and employing torque for successful polyp retrieval. Challenges like maintaining scope stability and decision-making in suboptimal scenarios are also addressed."},{"id":"704","chapterid":"3035","timeTo":"3236.666 ","timeFrom":"3160.9 ","number":"19","chaptername":"Polyp 4 : Definitive Snare Placement ","description":"In this chapter, the technique of snare placement in endoscopic procedures is demonstrated. It highlights the importance of position stabilization and precise maneuvering to ensure optimal loop engagement. The discussion covers the coordination needed between scope stability and maintaining downward pressure for effective snare usage."},{"id":"704","chapterid":"3036","timeTo":"3321.932 ","timeFrom":"3236.667 ","number":"20","chaptername":"Polyp 4 : Snare Closure above Loop ","description":"In this chapter, the process for safely cutting a polyp with appropriate use of current and equipment is demonstrated. Emphasis is laid on attaining a stable position and applying the current correctly. The steps include closing the snare, using a blue current to seal the vessel, and timing the cut precisely. It also discusses the roles of team members and proper communication during the procedure."},{"id":"704","chapterid":"3037","timeTo":"3416.199 ","timeFrom":"3321.933 ","number":"21","chaptername":"Polyp 4 : Assessing the Defect ","description":"This chapter reviews the correct technique for polypectomy, emphasizing the continuous application of the foot pedal to prevent shearing forces during resection. It contrasts different practices and warns against tapping the pedal for pedunculated polyps, discussing the types of current settings that should be used."},{"id":"704","chapterid":"3038","timeTo":"4076.299 ","timeFrom":"3416.2 ","number":"22","chaptername":"Debrief : Sarah ","description":"This chapter discusses various aspects of polypectomy techniques, focusing on injection methods, scope positioning, and the handling of polyps during procedures. The importance of proper finger and hand positioning, scope control, and coordinated movements are emphasized. Specific examples and real-time feedback during operations are reviewed to illustrate successful techniques and common pitfalls."},{"id":"704","chapterid":"3039","timeTo":"4497.133 ","timeFrom":"4076.3 ","number":"23","chaptername":"Debrief : Florence ","description":"This chapter discusses the optimal use of the end loop technique in polypectomy, emphasizing correct loop placement and maneuvering strategies. It highlights the importance of matching the loop size to the polyp size to ensure efficiency and avoid technical difficulties. Additionally, it includes advice on handling smaller polyps and potential cautions when using mechanical means for pre-treatment."}]
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Techniques to improve visualization, particularly focusing on the medial wall between the cecal valve and appendiceal orifice, are highlighted. The use of left lateral positioning and retroflection for better views is explained, with an emphasis on practical implementation and enhancing procedural safety.","tagid":"166","tagName":"Caecum"},{"id":"704","split":"1","chapterid":"3016","timeFrom":"0.0 ","timeTo":"163.099 ","number":"1","chaptername":"Colon intubation Trainer Mid-Transverse ","description":"This chapter discusses the importance of proper cecal visualization during colonoscopy procedures. Techniques to improve visualization, particularly focusing on the medial wall between the cecal valve and appendiceal orifice, are highlighted. The use of left lateral positioning and retroflection for better views is explained, with an emphasis on practical implementation and enhancing procedural safety.","tagid":"175","tagName":"Retroversion right colon"},{"id":"704","split":"1","chapterid":"3016","timeFrom":"0.0 ","timeTo":"163.099 ","number":"1","chaptername":"Colon intubation Trainer Mid-Transverse ","description":"This chapter discusses the importance of proper cecal visualization during colonoscopy procedures. Techniques to improve visualization, particularly focusing on the medial wall between the cecal valve and appendiceal orifice, are highlighted. The use of left lateral positioning and retroflection for better views is explained, with an emphasis on practical implementation and enhancing procedural safety.","tagid":"462","tagName":"Endoscopic Video and Room Video with Audio Plus Trainee"},{"id":"704","split":"1","chapterid":"3018","timeFrom":"241.333 ","timeTo":"309.866 ","number":"2","chaptername":"Polyp 1 : Characterisation ","description":"In this chapter, the characteristics of a small lesion, suspected to be an adenoma, are discussed. The lesion is assessed to be under 10mm, leading to the decision of performing a cold snare polypectomy. The rationale behind using the cold snare technique is explained, emphasizing its appropriateness for lesions smaller than 10mm. Subsequent steps and considerations for performing cold snare polypectomy are introduced.","tagid":"751","tagName":"JNET 2A"},{"id":"704","split":"1","chapterid":"3018","timeFrom":"241.333 ","timeTo":"309.866 ","number":"2","chaptername":"Polyp 1 : Characterisation ","description":"In this chapter, the characteristics of a small lesion, suspected to be an adenoma, are discussed. The lesion is assessed to be under 10mm, leading to the decision of performing a cold snare polypectomy. The rationale behind using the cold snare technique is explained, emphasizing its appropriateness for lesions smaller than 10mm. Subsequent steps and considerations for performing cold snare polypectomy are introduced.","tagid":"287","tagName":"Small (less than 10mm)"},{"id":"704","split":"1","chapterid":"3018","timeFrom":"241.333 ","timeTo":"309.866 ","number":"2","chaptername":"Polyp 1 : Characterisation ","description":"In this chapter, the characteristics of a small lesion, suspected to be an adenoma, are discussed. The lesion is assessed to be under 10mm, leading to the decision of performing a cold snare polypectomy. The rationale behind using the cold snare technique is explained, emphasizing its appropriateness for lesions smaller than 10mm. Subsequent steps and considerations for performing cold snare polypectomy are introduced.","tagid":"323","tagName":"Paris 0-IIa"},{"id":"704","split":"1","chapterid":"3019","timeFrom":"309.867 ","timeTo":"364.266 ","number":"3","chaptername":"Polyp 1 : Best Practice Cold Snare Polypectomy ","description":"This chapter discusses the importance of having stable positioning during polypectomy, specifically during cold snare polypectomy. There is a focus on the difficulties faced in accessing polyps and ensuring adequate removal without taking too much normal tissue. Techniques for dealing with polyp location and management on folds are also examined.","tagid":"245","tagName":"Cold Snare"},{"id":"704","split":"1","chapterid":"3019","timeFrom":"309.867 ","timeTo":"364.266 ","number":"3","chaptername":"Polyp 1 : Best Practice Cold Snare Polypectomy ","description":"This chapter discusses the importance of having stable positioning during polypectomy, specifically during cold snare polypectomy. There is a focus on the difficulties faced in accessing polyps and ensuring adequate removal without taking too much normal tissue. Techniques for dealing with polyp location and management on folds are also examined.","tagid":"291","tagName":"Cold Snare Polypectomy"},{"id":"704","split":"1","chapterid":"3020","timeFrom":"364.267 ","timeTo":"554.199 ","number":"4","chaptername":"Best Practice CSP : Snare Placement Technique ","description":"This chapter discusses the technique for performing a cold snare polypectomy. Emphasis is placed on ensuring the polyp is pinned down to enable adequate tissue capture. Differences between cold and hot snare techniques are highlighted, particularly in relation to tissue manipulation and angle adjustments to avoid damage to muscle layers. The impromptu demonstration of the complete resection is reviewed.","tagid":"245","tagName":"Cold Snare"},{"id":"704","split":"1","chapterid":"3020","timeFrom":"364.267 ","timeTo":"554.199 ","number":"4","chaptername":"Best Practice CSP : Snare Placement Technique ","description":"This chapter discusses the technique for performing a cold snare polypectomy. Emphasis is placed on ensuring the polyp is pinned down to enable adequate tissue capture. Differences between cold and hot snare techniques are highlighted, particularly in relation to tissue manipulation and angle adjustments to avoid damage to muscle layers. The impromptu demonstration of the complete resection is reviewed.","tagid":"291","tagName":"Cold Snare Polypectomy"},{"id":"704","split":"1","chapterid":"3020","timeFrom":"364.267 ","timeTo":"554.199 ","number":"4","chaptername":"Best Practice CSP : Snare Placement Technique ","description":"This chapter discusses the technique for performing a cold snare polypectomy. Emphasis is placed on ensuring the polyp is pinned down to enable adequate tissue capture. Differences between cold and hot snare techniques are highlighted, particularly in relation to tissue manipulation and angle adjustments to avoid damage to muscle layers. The impromptu demonstration of the complete resection is reviewed.","tagid":"331","tagName":"Snare placement"},{"id":"704","split":"1","chapterid":"3020","timeFrom":"364.267 ","timeTo":"554.199 ","number":"4","chaptername":"Best Practice CSP : Snare Placement Technique ","description":"This chapter discusses the technique for performing a cold snare polypectomy. Emphasis is placed on ensuring the polyp is pinned down to enable adequate tissue capture. Differences between cold and hot snare techniques are highlighted, particularly in relation to tissue manipulation and angle adjustments to avoid damage to muscle layers. The impromptu demonstration of the complete resection is reviewed.","tagid":"332","tagName":"Wide margin principle"},{"id":"704","split":"1","chapterid":"3021","timeFrom":"554.2 ","timeTo":"620.666 ","number":"5","chaptername":"Best Practice CSP : Margin Examination ","description":"The chapter covers the application of narrow-band imaging (NBI) underwater to assess polypectomy defects. Key points include recognizing on-block resections and identifying anatomical features such as the valve, which can be mistaken for residual lesions. The use of NBI underwater offers improved visualization of the pit patterns on the lesion margin.","tagid":"335","tagName":"Defect inspection after CSP"},{"id":"704","split":"1","chapterid":"3021","timeFrom":"554.2 ","timeTo":"620.666 ","number":"5","chaptername":"Best Practice CSP : Margin Examination ","description":"The chapter covers the application of narrow-band imaging (NBI) underwater to assess polypectomy defects. Key points include recognizing on-block resections and identifying anatomical features such as the valve, which can be mistaken for residual lesions. The use of NBI underwater offers improved visualization of the pit patterns on the lesion margin.","tagid":"871","tagName":"Underwater Imaging Using a Transparent Cap"},{"id":"704","split":"1","chapterid":"3022","timeFrom":"620.667 ","timeTo":"657.532 ","number":"6","chaptername":"Advantages of a (Distal Transparent) Cap for Colonoscopy ","description":"The chapter discusses the advantages of using a cap during endoscopic procedures, emphasizing its role in enhancing underwater techniques. It is highlighted how the cap improves visibility of the polyps and aids in controlling the tip of the endoscope.","tagid":"871","tagName":"Underwater Imaging Using a Transparent Cap"},{"id":"704","split":"1","chapterid":"3023","timeFrom":"657.533 ","timeTo":"718.899 ","number":"7","chaptername":"Appearances of Polypectomy Site 3 Weeks Later ","description":"The chapter discusses the appearance and healing stages of a polypectomy defect observed two to three weeks post-procedure. It underscores the necessity of waiting until inflammation subsides, typically four to six months, before any further interventions can be attempted, as early assessments are deemed uninterpretable.","tagid":"272","tagName":"Post polypectomy defect assessment"},{"id":"704","split":"1","chapterid":"7629","timeFrom":"718.9","timeTo":"1012.066","number":"8","chaptername":"Polyp 2 : Characterisation and Stabilisation at 6 o'clock","description":"In this chapter, the use of cold snare polypectomy for a sub-centimeter lesion is discussed. The benefits of combining injection with cold snare for better resection and reduced vascular resistance are emphasized. Detailed considerations for optimizing endoscope positioning to achieve a 6 o'clock view are also demonstrated.","tagid":"287","tagName":"Small (less than 10mm)"},{"id":"704","split":"1","chapterid":"7629","timeFrom":"718.9","timeTo":"1012.066","number":"8","chaptername":"Polyp 2 : Characterisation and Stabilisation at 6 o'clock","description":"In this chapter, the use of cold snare polypectomy for a sub-centimeter lesion is discussed. The benefits of combining injection with cold snare for better resection and reduced vascular resistance are emphasized. Detailed considerations for optimizing endoscope positioning to achieve a 6 o'clock view are also demonstrated.","tagid":"751","tagName":"JNET 2A"},{"id":"704","split":"1","chapterid":"7629","timeFrom":"718.9","timeTo":"1012.066","number":"8","chaptername":"Polyp 2 : Characterisation and Stabilisation at 6 o'clock","description":"In this chapter, the use of cold snare polypectomy for a sub-centimeter lesion is discussed. The benefits of combining injection with cold snare for better resection and reduced vascular resistance are emphasized. Detailed considerations for optimizing endoscope positioning to achieve a 6 o'clock view are also demonstrated.","tagid":"325","tagName":"Paris 0-Is"},{"id":"704","split":"1","chapterid":"7629","timeFrom":"718.9","timeTo":"1012.066","number":"8","chaptername":"Polyp 2 : Characterisation and Stabilisation at 6 o'clock","description":"In this chapter, the use of cold snare polypectomy for a sub-centimeter lesion is discussed. The benefits of combining injection with cold snare for better resection and reduced vascular resistance are emphasized. Detailed considerations for optimizing endoscope positioning to achieve a 6 o'clock view are also demonstrated.","tagid":"245","tagName":"Cold Snare"},{"id":"704","split":"1","chapterid":"7629","timeFrom":"718.9","timeTo":"1012.066","number":"8","chaptername":"Polyp 2 : Characterisation and Stabilisation at 6 o'clock","description":"In this chapter, the use of cold snare polypectomy for a sub-centimeter lesion is discussed. The benefits of combining injection with cold snare for better resection and reduced vascular resistance are emphasized. Detailed considerations for optimizing endoscope positioning to achieve a 6 o'clock view are also demonstrated.","tagid":"330","tagName":"Use of submucosal injection"},{"id":"704","split":"1","chapterid":"3024","timeFrom":"1012.067 ","timeTo":"1088.466 ","number":"9","chaptername":"Polyp 2 : Injection Technique ","description":"In this chapter, the dynamic pullback technique is demonstrated, emphasizing the importance of active maneuvering for optimal endoscope positioning. It highlights the practical approach to handling endoscope positioning and injections in challenging scenarios, with a focus on achieving stability and pragmatism in the procedure.","tagid":"269","tagName":"Injection technique"},{"id":"704","split":"1","chapterid":"3024","timeFrom":"1012.067 ","timeTo":"1088.466 ","number":"9","chaptername":"Polyp 2 : Injection Technique ","description":"In this chapter, the dynamic pullback technique is demonstrated, emphasizing the importance of active maneuvering for optimal endoscope positioning. It highlights the practical approach to handling endoscope positioning and injections in challenging scenarios, with a focus on achieving stability and pragmatism in the procedure.","tagid":"330","tagName":"Use of submucosal injection"},{"id":"704","split":"1","chapterid":"3024","timeFrom":"1012.067 ","timeTo":"1088.466 ","number":"9","chaptername":"Polyp 2 : Injection Technique ","description":"In this chapter, the dynamic pullback technique is demonstrated, emphasizing the importance of active maneuvering for optimal endoscope positioning. It highlights the practical approach to handling endoscope positioning and injections in challenging scenarios, with a focus on achieving stability and pragmatism in the procedure.","tagid":"453","tagName":"Dynamic injection"},{"id":"704","split":"1","chapterid":"3024","timeFrom":"1012.067 ","timeTo":"1088.466 ","number":"9","chaptername":"Polyp 2 : Injection Technique ","description":"In this chapter, the dynamic pullback technique is demonstrated, emphasizing the importance of active maneuvering for optimal endoscope positioning. It highlights the practical approach to handling endoscope positioning and injections in challenging scenarios, with a focus on achieving stability and pragmatism in the procedure.","tagid":"454","tagName":"Stab and pull back to find submucosal plane"},{"id":"704","split":"1","chapterid":"3025","timeFrom":"1012.067 ","timeTo":"1088.466 ","number":"9","chaptername":"Polyp 2 : Injection Technique ","description":" ","tagid":"269","tagName":"Injection technique"},{"id":"704","split":"1","chapterid":"3025","timeFrom":"1012.067 ","timeTo":"1088.466 ","number":"9","chaptername":"Polyp 2 : Injection Technique ","description":" ","tagid":"330","tagName":"Use of submucosal injection"},{"id":"704","split":"1","chapterid":"3025","timeFrom":"1012.067 ","timeTo":"1088.466 ","number":"9","chaptername":"Polyp 2 : Injection Technique ","description":" ","tagid":"453","tagName":"Dynamic injection"},{"id":"704","split":"1","chapterid":"3025","timeFrom":"1012.067 ","timeTo":"1088.466 ","number":"9","chaptername":"Polyp 2 : Injection Technique ","description":" ","tagid":"454","tagName":"Stab and pull back to find submucosal plane"},{"id":"704","split":"1","chapterid":"3026","timeFrom":"1088.467 ","timeTo":"1345.832 ","number":"10","chaptername":"Polyp 2 : Snare Placement Technique ","description":"The chapter discusses the intricacies of performing a cold snare polypectomy, focusing on snare placement and scope positioning for optimal lesion resection. 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The necessity of a wide margin to ensure complete removal without diathermy and the considerations of switching to a hot snare for incomplete resections are also explored.","tagid":"338","tagName":"Piecemeal CSP"},{"id":"704","split":"1","chapterid":"3027","timeFrom":"1345.833 ","timeTo":"1606.599 ","number":"11","chaptername":"Polyp 2 : Incomplete Resection Switch to Piecemeal ","description":"This chapter emphasizes the challenges and techniques involved in cold snare polypectomy, particularly focusing on the importance of position control to facilitate effective polyp resection. It discusses the use of patient repositioning and specific maneuvers to ensure the snare's optimal placement and efficacy. The necessity of a wide margin to ensure complete removal without diathermy and the considerations of switching to a hot snare for incomplete resections are also explored.","tagid":"333","tagName":"Endoscope positioning"},{"id":"704","split":"1","chapterid":"3027","timeFrom":"1345.833 ","timeTo":"1606.599 ","number":"11","chaptername":"Polyp 2 : Incomplete Resection Switch to Piecemeal ","description":"This chapter emphasizes the challenges and techniques involved in cold snare polypectomy, particularly focusing on the importance of position control to facilitate effective polyp resection. It discusses the use of patient repositioning and specific maneuvers to ensure the snare's optimal placement and efficacy. The necessity of a wide margin to ensure complete removal without diathermy and the considerations of switching to a hot snare for incomplete resections are also explored.","tagid":"331","tagName":"Snare placement"},{"id":"704","split":"1","chapterid":"3027","timeFrom":"1345.833 ","timeTo":"1606.599 ","number":"11","chaptername":"Polyp 2 : Incomplete Resection Switch to Piecemeal ","description":"This chapter emphasizes the challenges and techniques involved in cold snare polypectomy, particularly focusing on the importance of position control to facilitate effective polyp resection. It discusses the use of patient repositioning and specific maneuvers to ensure the snare's optimal placement and efficacy. The necessity of a wide margin to ensure complete removal without diathermy and the considerations of switching to a hot snare for incomplete resections are also explored.","tagid":"291","tagName":"Cold Snare Polypectomy"},{"id":"704","split":"1","chapterid":"3027","timeFrom":"1345.833 ","timeTo":"1606.599 ","number":"11","chaptername":"Polyp 2 : Incomplete Resection Switch to Piecemeal ","description":"This chapter emphasizes the challenges and techniques involved in cold snare polypectomy, particularly focusing on the importance of position control to facilitate effective polyp resection. It discusses the use of patient repositioning and specific maneuvers to ensure the snare's optimal placement and efficacy. The necessity of a wide margin to ensure complete removal without diathermy and the considerations of switching to a hot snare for incomplete resections are also explored.","tagid":"245","tagName":"Cold Snare"},{"id":"704","split":"1","chapterid":"3028","timeFrom":"1606.6 ","timeTo":"1678.366 ","number":"12","chaptername":"Polyp 2 : Trainer Takeover ","description":"This chapter demonstrates precision in handling a cold snare technique. Emphasis is placed on achieving proper positioning and tissue management to ensure secure polyp resection. The procedural steps and adjustments required for optimal polyp removal are discussed.","tagid":"245","tagName":"Cold Snare"},{"id":"704","split":"1","chapterid":"3028","timeFrom":"1606.6 ","timeTo":"1678.366 ","number":"12","chaptername":"Polyp 2 : Trainer Takeover ","description":"This chapter demonstrates precision in handling a cold snare technique. Emphasis is placed on achieving proper positioning and tissue management to ensure secure polyp resection. The procedural steps and adjustments required for optimal polyp removal are discussed.","tagid":"291","tagName":"Cold Snare Polypectomy"},{"id":"704","split":"1","chapterid":"3028","timeFrom":"1606.6 ","timeTo":"1678.366 ","number":"12","chaptername":"Polyp 2 : Trainer Takeover ","description":"This chapter demonstrates precision in handling a cold snare technique. Emphasis is placed on achieving proper positioning and tissue management to ensure secure polyp resection. The procedural steps and adjustments required for optimal polyp removal are discussed.","tagid":"332","tagName":"Wide margin principle"},{"id":"704","split":"1","chapterid":"3028","timeFrom":"1606.6 ","timeTo":"1678.366 ","number":"12","chaptername":"Polyp 2 : Trainer Takeover ","description":"This chapter demonstrates precision in handling a cold snare technique. Emphasis is placed on achieving proper positioning and tissue management to ensure secure polyp resection. The procedural steps and adjustments required for optimal polyp removal are discussed.","tagid":"338","tagName":"Piecemeal CSP"},{"id":"704","split":"1","chapterid":"3028","timeFrom":"1606.6 ","timeTo":"1678.366 ","number":"12","chaptername":"Polyp 2 : Trainer Takeover ","description":"This chapter demonstrates precision in handling a cold snare technique. Emphasis is placed on achieving proper positioning and tissue management to ensure secure polyp resection. The procedural steps and adjustments required for optimal polyp removal are discussed.","tagid":"331","tagName":"Snare placement"},{"id":"704","split":"1","chapterid":"3029","timeFrom":"1678.367 ","timeTo":"1884.232 ","number":"13","chaptername":"Polyp 2 : Defect Assessment ","description":"This chapter addresses the considerations and challenges in cold snare polypectomy, highlighting the importance of appropriate snare size and positioning. It discusses the difficulties of cutting larger tissue with a cold snare and emphasizes on technique adjustments, such as lifting, to facilitate resection. The preference for starting the procedure with patients in different positions is also explored.","tagid":"329","tagName":"Snare selection"},{"id":"704","split":"1","chapterid":"3030","timeFrom":"1884.233 ","timeTo":"2248.899 ","number":"14","chaptername":"Polyp 3 : Assessment and Resection ","description":"In this chapter, the techniques and considerations for performing a cold snare polypectomy on small polyps less than 10mm are discussed. It addresses the advantages of cold snaring, positioning challenges, and provides insights on managing complications such as handling deeper tissue and achieving effective snare placement without lifting.","tagid":"321","tagName":"Paris 0-Ip"},{"id":"704","split":"1","chapterid":"3030","timeFrom":"1884.233 ","timeTo":"2248.899 ","number":"14","chaptername":"Polyp 3 : Assessment and Resection ","description":"In this chapter, the techniques and considerations for performing a cold snare polypectomy on small polyps less than 10mm are discussed. It addresses the advantages of cold snaring, positioning challenges, and provides insights on managing complications such as handling deeper tissue and achieving effective snare placement without lifting.","tagid":"751","tagName":"JNET 2A"},{"id":"704","split":"1","chapterid":"3030","timeFrom":"1884.233 ","timeTo":"2248.899 ","number":"14","chaptername":"Polyp 3 : Assessment and Resection ","description":"In this chapter, the techniques and considerations for performing a cold snare polypectomy on small polyps less than 10mm are discussed. It addresses the advantages of cold snaring, positioning challenges, and provides insights on managing complications such as handling deeper tissue and achieving effective snare placement without lifting.","tagid":"245","tagName":"Cold Snare"},{"id":"704","split":"1","chapterid":"3030","timeFrom":"1884.233 ","timeTo":"2248.899 ","number":"14","chaptername":"Polyp 3 : Assessment and Resection ","description":"In this chapter, the techniques and considerations for performing a cold snare polypectomy on small polyps less than 10mm are discussed. It addresses the advantages of cold snaring, positioning challenges, and provides insights on managing complications such as handling deeper tissue and achieving effective snare placement without lifting.","tagid":"287","tagName":"Small (less than 10mm)"},{"id":"704","split":"1","chapterid":"3030","timeFrom":"1884.233 ","timeTo":"2248.899 ","number":"14","chaptername":"Polyp 3 : Assessment and Resection ","description":"In this chapter, the techniques and considerations for performing a cold snare polypectomy on small polyps less than 10mm are discussed. It addresses the advantages of cold snaring, positioning challenges, and provides insights on managing complications such as handling deeper tissue and achieving effective snare placement without lifting.","tagid":"291","tagName":"Cold Snare Polypectomy"},{"id":"704","split":"1","chapterid":"3030","timeFrom":"1884.233 ","timeTo":"2248.899 ","number":"14","chaptername":"Polyp 3 : Assessment and Resection ","description":"In this chapter, the techniques and considerations for performing a cold snare polypectomy on small polyps less than 10mm are discussed. It addresses the advantages of cold snaring, positioning challenges, and provides insights on managing complications such as handling deeper tissue and achieving effective snare placement without lifting.","tagid":"331","tagName":"Snare placement"},{"id":"704","split":"1","chapterid":"3030","timeFrom":"1884.233 ","timeTo":"2248.899 ","number":"14","chaptername":"Polyp 3 : Assessment and Resection ","description":"In this chapter, the techniques and considerations for performing a cold snare polypectomy on small polyps less than 10mm are discussed. It addresses the advantages of cold snaring, positioning challenges, and provides insights on managing complications such as handling deeper tissue and achieving effective snare placement without lifting.","tagid":"568","tagName":"Cold Snare Protrusion"},{"id":"704","split":"1","chapterid":"3031","timeFrom":"2248.9 ","timeTo":"2488.099 ","number":"15","chaptername":"Polyp 4 : Pedunculated Sigmoid Polyp : Technique? ","description":"It was discussed the considerations for resecting an ulcerated polyp, focusing on bleeding risks and mechanical ligation options. Techniques such as clip and loop applications were evaluated for their effectiveness in preventing bleeding and ensuring complete resection. The challenges of ensuring adequate adenoma tissue removal and the complications of incomplete resection were also addressed.","tagid":"321","tagName":"Paris 0-Ip"},{"id":"704","split":"1","chapterid":"3031","timeFrom":"2248.9 ","timeTo":"2488.099 ","number":"15","chaptername":"Polyp 4 : Pedunculated Sigmoid Polyp : Technique? ","description":"It was discussed the considerations for resecting an ulcerated polyp, focusing on bleeding risks and mechanical ligation options. Techniques such as clip and loop applications were evaluated for their effectiveness in preventing bleeding and ensuring complete resection. The challenges of ensuring adequate adenoma tissue removal and the complications of incomplete resection were also addressed.","tagid":"751","tagName":"JNET 2A"},{"id":"704","split":"1","chapterid":"3031","timeFrom":"2248.9 ","timeTo":"2488.099 ","number":"15","chaptername":"Polyp 4 : Pedunculated Sigmoid Polyp : Technique? ","description":"It was discussed the considerations for resecting an ulcerated polyp, focusing on bleeding risks and mechanical ligation options. Techniques such as clip and loop applications were evaluated for their effectiveness in preventing bleeding and ensuring complete resection. The challenges of ensuring adequate adenoma tissue removal and the complications of incomplete resection were also addressed.","tagid":"444","tagName":"Choice of snare type"},{"id":"704","split":"1","chapterid":"3031","timeFrom":"2248.9 ","timeTo":"2488.099 ","number":"15","chaptername":"Polyp 4 : Pedunculated Sigmoid Polyp : Technique? ","description":"It was discussed the considerations for resecting an ulcerated polyp, focusing on bleeding risks and mechanical ligation options. Techniques such as clip and loop applications were evaluated for their effectiveness in preventing bleeding and ensuring complete resection. The challenges of ensuring adequate adenoma tissue removal and the complications of incomplete resection were also addressed.","tagid":"446","tagName":"Hot versus cold snare polypectomy"},{"id":"704","split":"1","chapterid":"3032","timeFrom":"2488.1 ","timeTo":"2769.632 ","number":"16","chaptername":"Polyp 4 : Flexible Nylon Loop Placement Technique ","description":"The chapter discusses the intricacies of applying loops and clips to the stalk of a polyp to cut off blood supply effectively. The emphasis is on ensuring proper technique to avoid complications, such as over-tightening or under-tightening the loop or clip. Furthermore, it includes guidance on utilizing gravity and patient positioning for optimal access and control during the procedure.","tagid":"426","tagName":"EndoLoop"},{"id":"704","split":"1","chapterid":"3032","timeFrom":"2488.1 ","timeTo":"2769.632 ","number":"16","chaptername":"Polyp 4 : Flexible Nylon Loop Placement Technique ","description":"The chapter discusses the intricacies of applying loops and clips to the stalk of a polyp to cut off blood supply effectively. The emphasis is on ensuring proper technique to avoid complications, such as over-tightening or under-tightening the loop or clip. Furthermore, it includes guidance on utilizing gravity and patient positioning for optimal access and control during the procedure.","tagid":"521","tagName":"Mechanical ligation - nylon polyloop"},{"id":"704","split":"1","chapterid":"3032","timeFrom":"2488.1 ","timeTo":"2769.632 ","number":"16","chaptername":"Polyp 4 : Flexible Nylon Loop Placement Technique ","description":"The chapter discusses the intricacies of applying loops and clips to the stalk of a polyp to cut off blood supply effectively. The emphasis is on ensuring proper technique to avoid complications, such as over-tightening or under-tightening the loop or clip. Furthermore, it includes guidance on utilizing gravity and patient positioning for optimal access and control during the procedure.","tagid":"523","tagName":"Placement of a polyloop"},{"id":"704","split":"1","chapterid":"3033","timeFrom":"2769.633 ","timeTo":"2861.366 ","number":"17","chaptername":"Polyp 4 : Nursing Loop Deployment Technique ","description":"This chapter discusses the detailed steps involved in deploying a loop at the base of a polyp, including catheter adjustments and coordination between medical professionals. The importance of proper snare placement for effective polyp removal is also highlighted, with insights into avoiding complications during the procedure.","tagid":"426","tagName":"EndoLoop"},{"id":"704","split":"1","chapterid":"3033","timeFrom":"2769.633 ","timeTo":"2861.366 ","number":"17","chaptername":"Polyp 4 : Nursing Loop Deployment Technique ","description":"This chapter discusses the detailed steps involved in deploying a loop at the base of a polyp, including catheter adjustments and coordination between medical professionals. The importance of proper snare placement for effective polyp removal is also highlighted, with insights into avoiding complications during the procedure.","tagid":"521","tagName":"Mechanical ligation - nylon polyloop"},{"id":"704","split":"1","chapterid":"3033","timeFrom":"2769.633 ","timeTo":"2861.366 ","number":"17","chaptername":"Polyp 4 : Nursing Loop Deployment Technique ","description":"This chapter discusses the detailed steps involved in deploying a loop at the base of a polyp, including catheter adjustments and coordination between medical professionals. The importance of proper snare placement for effective polyp removal is also highlighted, with insights into avoiding complications during the procedure.","tagid":"523","tagName":"Placement of a polyloop"},{"id":"704","split":"1","chapterid":"3034","timeFrom":"2861.367 ","timeTo":"3160.899 ","number":"18","chaptername":"Polyp 4 : Attempt at Snare Placement ","description":"This chapter details the intricacies involved in visualizing and maneuvering a polyp during an endoscopic procedure. Emphasis is placed on utilizing the pullback technique, adjusting patient positioning, and employing torque for successful polyp retrieval. Challenges like maintaining scope stability and decision-making in suboptimal scenarios are also addressed.","tagid":"179","tagName":"Patient Position"},{"id":"704","split":"1","chapterid":"3034","timeFrom":"2861.367 ","timeTo":"3160.899 ","number":"18","chaptername":"Polyp 4 : Attempt at Snare Placement ","description":"This chapter details the intricacies involved in visualizing and maneuvering a polyp during an endoscopic procedure. Emphasis is placed on utilizing the pullback technique, adjusting patient positioning, and employing torque for successful polyp retrieval. Challenges like maintaining scope stability and decision-making in suboptimal scenarios are also addressed.","tagid":"522","tagName":"Gravity to improve stalk access"},{"id":"704","split":"1","chapterid":"3035","timeFrom":"3160.9 ","timeTo":"3236.666 ","number":"19","chaptername":"Polyp 4 : Definitive Snare Placement ","description":"In this chapter, the technique of snare placement in endoscopic procedures is demonstrated. It highlights the importance of position stabilization and precise maneuvering to ensure optimal loop engagement. The discussion covers the coordination needed between scope stability and maintaining downward pressure for effective snare usage.","tagid":"524","tagName":"Placement of snare over the stalk"},{"id":"704","split":"1","chapterid":"3036","timeFrom":"3236.667 ","timeTo":"3321.932 ","number":"20","chaptername":"Polyp 4 : Snare Closure above Loop ","description":"In this chapter, the process for safely cutting a polyp with appropriate use of current and equipment is demonstrated. Emphasis is laid on attaining a stable position and applying the current correctly. The steps include closing the snare, using a blue current to seal the vessel, and timing the cut precisely. It also discusses the roles of team members and proper communication during the procedure.","tagid":"292","tagName":"Hot snare polypectomy without lifting"},{"id":"704","split":"1","chapterid":"3038","timeFrom":"3416.2 ","timeTo":"4076.299 ","number":"22","chaptername":"Debrief : Sarah ","description":"This chapter discusses various aspects of polypectomy techniques, focusing on injection methods, scope positioning, and the handling of polyps during procedures. The importance of proper finger and hand positioning, scope control, and coordinated movements are emphasized. Specific examples and real-time feedback during operations are reviewed to illustrate successful techniques and common pitfalls.","tagid":"179","tagName":"Patient Position"},{"id":"704","split":"1","chapterid":"3038","timeFrom":"3416.2 ","timeTo":"4076.299 ","number":"22","chaptername":"Debrief : Sarah ","description":"This chapter discusses various aspects of polypectomy techniques, focusing on injection methods, scope positioning, and the handling of polyps during procedures. The importance of proper finger and hand positioning, scope control, and coordinated movements are emphasized. Specific examples and real-time feedback during operations are reviewed to illustrate successful techniques and common pitfalls.","tagid":"333","tagName":"Endoscope positioning"},{"id":"704","split":"1","chapterid":"3038","timeFrom":"3416.2 ","timeTo":"4076.299 ","number":"22","chaptername":"Debrief : Sarah ","description":"This chapter discusses various aspects of polypectomy techniques, focusing on injection methods, scope positioning, and the handling of polyps during procedures. The importance of proper finger and hand positioning, scope control, and coordinated movements are emphasized. Specific examples and real-time feedback during operations are reviewed to illustrate successful techniques and common pitfalls.","tagid":"859","tagName":"4 Ps - Position"},{"id":"704","split":"1","chapterid":"3038","timeFrom":"3416.2 ","timeTo":"4076.299 ","number":"22","chaptername":"Debrief : Sarah ","description":"This chapter discusses various aspects of polypectomy techniques, focusing on injection methods, scope positioning, and the handling of polyps during procedures. The importance of proper finger and hand positioning, scope control, and coordinated movements are emphasized. Specific examples and real-time feedback during operations are reviewed to illustrate successful techniques and common pitfalls.","tagid":"269","tagName":"Injection technique"},{"id":"704","split":"1","chapterid":"3038","timeFrom":"3416.2 ","timeTo":"4076.299 ","number":"22","chaptername":"Debrief : Sarah ","description":"This chapter discusses various aspects of polypectomy techniques, focusing on injection methods, scope positioning, and the handling of polyps during procedures. The importance of proper finger and hand positioning, scope control, and coordinated movements are emphasized. Specific examples and real-time feedback during operations are reviewed to illustrate successful techniques and common pitfalls.","tagid":"331","tagName":"Snare placement"},{"id":"704","split":"1","chapterid":"3038","timeFrom":"3416.2 ","timeTo":"4076.299 ","number":"22","chaptername":"Debrief : Sarah ","description":"This chapter discusses various aspects of polypectomy techniques, focusing on injection methods, scope positioning, and the handling of polyps during procedures. The importance of proper finger and hand positioning, scope control, and coordinated movements are emphasized. Specific examples and real-time feedback during operations are reviewed to illustrate successful techniques and common pitfalls.","tagid":"523","tagName":"Placement of a polyloop"},{"id":"704","split":"1","chapterid":"3038","timeFrom":"3416.2 ","timeTo":"4076.299 ","number":"22","chaptername":"Debrief : Sarah ","description":"This chapter discusses various aspects of polypectomy techniques, focusing on injection methods, scope positioning, and the handling of polyps during procedures. The importance of proper finger and hand positioning, scope control, and coordinated movements are emphasized. Specific examples and real-time feedback during operations are reviewed to illustrate successful techniques and common pitfalls.","tagid":"745","tagName":"Assessment of Trainee"},{"id":"704","split":"1","chapterid":"3038","timeFrom":"3416.2 ","timeTo":"4076.299 ","number":"22","chaptername":"Debrief : Sarah ","description":"This chapter discusses various aspects of polypectomy techniques, focusing on injection methods, scope positioning, and the handling of polyps during procedures. The importance of proper finger and hand positioning, scope control, and coordinated movements are emphasized. Specific examples and real-time feedback during operations are reviewed to illustrate successful techniques and common pitfalls.","tagid":"247","tagName":"Assessment"}]
[{"name":"Basic Polypectomy Course : Case 2","description":"Case of Multiple Cold Snare Polypectomies and a Large Sigmoid Pedunculated Polyp. Performed by trainees with performance enhancing feedback and debrief.","summary":"
This video emphasized the importance of accurate use and snare positioning during procedures. Utilizing visualization techniques, such as the 'underwater' method, and conducting post-procedure review to identify areas for improvement were discussed. Moreover, it underscores the significance of teamwork and effective communication in conducting successful polypectomy. This learning aims to improve practice and enhance patient outcomes in future procedures.<\/span><\/p>","detailedSummary":"
Here is a list of key learning points from the video:<\/span><\/h6>\n
\n
Proper Snare Closure: The conversation stressed the importance of proper snare manipulation during procedures. One specific instruction discussed was ensuring all the polyp margins and a rim of normal tissue remain closed inside the snare.<\/li>\n
Techniques for Snare Manipulation: Detailed explanations were given on techniques for positioning the snare correctly, specifically involving push-pull movements. It was emphasized that understanding how to maneuver the snare is crucial to the procedure's success.<\/span><\/li>\n
Importance of Precise Snare Positioning: The video highlighted the importance of getting the snare into the correct “6 o’clock” position relative to the polyp.<\/span><\/li>\n
Accurate Evaluation Post-Polypectomy: This step needs to be executed precisely to prevent incomplete procedures.<\/span><\/li>\n
The Role of Visualization Techniques: The underwater visualization was suggested to enhance assessment of the polyp and the defect.<\/span><\/li>\n
Endoloop Positioning: Correct positioning of the endoloop plays a crucial role in successful pedunculated polyp polypectomy.<\/span><\/li>\n
Value of Continuous Learning and Improvement: The video underscored the need for ongoing learning to improve practice and outcomes.<\/span><\/li>\n
Necessity of Post-Procedural Review: The video affirmed the need for post-procedure review and discussion to identify areas of improvement and consolidate learning.<\/span><\/li>\n
Effective Teamwork and Communication: The video implied the importance of clear communication and collaboration between team members during medical procedures.<\/span><\/li>\n<\/ul>\n
<\/p>","author":"David Tate","tagger":"1","editor":"1","recorder":"9","authorid":"1","centreName":"University Hospital of Ghent","centreCity":"Ghent","centreCountry":"Belgium"}]
[{"chapterTagid":"14593","tagName":"4 Ps - Position","id":"859"},{"chapterTagid":"14598","tagName":"Assessment","id":"247"},{"chapterTagid":"14597","tagName":"Assessment of Trainee","id":"745"},{"chapterTagid":"14529","tagName":"Caecum","id":"166"},{"chapterTagid":"14528","tagName":"Caecum (landmarks)","id":"177"},{"chapterTagid":"14579","tagName":"Choice of snare type","id":"444"},{"chapterTagid":"14535","tagName":"Cold Snare","id":"245"},{"chapterTagid":"14536","tagName":"Cold Snare Polypectomy","id":"291"},{"chapterTagid":"14576","tagName":"Cold Snare Protrusion","id":"568"},{"chapterTagid":"14541","tagName":"Defect inspection after CSP","id":"335"},{"chapterTagid":"14552","tagName":"Dynamic injection","id":"453"},{"chapterTagid":"14581","tagName":"EndoLoop","id":"426"},{"chapterTagid":"14557","tagName":"Endoscope positioning","id":"333"},{"chapterTagid":"14531","tagName":"Endoscopic Video and Room Video with Audio Plus Trainee","id":"462"},{"chapterTagid":"14588","tagName":"Gravity to improve stalk access","id":"522"},{"chapterTagid":"14590","tagName":"Hot snare polypectomy without lifting","id":"292"},{"chapterTagid":"14580","tagName":"Hot versus cold snare polypectomy","id":"446"},{"chapterTagid":"14550","tagName":"Injection technique","id":"269"},{"chapterTagid":"14532","tagName":"JNET 2A","id":"751"},{"chapterTagid":"14582","tagName":"Mechanical ligation - nylon polyloop","id":"521"},{"chapterTagid":"14534","tagName":"Paris 0-IIa","id":"323"},{"chapterTagid":"14570","tagName":"Paris 0-Ip","id":"321"},{"chapterTagid":"14547","tagName":"Paris 0-Is","id":"325"},{"chapterTagid":"14587","tagName":"Patient Position","id":"179"},{"chapterTagid":"14558","tagName":"Piecemeal CSP","id":"338"},{"chapterTagid":"14583","tagName":"Placement of a polyloop","id":"523"},{"chapterTagid":"14589","tagName":"Placement of snare over the stalk","id":"524"},{"chapterTagid":"14544","tagName":"Post polypectomy defect assessment","id":"272"},{"chapterTagid":"14530","tagName":"Retroversion right colon","id":"175"},{"chapterTagid":"14533","tagName":"Small (less than 10mm)","id":"287"},{"chapterTagid":"14539","tagName":"Snare placement","id":"331"},{"chapterTagid":"14569","tagName":"Snare selection","id":"329"},{"chapterTagid":"14553","tagName":"Stab and pull back to find submucosal plane","id":"454"},{"chapterTagid":"14542","tagName":"Underwater Imaging Using a Transparent Cap","id":"871"},{"chapterTagid":"14551","tagName":"Use of submucosal injection","id":"330"},{"chapterTagid":"14540","tagName":"Wide margin principle","id":"332"}]
Case of Multiple Cold Snare Polypectomies and a Large Sigmoid Pedunculated Polyp. Performed by trainees with performance enhancing feedback and debrief.
This video emphasized the importance of accurate use and snare positioning during procedures. Utilizing visualization techniques, such as the 'underwater' method, and conducting post-procedure review to identify areas for improvement were discussed. Moreover, it underscores the significance of teamwork and effective communication in conducting successful polypectomy. This learning aims to improve practice and enhance patient outcomes in future procedures.
Detailed Summary
Here is a list of key learning points from the video:
Proper Snare Closure: The conversation stressed the importance of proper snare manipulation during procedures. One specific instruction discussed was ensuring all the polyp margins and a rim of normal tissue remain closed inside the snare.
Techniques for Snare Manipulation: Detailed explanations were given on techniques for positioning the snare correctly, specifically involving push-pull movements. It was emphasized that understanding how to maneuver the snare is crucial to the procedure's success.
Importance of Precise Snare Positioning: The video highlighted the importance of getting the snare into the correct “6 o’clock” position relative to the polyp.
Accurate Evaluation Post-Polypectomy: This step needs to be executed precisely to prevent incomplete procedures.
The Role of Visualization Techniques: The underwater visualization was suggested to enhance assessment of the polyp and the defect.
Endoloop Positioning: Correct positioning of the endoloop plays a crucial role in successful pedunculated polyp polypectomy.
Value of Continuous Learning and Improvement: The video underscored the need for ongoing learning to improve practice and outcomes.
Necessity of Post-Procedural Review: The video affirmed the need for post-procedure review and discussion to identify areas of improvement and consolidate learning.
Effective Teamwork and Communication: The video implied the importance of clear communication and collaboration between team members during medical procedures.
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Join us for GIEQs II
Released prior to the early bird deadline these 6, 1-2 minute video
snippets
demonstrate the attention to detail, deconstructed approach and rock solid evidence
base of the GIEQs Approach.
1 - Over the Scope Clip for Upper
Gastrointestinal Bleeding Use of
OTSC as first-line for life
threatening upper gastrointestinal haemorrhage.
2 - Early Gastric Cancer Can you
identify and characterise
this early gastric cancer? Watch the video for more information
including endoscopic resectability
3 - The Demarcated Area as a Predictor of
Submucosal Invasion in Colon Polyps the Demarcated Area has emerged as a stable predictor
of submucosal invasive cancer. Find out more here.
4 - Dealing with Adverse Events at Colonic
Polypectomy
To be able to competently perform colonic polypectomy you must be able
to deal with adverse events. A deconstructed example is shown
here.
5 - Complex EUS applications to make Everyday
ERCP easier Endoscopic Ultrasound
is radically changing the way we approach biliary intervention and can
make a difference to everyday endoscopic problems.
6 - Decision Making after Large perforation and
life threatening Bleeding during Polypectomy Many of the GIEQs faculty spend their normal working
lives on complex endoscopy. Learning the lessons and approach from these
procedures, deconstructing them and bringing them to the everyday is a
crucial part of the GIEQs approach.