1324

1056402409

[{"id":"1324","chapterid":"9444","timeTo":"69.99 ","timeFrom":"0 ","number":"1","chaptername":"Polyp Description & Treatment ","description":"Chapter focuses on the management of a large, poculated polyp, emphasizing pre-coagulation and isolation of vessels. Discussion includes the potential use of coag grasper if initial methods are insufficient, highlighting strategic approaches to managing vessel-rich polyps. The intricate vessel branching is noted, with emphasis on meticulous pre-coagulation on both sides for effective treatment. This chapter illustrates a case study ideal for understanding challenges in endoscopic polyp treatment and intervention readiness."},{"id":"1324","chapterid":"9445","timeTo":"178.99 ","timeFrom":"70 ","number":"2","chaptername":"Bleeding Control ","description":"In this chapter, the process of achieving bleeding control during endoscopic procedures is explored. Despite significant pre-coagulation efforts using techniques such as using a knife for pre-coagulation and tip cauterization, unexpected vessel resistance and significant bleeding are demonstrated. The chapter emphasizes the importance of precise techniques in managing and controlling bleeding effectively during endoscopy."},{"id":"1324","chapterid":"9446","timeTo":"331 ","timeFrom":"179 ","number":"3","chaptername":"Electrosurgery & Guidance ","description":"In this chapter, the strategies for managing bleeding during endoscopic polyp removal are discussed. Emphasis is placed on the importance of pre-treatment considerations, such as evaluating the size of the polyp stalk and vessel, and selecting appropriate techniques like poly loops and electrosurgery for hemostasis. Key messages include preparing for potential bleeding and ensuring a bloodless field to enhance procedural success. The use of erythromycin is mentioned as part of preparation to optimize endoscopic visualization and treatment outcomes."}]

[{"id":"1324","split":"1","chapterid":"9444","timeFrom":"0 ","timeTo":"69.99 ","number":"1","chaptername":"Polyp Description & Treatment ","description":"Chapter focuses on the management of a large, poculated polyp, emphasizing pre-coagulation and isolation of vessels. Discussion includes the potential use of coag grasper if initial methods are insufficient, highlighting strategic approaches to managing vessel-rich polyps. The intricate vessel branching is noted, with emphasis on meticulous pre-coagulation on both sides for effective treatment. This chapter illustrates a case study ideal for understanding challenges in endoscopic polyp treatment and intervention readiness.","tagid":"1004","tagName":"Coagulation Forceps"},{"id":"1324","split":"1","chapterid":"9444","timeFrom":"0 ","timeTo":"69.99 ","number":"1","chaptername":"Polyp Description & Treatment ","description":"Chapter focuses on the management of a large, poculated polyp, emphasizing pre-coagulation and isolation of vessels. Discussion includes the potential use of coag grasper if initial methods are insufficient, highlighting strategic approaches to managing vessel-rich polyps. The intricate vessel branching is noted, with emphasis on meticulous pre-coagulation on both sides for effective treatment. This chapter illustrates a case study ideal for understanding challenges in endoscopic polyp treatment and intervention readiness.","tagid":"360","tagName":"Assessment of the situation"},{"id":"1324","split":"1","chapterid":"9444","timeFrom":"0 ","timeTo":"69.99 ","number":"1","chaptername":"Polyp Description & Treatment ","description":"Chapter focuses on the management of a large, poculated polyp, emphasizing pre-coagulation and isolation of vessels. Discussion includes the potential use of coag grasper if initial methods are insufficient, highlighting strategic approaches to managing vessel-rich polyps. The intricate vessel branching is noted, with emphasis on meticulous pre-coagulation on both sides for effective treatment. This chapter illustrates a case study ideal for understanding challenges in endoscopic polyp treatment and intervention readiness.","tagid":"256","tagName":"Endoscopic Video and Audio Narration"},{"id":"1324","split":"1","chapterid":"9445","timeFrom":"70 ","timeTo":"178.99 ","number":"2","chaptername":"Bleeding Control ","description":"In this chapter, the process of achieving bleeding control during endoscopic procedures is explored. Despite significant pre-coagulation efforts using techniques such as using a knife for pre-coagulation and tip cauterization, unexpected vessel resistance and significant bleeding are demonstrated. The chapter emphasizes the importance of precise techniques in managing and controlling bleeding effectively during endoscopy.","tagid":"516","tagName":"Bleeding post interventional endoscopy"},{"id":"1324","split":"1","chapterid":"9445","timeFrom":"70 ","timeTo":"178.99 ","number":"2","chaptername":"Bleeding Control ","description":"In this chapter, the process of achieving bleeding control during endoscopic procedures is explored. Despite significant pre-coagulation efforts using techniques such as using a knife for pre-coagulation and tip cauterization, unexpected vessel resistance and significant bleeding are demonstrated. The chapter emphasizes the importance of precise techniques in managing and controlling bleeding effectively during endoscopy.","tagid":"807","tagName":"During Interventional Endoscopy"},{"id":"1324","split":"1","chapterid":"9445","timeFrom":"70 ","timeTo":"178.99 ","number":"2","chaptername":"Bleeding Control ","description":"In this chapter, the process of achieving bleeding control during endoscopic procedures is explored. Despite significant pre-coagulation efforts using techniques such as using a knife for pre-coagulation and tip cauterization, unexpected vessel resistance and significant bleeding are demonstrated. The chapter emphasizes the importance of precise techniques in managing and controlling bleeding effectively during endoscopy.","tagid":"352","tagName":"Need for intervention"},{"id":"1324","split":"1","chapterid":"9446","timeFrom":"179 ","timeTo":"331 ","number":"3","chaptername":"Electrosurgery & Guidance ","description":"In this chapter, the strategies for managing bleeding during endoscopic polyp removal are discussed. Emphasis is placed on the importance of pre-treatment considerations, such as evaluating the size of the polyp stalk and vessel, and selecting appropriate techniques like poly loops and electrosurgery for hemostasis. Key messages include preparing for potential bleeding and ensuring a bloodless field to enhance procedural success. The use of erythromycin is mentioned as part of preparation to optimize endoscopic visualization and treatment outcomes.","tagid":"807","tagName":"During Interventional Endoscopy"},{"id":"1324","split":"1","chapterid":"9446","timeFrom":"179 ","timeTo":"331 ","number":"3","chaptername":"Electrosurgery & Guidance ","description":"In this chapter, the strategies for managing bleeding during endoscopic polyp removal are discussed. Emphasis is placed on the importance of pre-treatment considerations, such as evaluating the size of the polyp stalk and vessel, and selecting appropriate techniques like poly loops and electrosurgery for hemostasis. Key messages include preparing for potential bleeding and ensuring a bloodless field to enhance procedural success. The use of erythromycin is mentioned as part of preparation to optimize endoscopic visualization and treatment outcomes.","tagid":"352","tagName":"Need for intervention"},{"id":"1324","split":"1","chapterid":"9446","timeFrom":"179 ","timeTo":"331 ","number":"3","chaptername":"Electrosurgery & Guidance ","description":"In this chapter, the strategies for managing bleeding during endoscopic polyp removal are discussed. Emphasis is placed on the importance of pre-treatment considerations, such as evaluating the size of the polyp stalk and vessel, and selecting appropriate techniques like poly loops and electrosurgery for hemostasis. Key messages include preparing for potential bleeding and ensuring a bloodless field to enhance procedural success. The use of erythromycin is mentioned as part of preparation to optimize endoscopic visualization and treatment outcomes.","tagid":"360","tagName":"Assessment of the situation"}]

[{"name":"Message for the Everyday Endoscopy from the Interventional Endoscopy regarding Bleeding","description":"A large poculated polyp is notable for its size, requiring careful treatment strategies. Pre coagulation and tool readiness are essential to address potential bleeding. Discussions focus on control measures, with electrosurgery techniques highlighted for effective bleeding management. Endoscopists are reminded of the importance of vessel management and thorough treatment preparation to ensure a bloodless field during procedures.","summary":"

This video addresses the challenges associated with the management of large poculated polyps, particularly focusing on the strategic application of pre-coagulation techniques to ensure effective vessel control during endoscopic procedures. It demonstrates the need for meticulous preparation, including the use of electrosurgical methods, to minimize bleeding risk during polyp resection. Central to the discussion is the importance of anticipating bleeding complications and being prepared with appropriate tools such as coag graspers, snares, and electrosurgical energy devices. The video emphasizes the critical role of creating a bloodless field to enhance visibility and procedural efficiency, underscoring techniques that contribute to this outcome. Various strategies, including the use of erythromycin and pre-treatment options like poly loops, are elucidated to help endoscopists manage large polyp stalks safely and effectively. The overarching message for professionals is to always prepare comprehensively to tackle vascular challenges encountered in daily practices.<\/p>","detailedSummary":"

Learning Objectives:<\/p>\n

\n
• Understanding the anatomy of poculated polyps and associated vessels<\/li>\n
• Importance of pre-coagulation in managing large polyp vessels<\/li>\n
• Techniques for minimizing bleeding using electrosurgical tools<\/li>\n
• The role of coag graspers and other tools in vessel management<\/li>\n
• Preparing for potential bleeding complications<\/li>\n
• Creating a bloodless field for enhanced visibility<\/li>\n
• Use of erythromycin and IV fluids during preparations<\/li>\n
• Assessing the requirement for poly loops and snares<\/li>\n
• Handling central vessel involvement in polyp stalks<\/li>\n
• Strategic planning for endoscopic polyp resection<\/li>\n<\/ul>","author":"David Tate","tagger":"1","editor":"1","recorder":"1","authorid":"1","centreName":"University Hospital of Ghent","centreCity":"Ghent","centreCountry":"Belgium"}]

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https://player.vimeo.com/video/1056402409?badge=0&autopause=0&player_id=0&app_id=141577