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Training Polypectomy
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Training Polypectomy
LD
Lobke Desomer
Medical Endoscopist
5.0
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Description of polyps and how to do polypectomy
WASP classification
Large (20mm or larger)
Endoscopic Video and Room Video with Audio Plus Trainee
Virtual chromoendoscopy
Lesion Characterisation
Characterisation - clouded surface
Paris 0-IIa
Serrated
Presence of Dysplasia
Dynamic injection
Description
Assessment
Hot versus cold snare polypectomy
Snare placement
Safety checks prior to application of diathermy
Use of injection
Injection technique
Serrated polyposis syndrome
Endoscopic Mucosal Resection (piecemeal)
Poor snare placement
Residual adenoma
Post polypectomy defect assessment
Thermal ablation of the post-polypectomy margin
Clip placement
Clip closure of the resection defect if evidence of deep injury
Clip closure of resection defect for risk of delayed bleeding
Cold Snare Polypectomy
Appropriate lesion selection for CSP
Wide margin principle
Defect inspection after CSP
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