Training in Endoscopic Mucosal Resection - 30mm non-granular LNPCP

Video of a training episode where a trainee working towards competency at SMSA 3 polypectomy is coached through an SMSA 4 lesion.

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0:00Introduction

0:24Blink

0:42Lesion Assessment WLI

1:42NBI

6:34Choice of Resection Technique

10:29Lesion to 6 o clock

12:57Injection

15:30Choice of Snare

17:42Snare Placement

19:38Lesion to 6 o clock

20:59Injection 2

22:50Snare Placement 2

24:16Safety Check

27:28Injection 3

29:42Snare Placement 3

32:26STSC Bleeding Vessel

36:45Defect Assessment - Margin

39:15Cold Avulsion

41:39STSC Bleeding Vessel 2

46:23Cold Avulsion 2

56:59STSC Margin Ablation

61:28Clipping to Prevent Delayed Bleeding

65:37Trainer Takeover

80:58Debrief