Incorrect Decision Making in Colorectal EMR

A complex EMR procedure (SMSA+) performed by an endoscopist without the necessary competency. Used to highlight incorrect decision making.

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0:00Lesion Overview - NBI

0:17Injection

0:42Snare Placement

3:20Bleeding Vessel

5:22Continued resection - Spurting Vessel

6:11Water Jet to Identify Bleeding

6:30Clip Placement - 1st Vessel

7:01Resection Continued

7:47Second Spurting Vessel

8:44Clip Placement - 2nd Vessel

9:30Still bleeding

9:592nd Clip - Vessel 2

11:173rd Clip - Vessel 2

12:214th Clip - Vessel 2

13:30Resection Continued

14:43Specimen Retrieval - Net