Polypectomy Technique Scorer - Video Assessment Version

Towards careful, meticulous polypectomy practice

Pre-requisites:

    Colon Polyp ≥ 10mm in size
    Cold or Hot Snare

This tool asks for your subjective assessment of multiple domains of deconstructed polypectomy where 1 is poor and 5 very good

Fill hot or cold first since different questions are asked for each.
The difficulty score consists of SMSA questions (4).
The difficulty+ score consists of SMSA+ questions (4) and applies only to hot snare.

Once completed press copy and a machine readable version will be copied to the clipboard.

Watch Introductory Video 

Hover over questions for more information

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Hot / Cold Snare Polypectomy?



Global Competencies









Injection Technique







Snare Placement Technique









Safety Checks Prior to Resection (HOT snare only)





Defect Assessment After Resection









Accessory Techniques in Polypectomy







Difficulty Score (SMSA - EMR, SMSA +)

















Definitions:

  • Hot Snare - colon polyp removed using a snare with use of electrosurgical energy
  • Diathermy - electrosurgical energy
  • Cold Snare - colon polyp removed using a snare without electrosurgical energy

References:

Original SMSA Score -- Gupta S, Miskovic D, Bhandari P, Dolwani S, McKaig B, Pullan R, Rembacken B, Riley S, Rutter MD, Suzuki N, Tsiamoulos Z, Valori R, Vance ME, Faiz OD, Saunders BP, Thomas-Gibson S. A novel method for determining the difficulty of colonoscopic polypectomy. Frontline Gastroenterol. 2013 Oct;4(4):244-248. doi: 10.1136/flgastro-2013-100331. Epub 2013 Jun 1. PMID: 28839733; PMCID: PMC5369843.

SMSA in Larger ≥ 20mm LNPCPs -- Sidhu M, Tate DJ, Desomer L, Brown G, Hourigan LF, Lee EYT, Moss A, Raftopoulos S, Singh R, Williams SJ, Zanati S, Burgess N, Bourke MJ. The size, morphology, site, and access score predicts critical outcomes of endoscopic mucosal resection in the colon. Endoscopy. 2018 Jul;50(7):684-692. doi: 10.1055/s-0043-124081. Epub 2018 Jan 25. Erratum in: Endoscopy. 2018 Jul;50(7):C7. PMID: 29370584.

SMSA+ score -- Anderson J, Lockett M. Training in therapeutic endoscopy: meeting present and future challenges. Frontline Gastroenterol. 2019;10(2):135-140. doi:10.1136/flgastro-2018-101086

SMSA-EMR score -- SMSA-EMR SCORE IS A NOVEL ENDOSCOPIC RISK ASSESSMENT TOOL FOR PREDICTING CRITICAL ENDOSCOPIC MUCOSAL RESECTION OUTCOMES - Volume 87, No. 6S : 2018 GASTROINTESTINAL ENDOSCOPY AB467

Deep Mural Injury Score -- Burgess NG, Bassan MS, McLeod D, Williams SJ, Byth K, Bourke MJ. Deep mural injury and perforation after colonic endoscopic mucosal resection: a new classification and analysis of risk factors. Gut. 2017 Oct;66(10):1779-1789. doi: 10.1136/gutjnl-2015-309848. Epub 2016 Jul 27. PMID: 27464708.

Score Adapted for GIEQs.com by David Tate:

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