Joined November 2014
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3 Mar 2015
See you all at ENDOLIVE UK next week its going to be a real treat and show case for the UK #FGDebate
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3 Mar 2015
@petebasford @FrontGastro_BMJ @Rutter_Matt
yes - if very large won't have healed in 3 months - need 4-6 #FGDebate
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3 Mar 2015
Never start a polypectomy unless you have all equipment and senior back up #FGDebate
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3 Mar 2015
Practice rotation and targeting of lesions. You must have complete control of the instrument. #FGDebate
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3 Mar 2015
if patient experiences pain during diathermy – STOP you may be irritating the serosal surface and be about to perforate #FGDebate
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3 Mar 2015
7……AND THIS IS THE MOST IMPORTANT TIP
before applying diathermy, retract the captured snare piece towards centre of lumen and. #FGDebate
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3 Mar 2015
6. If you have caught too much tissue in the snare, partially reopen and allow the deeper tissue to slip away before reclosing #FGDebate
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3 Mar 2015
5. Aspirate gas and push the open snare down onto the polyp to grasp tissue as the snare closes #FGDebate
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3 Mar 2015
3.Make sure you cut normal mucosa at the edge of the polyp to secure a clear lateral margin. #FGDebate
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3 Mar 2015
3.Use large volumes of injection – you can’t overdo it!
-I sometimes use 150ml for >8cm lesions #FGDebate
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3 Mar 2015
2. For large polyps don’t inject the whole polyp first
… rather inject – cut, inject – cut
sequentially #FGDebate
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3 Mar 2015
1.use the injection solution to enhance visualisation, inject proximally to lift the polyp towards the endoscope #FGDebate
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3 Mar 2015
Here are my top tips for safe and successful EMR Here are my top tips for safe and successful EMR
#FGDebate
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3 Mar 2015
@petebasford @FrontGastro_BMJ
yes - 4% will recur at 1 year - need 3-4 month and 1 year check #FGDebate
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