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Lower GI EMR Module 





  • Endoscopic mucosal resection (EMR) for the Lower GI tract is defined as the use of various snares, cautery and injection/lifting technique in the resection of large, complex or high-risk colonic polyps. 

Enrollment Criteria



The enrollment criteria described below is intended to give potential partcipants an idea of the basic skill levels expected of the program participants, and the skills that are needed to successfully perform lower GI EMR.  Enrolless should have:

  • A minimum of two years in practice post-fellowship
  • Performed at least 500 colonoscopies independently, and currently performing colonoscopy as part of daily practice
  • Proficiency in basic polypectomy, hemostasis, and injection techniques

Learning Objectives 


 After attending this program, participants should be able to:

  • Describe the morphology of colonic polyps and assess their endoscopic appearance for resectability
  • Appropriately select and demonstrate the use of various snares, cautery and injection/lifting technique in the endoscopic mucosal resection of "large, complex or high-risk" colonic polyps ( e.g., > 20 mm, difficult location, with depression or significant nodularity).
  • Demonstrate the use of appropriate accessories for both polyp retrieval and management of complications
  • Select appropriate surveillance intervals based on current guidelines




Skills to be covered


Lower GI


Communication Skills

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Complication Management

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Lesion Recognition

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Perforation Management

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Piecemeal and Snare Resection

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Polyp Retrieval

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Polypectomy Site Treatment

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Submucosal Injection Techniques

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