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EDUCATION

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Objectives

 

Lower GI EMR Module 

 

 

 

Definition

  • 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

 

  • 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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Tattooing

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