Lesion: 40 mm LST-G
NICE classification: type II high confidence
Procedure: EMR + Hemostasis + APC + Clip Closure
Injection: 22 ml of saline with Methylene Blue and 6 ml of Epi
Lift: Excellent
Snare resection: 20 mm stiff snare (Olympus) for the first two cuts (Endocut-Q-3-1-5) and 10 mm snare for third cut (Endocut 3-1-3).
Hemostasis: Coagulation Grasper (Olympus) - soft coagulation 80 W
Clip closure: 12 clips (Cook Clip)
Total Procedure: 46 mins+ |