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@petebasford Frontline Gastro yes - 4% will recur at 1 year - need 3-4 month and 1 year check #FGDebate

Here are my top tips for safe and successful EMR Here are my top tips for safe and successful EMR #FGDebate

1.use the injection solution to enhance visualisation, inject proximally to lift the polyp towards the endoscope #FGDebate

2. For large polyps don’t inject the whole polyp first … rather inject – cut, inject – cut sequentially #FGDebate

3.Use large volumes of injection – you can’t overdo it! -I sometimes use 150ml for >8cm lesions #FGDebate

3.Make sure you cut normal mucosa at the edge of the polyp to secure a clear lateral margin. #FGDebate

5. Aspirate gas and push the open snare down onto the polyp to grasp tissue as the snare closes #FGDebate

6. If you have caught too much tissue in the snare, partially reopen and allow the deeper tissue to slip away before reclosing #FGDebate

7……AND THIS IS THE MOST IMPORTANT TIP before applying diathermy, retract the captured snare piece towards centre of lumen and. #FGDebate

....... always cutting in parallel to the muscle layer. #FGDebate

if patient experiences pain during diathermy – STOP you may be irritating the serosal surface and be about to perforate #FGDebate

Top tips for budding therapeutic endoscopists #FGDebate

Learn to do really accurate one-handed technique diagnostic colonoscopy. #FGDebate

Practice rotation and targeting of lesions. You must have complete control of the instrument. #FGDebate

Never start a polypectomy unless you have all equipment and senior back up #FGDebate

Choose your mentor well and don't get cross when they take over #FGDebate

Edit your bosses videos - you will learn a lot #FGDebate

@petebasford Frontline Gastro Matt Rutter yes - if very large won't have healed in 3 months - need 4-6 #FGDebate

Its been great fun - thanks for all your questions #FGDebate

See you all at ENDOLIVE UK next week its going to be a real treat and show case for the UK #FGDebate