Brian Saunders

[Brian Saunders @MarkSdoc1]

@NorikoSuzuki3

[Brian Saunders @MarkSdoc1]

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

[Brian Saunders @MarkSdoc1]

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

[Brian Saunders @MarkSdoc1]

@petebasford @FrontGastro_BMJ @Rutter_Matt
yes - if very large won't have healed in 3 months - need 4-6 #FGDebate

[Brian Saunders @MarkSdoc1]

@Rutter_Matt @medical_mule
yes emergency contact numbers out of hours - #FGDebate

[Brian Saunders @MarkSdoc1]

@BottProf
1. experienced human brain
2. good bowel prep
3. Endocuff
#FGDebate

[Brian Saunders @MarkSdoc1]

@gastrosid > 50 #FGDebate

[Brian Saunders @MarkSdoc1]

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

[Brian Saunders @MarkSdoc1]

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

[Brian Saunders @MarkSdoc1]

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

[Brian Saunders @MarkSdoc1]

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

[Brian Saunders @MarkSdoc1]

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

[Brian Saunders @MarkSdoc1]

Top tips for budding therapeutic endoscopists #FGDebate

[Brian Saunders @MarkSdoc1]

@medical_mule for large rectal lesions I tell them they will have some discomfort and discharge for several days and that normal #FGDebate

[Brian Saunders @MarkSdoc1]

@medical_mule if complex EMR or ESD I describe like having an operation from inside - it has risks! #FGDebate

[Brian Saunders @MarkSdoc1]

@pelicanhere then you know roughly where the post-polypectomy bleed has come from! #FGDebate

[Brian Saunders @MarkSdoc1]

@pelicanhere will vary according to endoscopist stamina. If many polyps I tend to clear proximal first #FGDebate

[Brian Saunders @MarkSdoc1]

@BottProf consider hybrid ESD/EMR making a circumferential cut. Use a stiffer snare - Olympus spiral #FGDebate

[Brian Saunders @MarkSdoc1]

@jaevansgastro not a problem in exophytic lesions but don't biopsy flat lesions #FGDebate

[Brian Saunders @MarkSdoc1]

@tomjwlee if you continue diathermy you will perforate - current goes down cord to bowel wall #FGDebate