Steven Bollipo Profile picture
Sep 9, 2020 6 tweets 10 min read Read on X
Quick tips for small #polypectomy
Smaller the polyp, longer the drama! But why?
Here are my 10 tips, share yours!
1. Ask: is this necessary?
2. Take it when you see it, may never find it again!
3. Position at 6 O' clock
4. Don't move around while waiting for snare, don't lose!
5. Keep your eye on the polyp, don't even blink
6. Clear the fluid above and below
7. Choose a small cold snare, don't open it too much
8. If struggling with position, try cold biopsy forceps instead
9. If snare is slipping, deflate the colon. Don't lift!
10. Check if trap is on!
Small polyps give me the most grief. Give me a big polyp any day! What are your tips for a small polyp?
@RashidLui @AdvaniRashmiMD @RKeswaniMD @gastro3570 @gsraju1 @KapuriaMd @renumathyd @vaibhav_manu @magnushallandMD @AllonKahn @helpatologist @DrJSilverman @AUKhanGandapur
The biggest mistake in a small polyp is trying to lift something that is unnecessary. Don't make simple things complicated!
Please share your tips @AnandVKulkarni2 @drprateikp @Sanchit30497977 @drdalbir @DrHarryThomas @DrReddyGI @HSingh_MD @DrMohdZein @SultanMahmoodMD @theng_gan
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More from @stevenbollipo

Sep 23, 2020
The best thing about 2020 for me is the number of papers from Twitter discussions with Twitter friends as co-authors.
What has been your experience with #twitter2paper ?
Do you have any tips?
Here are my tips:
1. Every twitter debate is a potential paper
2. Learn the art of DM
Read 7 tweets
Sep 18, 2020
Nothing gets my heart rate going like varices!
Here is my quick tip when banding. I dip the scope with banding cap in a small cup of Simethicone before insertion. Much clearer views without the frothy saliva!
Please share your quick tips for managing varices! #livertwitter
Read 5 tweets
Sep 13, 2020
Quick tips on #polypectomy
Another awesome summary of the thread from @enrrikke
Special thanks to @RKeswaniMD @swatigp for their papers on #coldsnarepolypectomy
Thanks everyone for your tips & tricks! Feel free to add more.
#gitwitter ImageImageImageImage
Read 4 tweets
Sep 8, 2020
Here is the amazing summary of the many gems in the quick tips for #colonoscopy thread.
Thanks @enrrikke for this beautiful work! ImageImageImageImage
Read 4 tweets
Sep 4, 2020
Quick tips for #colonoscopy
Please share your tips/tricks
Here is mine:
When the cecum is frothy & full of bubbles, go into terminal ileum which is the source of froth, and squirt Simethicone in there and then come back to cecum. Crystal clear cecum!
Thank me later!
The same trick in #gastroscopy : When using simethicone, attack the source!
If the stomach is frothy, put some simethicone in oesophagus and in the pylorus, come back to the stomach to rinse and clean as normal! @Samir_Grover
Read 4 tweets
Aug 21, 2020
My Friday evenings are for cooking. Step 1 is here. This will be a thread! #gicooking #TGIF Image
Step 2 Image
Step 3 Image
Read 5 tweets

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