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standard polyp."},"success":{"metric":"Complete endoscopic removal of non-ampullary duodenal adenoma without residual","value":85,"unit":"percent","horizon":"First surveillance endoscopy at 3-6 months","population":"Adults with sporadic non-ampullary duodenal adenomas treated by endoscopic mucosal resection","evidence_status":"limited"},"techniques":[{"name":"Endoscopic mucosal resection (EMR)","suits_whom":"Sessile adenomas up to about 2-3 cm.","recovery":"Observation 1 night; normal activity in a few days."},{"name":"Cold snare polypectomy","suits_whom":"Small polyps under 1 cm.","recovery":"Often one night observation; quick return to activity."},{"name":"Underwater EMR","suits_whom":"Flat or moderately sized adenomas.","recovery":"Similar to EMR."},{"name":"Endoscopic submucosal dissection","suits_whom":"Large or suspicious lesions needing en bloc removal in expert centers.","recovery":"Longer stay of 2-4 nights; higher perforation risk."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":0.5,"max":1.5,"unit":"hours","qualifier":"0.5-1.5 hours of endoscopic resection, excluding sedation recovery."},"initial_assessment_documents":["Previous upper endoscopy report","Biopsy histology report","Endoscopy images of the polyp","CT or endoscopic ultrasound report","List of blood thinners"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single endoscopic session; stay 3-5 days; surveillance endoscopy done at home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Confirm that the clinic provides a copy of the endoscopy report before discharge","scope":"procedure","source":{"url":"https://www.leedsth.nhs.uk/patients/resources/endoscopic-mucosal-resection-emr-of-the-upper-digestive-tract/","host":"leedsth.nhs.uk","quote":"You will receive a copy of the endoscopy report before discharge and this will also be sent to your consultant and 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