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Histology review is done remotely."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Ask whether the team doing the procedure regularly undertakes large polyp removal. Why: this experience reduces the chance of bleeding or perforation","scope":"procedure","source":{"url":"https://www.gatesheadhealth.nhs.uk/resources/endoscopic-removal-of-large-gastric-polyps/","host":"gatesheadhealth.nhs.uk","quote":"The complex polyp service undertakes these procedures on a regular basis and hence has the experience to reduce the chance of such events.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Ask whether your general health is assessed before the procedure. Why: this aims to reduce the risk of anesthetic complications","scope":"procedure","source":{"url":"https://www.gatesheadhealth.nhs.uk/resources/endoscopic-removal-of-large-gastric-polyps/","host":"gatesheadhealth.nhs.uk","quote":"You can have complications related to anaesthetic, we aim to reduce this risk by assessing your general health prior to the endoscopy procedure and you will be closely monitored by qualified staff during and after the examination.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Ask whether the endoscopist will discuss the alternatives to endoscopic removal with you in detail","scope":"procedure","source":{"url":"https://www.gatesheadhealth.nhs.uk/resources/endoscopic-removal-of-large-gastric-polyps/","host":"gatesheadhealth.nhs.uk","quote":"These options will be discussed with you in detail at your pre assessment appointment and by the Endoscopist undertaking the procedure.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C4","text":"Ask whether you will receive clear aftercare details before you leave, such as follow-up arrangements","scope":"procedure","source":{"url":"https://www.gatesheadhealth.nhs.uk/resources/endoscopic-removal-of-large-gastric-polyps/","host":"gatesheadhealth.nhs.uk","quote":"Before you are discharged from the ward you will be given clear details concerning follow up arrangements and aftercare information.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C5","text":"Ask whether an overnight stay for monitoring is planned after the procedure","scope":"procedure","source":{"url":"https://www.gatesheadhealth.nhs.uk/resources/endoscopic-removal-of-large-gastric-polyps/","host":"gatesheadhealth.nhs.uk","quote":"You will be admitted to the ward for overnight stay after your procedure for monitoring purposes.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C6","text":"Ask whether the polyp can be removed in one piece. Why: this lets the team judge how deep any cancer reaches","scope":"procedure","source":{"url":"https://www.gatesheadhealth.nhs.uk/resources/endoscopic-removal-of-large-gastric-polyps/","host":"gatesheadhealth.nhs.uk","quote":"If the polyp is in one piece we can usually tell how deep any cancerous cells reach if they are present.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"The clinic offers no pre-assessment or discussion of alternatives to endoscopic removal","scope":"procedure","source":{"url":"https://www.gatesheadhealth.nhs.uk/resources/endoscopic-removal-of-large-gastric-polyps/","host":"gatesheadhealth.nhs.uk","quote":"These options will be discussed with you in detail at your pre assessment appointment and by the Endoscopist undertaking the procedure.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F2","text":"No general health check before the procedure is offered or mentioned","scope":"procedure","source":{"url":"https://www.gatesheadhealth.nhs.uk/resources/endoscopic-removal-of-large-gastric-polyps/","host":"gatesheadhealth.nhs.uk","quote":"You can have complications related to anaesthetic, we aim to reduce this risk by assessing your general health prior to the endoscopy procedure and you will be closely monitored by qualified staff during and after the examination.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F3","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Heavy or persistent bleeding","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/23479-polypectomy","host":"my.clevelandclinic.org","quote":"This is normal, but be sure to consult your healthcare provider if you have heavy or persistent bleeding.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Abdominal pain","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/23479-polypectomy","host":"my.clevelandclinic.org","quote":"Symptoms may include abdominal pain , fever and leukocytosis (high white blood cell count, a sign that your immune system has been activated).","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Blood in your stool","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/21148-endoscopic-mucosal-resection","host":"my.clevelandclinic.org","quote":"Blood in your stool.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W4","text":"Chest pain","urgency":"emergency","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/21148-endoscopic-mucosal-resection","host":"my.clevelandclinic.org","quote":"Call your gastroenterologist right away if you notice any signs of complications after endoscopic mucosal resection, including: Advertisement Blood in your stool . Chest pain","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W5","text":"Dizziness or fainting","urgency":"emergency","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/21148-endoscopic-mucosal-resection","host":"my.clevelandclinic.org","quote":"Call your gastroenterologist right away if you notice any signs of complications after endoscopic mucosal resection, including: Advertisement Blood in your stool . Chest pain . Dizziness or fainting","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Results decide whether further treatment is needed; the home doctor needs them","document":"pathology laboratory result","source":{"url":"https://www.gatesheadhealth.nhs.uk/resources/endoscopic-removal-of-large-gastric-polyps/","host":"gatesheadhealth.nhs.uk","quote":"Sometimes decisions about further treatment can only be made once these results are available.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T2","text":"Gives the home doctor the follow-up arrangements needed to continue care","document":"follow-up and aftercare details","source":{"url":"https://www.gatesheadhealth.nhs.uk/resources/endoscopic-removal-of-large-gastric-polyps/","host":"gatesheadhealth.nhs.uk","quote":"Before you are discharged from the ward you will be given clear 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occur.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T5","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your polyp is hard to access through an endoscope","name":"Laparoscopic surgery","source":{"url":"https://my.clevelandclinic.org/health/treatments/23479-polypectomy","host":"my.clevelandclinic.org","quote":"In the event that your surgeon needs to cut into your abdomen to access a polyp, they’ll do so using minimally invasive surgery methods.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"technique_details":{"status":"ok","items":[{"id":"endoscopic-snare-polypectomy","name":"Endoscopic snare polypectomy (hot or cold)","how_it_works":{"text":"The polyp is removed at its base or stalk","source":{"url":"https://my.clevelandclinic.org/health/treatments/23479-polypectomy","host":"my.clevelandclinic.org","quote":"A simple polypectomy removes the polyp at the base or stalk, without cutting into the surrounding tissue.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":null},{"id":"endoscopic-mucosal-resection","name":"Endoscopic mucosal resection (EMR)","how_it_works":{"text":"An endoscope removes irregular tissue from the digestive 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