Table 2.

Mini time-out

1.The endoscopist requests a mini time-out after the lesion is reached and before the lesion is grasped for endoscopic full-thickness resection.

2. The first portion of the time-out is to check the equipment. - Confirm that the patient is grounded. - Confirm that the electrosurgical generator settings are appropriate and that the active cord has been plugged into the snare. - Confirm that the pedal of the electrosurgical generator is at the endoscopist’s preferred location.

3. The second portion of the time-out is to verify the role of each assistant and confirm the endoscopic resection plan. - Assistant 1 is in charge of the snare and has plugged in the snare and removed the safety. - Assistant 2 is in charge of the grasper and will close the grasper tightly and not reopen it under any circumstances until the resection is complete and the endoscope is fully withdrawn from the patient. - In cases where endoscope position is challenging, consider having a second endoscopist available to either hold the scope position or deploy the full-thickness resection device clip. - As soon as the full-thickness resection device clip is deployed, Assistant 1 automatically closes the snare and the endoscopist immediately cuts with the electrosurgical generator.