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cardiopulmonary events","Incomplete resection needing repeat removal","Aspiration"],"pain":"Usually minimal under sedation; mild bloating, throat soreness or epigastric discomfort for a day or two afterwards.","preparation":["Fasting for about 6–8 hours before the procedure","Pre-procedure review of medical history, allergies and bleeding risk","Coagulation tests if indicated","Informed consent","Arrange an escort home after sedation","Review anticoagulant or antiplatelet plan with physician"],"recovery_timeline":[{"phase":"Same day","description":"Observation until sedation wears off, then discharge with light diet.","restrictions":["No driving for 24 hours","Avoid alcohol"]},{"phase":"Days 1–7","description":"Soft diet, mild discomfort resolves; watch for black stools, vomiting blood or severe pain.","restrictions":["Avoid NSAIDs unless approved","Avoid heavy lifting"]},{"phase":"Weeks 1–2","description":"Mucosal healing and return to normal activity; histology 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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":"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":"Advertisement Blood in your stool . Chest pain . 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