Final status of endoscopic resection Although some polyps will require surgical removal, most can be removed by an experienced endoscopist. Familiarity with endoscopic hemostasis techniques is an important prerequisite for attempting the removal of large lesions. As experience and facility with advanced polypectomy techniques is accumulated, the endoscopist may progressively attempt more difficult lesions. I am sure this clinical case will have in some hands abdominoperineal resection performed and the patient condemned to carried out lifetime a permanent bag of colostomy. Two week after a follow up endoscopy was performed see below.
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