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Multiple Adenomatous Polyps Of The Rectum (3...

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Difficult Polypectomy. To be too difficult to be removed endoscopically.? Generally some criteria are acceptable that Which Patients Should Be Treated Initially With Surgical Resection (1) polyps...

Multiple Adenomatous Polyps Of The Rectum (2...

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Case on Polyposis of the Rectum. This mass located in the first rectal valve, has the image of adenocarcinoma but the biopsies have been negatives. There are several polyps nearby. Until now the...

Multiple Adenomatous Polyps Of The Rectum (1...

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This 34 year-old male, present four months with rectal bleeding with mucoid secretion, pujo and tenesmus. Colonoscopy displays multiple ulcerated polyps. They are located from the pectin line to recto-sigmoid...

Tubulo - Villous Adenoma - Endoscopy (28 of 28)

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Another image and video clip of the status post endoscopic polypectomy. The entire colon must be examined during the polypectomy so that any synchronous lesions can be detected and removed. Approximately...

Tubulo - Villous Adenoma - Endoscopy (27 of 28)

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Status post endoscopic polypectomy after the adenoma was performed with piecemeal snare resection.

Tubulo - Villous Adenoma - Endoscopy (26 of 28)

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The polyp is excised piecemeal using a snare. The image and the video clip display a fragment that has been cutting from the adenoma.

Tubulo - Villous Adenoma - Endoscopy (25 of 28)

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A tiny rectal polyp has been excicioned.

Tubulo - Villous Adenoma - Endoscopy (24 of 28)

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The fragment that has been cut is observed. Excised polyp, waiting to be retrieved.

Tubulo - Villous Adenoma - Endoscopy (23 of 28)

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More tissue is being excisioned with the diatermia snare.

Tubulo - Villous Adenoma - Endoscopy (22 of 28)

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In this image and the video clip, is observed the biggest fragment of the polyps that has been excisioned.

Tubulo - Villous Adenoma - Endoscopy (21 of 28)

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The fragment of the polyps have fallen out. They are showed here, after the removal of the first fragment.

Tubulo - Villous Adenoma - Endoscopy (20 of 28)

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Placement of a snare wire over the head of the polyp. Cautery is applied to the wire loop which has been tightened around the stalk of the polyp.

Tubulo - Villous Adenoma - Endoscopy (19 of 28)

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Piecemeal excision of the rectal adenoma. The image and the video clips display the procedure, that carried out with piecemeal excision. Large sessile polyps usually require piecemeal snare resection.

Tubulo - Villous Adenoma - Endoscopy (18 of 28)

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After reducing the size of the polyp using argon plasma coagulator (APC). Cautery is applied to the wire loop which has been tightened around the stalk of the polyp.

Tubulo - Villous Adenoma - Endoscopy (17 of 28)

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After one hour and twenty minutes, we continued the polypectomy of the remnant with snare excision. The goal to reduce it of size with APC has been fulfilled.

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