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Endoscopic Resection of Giant Tubulo-Villous...

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In this image and the video clip show almost the tumor has been resected.

Endoscopic Resection of Giant Tubulo-Villous...

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We continue with the polypectomy of large fragments, retroflexed maneuver.

Endoscopic Resection of Giant Tubulo-Villous...

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Continue excising pieces of this giant Tubulo-Villous adenoma in the dentate line.

Endoscopic Resection of Giant Tubulo-Villous...

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Some fragments are attached to the dentate line

Endoscopic Resection of Giant Tubulo-Villous...

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More remaining are being resected with the loop diathermy.

Endoscopic Resection of Giant Tubulo-Villous...

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With the diathermy loop excising several remaining Retroflexion is a useful adjunctive procedure for the removal of some colon polyps proximal to the rectum that are difficult to access endoscopically....

Endoscopic Resection of Giant Tubulo-Villous...

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To stop this bleeding used the argon plasma, stopping the bleeding.

Endoscopic Resection of Giant Tubulo-Villous...

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Active bleeding is observed It has been well established that there is a greater risk of post polypectomy bleeding with larger polyps, ranging from 2% to 24%. Therefore, the endoscopist should be...

Endoscopic Resection of Giant Tubulo-Villous...

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Then remove another piece of large size

Endoscopic Resection of Giant Tubulo-Villous...

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More image and video clip observing the fragments of infiltrative appearance.

Endoscopic Resection of Giant Tubulo-Villous...

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There are many fragments of the neoplasia of villous appearance. Colorectal polypoid lesions have a risk for cancer development. Because of their malignancy potential and indistinguishable features...

Endoscopic Resection of Giant Tubulo-Villous...

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Piecemeal Resection The rope with the loop diathermy, the fragment of large size prolapses outside of the anus. And there the polypectomy is performed.

Endoscopic Resection of Giant Tubulo-Villous...

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As at first the plan was to remove the tumor that appeared to be small, we decided to practice polypectomy in fragments at this time we had no reported the biopsies by pathology. Sessile polyps usually...

Endoscopic Resection of Giant Tubulo-Villous...

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A Giant Villous Adenoma: Mimicking Rectal Malignancy Another image of the irregular mass Usually, tubulu- villous adenomas are asymptomatic although they may cause rectal bleeding like malignant...

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