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Tubulo - Villous Adenoma - Endoscopy (1 of 28)

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An 81 year-old female that was suffering anemia and was referred to us for colonoscopic evaluation, Four polyps were found, two at the rectum and two at the sigmoid, as well as multiple diverticulae....

Giant Tubulo - Villous Adenoma (17 of 17)

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35 day after The scar of the polypectomy of giant polyp in the left colon

Giant Tubulo - Villous Adenoma (16 of 17)

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35 day after A follow up endoscopy was performed observing the scar of the previous polypectomy of the polips in the ascendig colon.

Giant Tubulo - Villous Adenoma (15 of 17)

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Ablative therapy with argon plasma coagulation to base of the tumor was apply.

Giant Tubulo - Villous Adenoma (14 of 17)

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The residual fragments is also trying to cut.

Giant Tubulo - Villous Adenoma (13 of 17)

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It fragmented into small pieces

Giant Tubulo - Villous Adenoma (12 of 17)

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This video clip shows removal of the large fragment

Giant Tubulo - Villous Adenoma (11 of 17)

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At first we had thought that a blood vessel would be active but we realized that it was just residual blood.

Giant Tubulo - Villous Adenoma (10 of 17)

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This video clip shows the tumor has been fragmented into two fragments.

Giant Tubulo - Villous Adenoma (9 of 17)

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With the diathermy loop of 50 mm, started the endoscopic polypectomy, cautery use with "Endocut"

Giant Tubulo - Villous Adenoma (8 of 17)

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Injecting a solution of dextrose 50% with epinephrine 1:100,000 (because of patient suffer from arterial hypertension otherwise we injected the 1/10.000). The injection of fluid into the submucosal...

Giant Tubulo - Villous Adenoma (7 of 17)

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Started the polypectomy of the left colon tumor

Giant Tubulo - Villous Adenoma (6 of 17)

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The remaining fragments were applied ablative therapy with argon plasma coagulator.

Giant Tubulo - Villous Adenoma (4 of 17)

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Piecemeal Resection. It was no necessary to inject anything, just fragmented with the diathermy loop. To the small remaining fragments, ablative therapy with argon plasma coagulator

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