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Giant Tubulo - Villous Adenoma (3 of 17)
Endoscopic polypectomy of the polyp in the ascending colon.
Giant Tubulo - Villous Adenoma (2 of 17)
Multilobular Tubulo-Villous Adenoma of the ascending colon limited to the cecum. Our patient has another polyp the which was not included in our plan to practice polypectomy and the giant polyp was...
Giant Tubulo - Villous Adenoma (1 of 17)
This is the case of a lady of 60 year-old. Eleven years prior had undergone surgery due to a adenocarcinoma of the sigmoid her sister also had colonic cancer Colonoscopy shows the anastomosis and...
Huge Mass Of The Descending Colon (23 of 25)
Final status of endoscopic resection Endoscopic polypectomy of large polyps is safe and can completely replace surgical treatment. The two major complications are bleeding and perforation, with an...
Huge Mass Of The Descending Colon (22 of 25)
Recover some pieces to be sent to pathology. Small polyps are readily retrieved through the suction/biopsy channel of the endoscope and are collected either in gauze or mesh between the suction port...
Huge Mass Of The Descending Colon (21 of 25)
Polyp Retrieval Begin to remove the fragment with this basket Histological examination of the resected specimens is the only reliable way to classify polyps and exclude malignancy and is therefore...
Huge Mass Of The Descending Colon (20 of 25)
With a smaller polypectomy snare it being coagulates the base.
Huge Mass Of The Descending Colon (19 of 25)
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...
Huge Mass Of The Descending Colon (18 of 25)
In this image and the video clip shows that we have almost completed the procedure but there is a small piece of the polyp in which the polypectomy snare was too big and there was a need for a smaller...
Huge Mass Of The Descending Colon (17 of 25)
This video clips shows resection of the base of the polyp and part of pedicle.
Huge Mass Of The Descending Colon (16 of 25)
In this fragment was used coagulation instead of endocut so the smoke can be seen.
Huge Mass Of The Descending Colon (15 of 25)
More Slices Remove a larger polyp en bloc to facilitate histologic analysis. Large sessile polyps may require piecemeal resection in 1- to 2-cm segments, although if submucosal saline injection is...
Huge Mass Of The Descending Colon (13 of 25)
It follows with the cut the mass in fragments and still use the endocut. Large sessile polyps may require piecemeal resection in 1- to 2-cm segments, although if submucosal saline injection is employed,...
Huge Mass Of The Descending Colon (12 of 25)
Resected using the piecemeal technique Because of the large size of this mass the piecemeal technique was used. We use a 50 mm snare that was not enough to fit in this large mass Most of the fragments...
Users
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Michael Hawke
Professor
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Gottumukkala Raju
Professor
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Ashley Mark
MD
Channels
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Gastroenterology Atlas
medical institution
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SAGES - Society of American Gastrointestinal and Endoscopic Surgeons
medical institution
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High Impact - Medical Animation
medical institution
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Orthopaedic Academy
medical institution
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World Health Summit
commercial institution
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