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Endoscopic Resection of Giant Tubulo-Villous...

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This is the case of a 57 year-old lady, who had been suffering of rectal bleeding during six months, patient only was under ointments and suppositories treatment, she was referred to our endoscopic...

Colonoscopic Polypectomy (20 of 23)

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The resection site should be closely inspected for visible vessels.

Colonoscopic Polypectomy (19 of 23)

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Only complete excision permits accurate histological diagnosis. As a result, polypectomy should be considered as primarily a diagnostic procedure until histopathology confirms that the polyp has been...

Colonoscopic Polypectomy (18 of 23)

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The polyps have been falled out; the amebic ulcer is observed.

Colonoscopic Polypectomy (17 of 23)

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Note the traction used to avoid transmural injuries.

Colonoscopic Polypectomy (16 of 23)

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Transection of the stalk with a polypectomy snare.

Colonoscopic Polypectomy (15 of 23)

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The two triclips are observed in the base of the wide pedicle.

Colonoscopic Polypectomy (14 of 23)

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Two triclips were applied to the base of the pedicle. Ligation using suture or metallic clips is a basic surgical technique to prevent postoperative bleeding. Generally, there are nourish blood vessels...

Colonoscopic Polypectomy (13 of 23)

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The second triclip is being applied to the base of the pedicle.

Colonoscopic Polypectomy (12 of 23)

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Endoscopic clip application, The first triclip was applied. Metallic hemoclips have been endoscopically placed in the gastrointestinal tract for the treatment of bleeding lesions and closure of perforation....

Colonoscopic Polypectomy (11 of 23)

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The TriClip´s (Endoscopic Clipping Device). The image and the video show the triclip. The principle of clip ligation for pedunculated polyps prior to polypectomy to stop bleeding or as a prophylactic...

Colonoscopic Polypectomy (10 of 23)

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Note the white color that has been changed due to the injected dilution of adrenaline. (Vasoconstriction). It is considerably easier to snare polyps in the "six o'clock position" because the snare...

Colonoscopic Polypectomy (9 of 23)

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Most pedunculated polyps are removed by transection of the stalk with a polypectomy snare. The major risk with this approach is postpolypectomy bleeding. As a result, many endoscopists use one or more...

Colonoscopic Polypectomy (8 of 23)

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In order to avoid an hemorrhage, we took prophylactic measures, such a dilution of adrenaline 2 cc with 1/10.000 was injected in the base of the wide pedicle; after that, two triclip were applied to...

Colonoscopic Polypectomy (7 of 23)

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Amebic Ulcer. In addition to the polyp, we found through colonoscopy some multiple amebic ulcers, as well as diverticulae in the sigmoid. An amebic ulcer was found at sigmoid; multiple tiny ulcers...

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