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Colonoscopic Polypectomy (16 of 29)

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Status post polypectomy, The large mass has been removed. The success of colonoscopic polypectomy and surveillance depends on the identification and complete removal of the adenoma or adenomas.

Colonoscopic Polypectomy (15 of 29)

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Being removed with a snare around its large stalk

Colonoscopic Polypectomy (13 of 29)

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Again, A rapid cut current was applied to prevent burning at the clip site.

Colonoscopic Polypectomy (12 of 29)

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A rapid cut current was applied to prevent burning at the clip site.

Colonoscopic Polypectomy (11 of 29)

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Colonoscopic Snare Polypectomy Colonoscopic surveillance is recommended for patients with adenomas because the risks of new (metachronous) adenomas and colorectal cancer among these patients are...

Colonoscopic Polypectomy (10 of 29)

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Endoscopic clip ligation of polyp stalk to prevent bleeding after snare polypectomy. In this image and the video clip shown that the first hemoclip has been relapsed and he second hemoclip is going...

Colonoscopic Polypectomy (9 of 29)

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Application of hemoclips. Resection of a pedunculated polyp with prophylactic hemoclips. A: pedunculated polyp with a 4.2-cm head and thick pedicle. hemoclips have been used prophylactically for...

Colonoscopic Polypectomy (8 of 29)

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Note that the tumor has been changed the color

Colonoscopic Polypectomy (7 of 29)

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The tumor became ischemic, indicating that the blood supply of the tumor had vasoconstriction adequately.

Colonoscopic Polypectomy (6 of 29)

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Again more dilute epinephrine (1:10,000) such as used in the mucosectomy is performed.

Colonoscopic Polypectomy (5 of 29)

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A dilution of adrenaline with 1/10.000 in dextrosa 50% was injected in the base of the wide pedicle.

Colonoscopic Polypectomy (4 of 29)

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Endoscopic View of A large and wide pedicle Polyp. Large pedunculated polyps (> 2-3 cm) are often easily removed with standard snare cautery techniques. The difficulty most commonly encountered is...

Colonoscopic Polypectomy (3 of 29)

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The long stalk of the polyp was exposed by rotating the colonoscope’s position. The incidence of invasive cancer increasing with size as there is a 50% chance of villous adenoma more than 1 cm been...

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