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Tubulo - Villous Rectal Adenoma - Endoscopy (12...

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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....

Tubulo - Villous Rectal Adenoma - Endoscopy (11...

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

Tubulo - Villous Rectal Adenoma - Endoscopy (10...

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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...

Tubulo - Villous Rectal Adenoma - Endoscopy (9...

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Then remove another piece of large size

Tubulo - Villous Rectal Adenoma - Endoscopy (8...

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

Tubulo - Villous Rectal Adenoma - Endoscopy (7...

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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...

Tubulo - Villous Rectal Adenoma - Endoscopy (6...

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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.

Tubulo - Villous Rectal Adenoma - Endoscopy (5...

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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.

Tubulo - Villous Rectal Adenoma - Endoscopy (4...

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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...

Tubulo - Villous Rectal Adenoma - Endoscopy (3...

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A Giant Tubulo-Villous Adenoma: Mimicking Rectal Malignancy. By practicing retroflexion in the rectum the mass is observed of a large size and appears to be adenocarcinoma. At this time we did not...

Tubulo - Villous Rectal Adenoma - Endoscopy (2...

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The prolapsed mass seen at the colonoscopy Benign or malignant? Once a lesion is recognized and its size determined, the decision that must be made is whether or not the polyp is benign or malignant....

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.

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