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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...

Colonoscopic Polypectomy (6 of 23)

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Chromoendoscopy with indigo carmine dye.

Colonoscopic Polypectomy (5 of 23)

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High Magnification Colonoscopy.

Colonoscopic Polypectomy (4 of 23)

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Chromoendoscopy using indigo carmine. This method helps to enhance the recognition of details and reveal the otherwise invisible changes of the mucosa.

Colonoscopic Polypectomy (3 of 23)

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This image and the video display the large and wide pedicle.

Colonoscopic Polypectomy (2 of 23)

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Another image of the polyp. Colonic adenomas are typically asymptomatic and are most commonly found by means of endoscopic or radiologic imaging studies performed because of unrelated symptoms or for...

Polypectomy

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A 43 year-old female, that has been presenting rectal bleeding for two months. Adenomatous polyp with a large and wide pedicle at sigmoid was found. A colonoscopy polypectomy was performed, first...

Rectal Stalked Polyp (7 of 7)

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Argon plasma coagulators have been introduced to fulgurate large polyp remnants or for hemostasis with very positive results.

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