gastroenterology videos
Tubulo - Villous Adenoma - Endoscopy (19 of 28)
Piecemeal excision of the rectal adenoma. The image and the video clips display the procedure, that carried out with piecemeal excision. Large sessile polyps usually require piecemeal snare resection.
Tubulo - Villous Adenoma - Endoscopy (18 of 28)
After reducing the size of the polyp using argon plasma coagulator (APC). Cautery is applied to the wire loop which has been tightened around the stalk of the polyp.
Tubulo - Villous Adenoma - Endoscopy (17 of 28)
After one hour and twenty minutes, we continued the polypectomy of the remnant with snare excision. The goal to reduce it of size with APC has been fulfilled.
Tubulo - Villous Adenoma - Endoscopy (16 of 28)
Status post Argon Plasma Coagulator. At this moment we decided to put aside this procedure, with the purpose of taking it back in a second instance. The size reduction will be easier, doing the extraction...
Tubulo - Villous Adenoma - Endoscopy (13 of 28)
The image and the video clip display the effectiveness of the Argon Plasma Coagulator, reducing the size of the polyp and excisioning it afterwards.
Tubulo - Villous Adenoma - Endoscopy (12 of 28)
We began the procedure by using the Argon Plasma Coagulator.
Tubulo - Villous Adenoma - Endoscopy (11 of 28)
At first, we thought to place an endoloop on the pedicle, but afterwards we decided to use argon plasma coagulator, aiming at the reduction of its size, and then cautery will be applied to the wire...
Tubulo - Villous Adenoma - Endoscopy (10 of 28)
The next polyp is also in the sigmoid, but a little more difficult to snare, since it is located on the curvature, after the recto-sigmoid junction and there are several diverticulae nearby.
Tubulo - Villous Adenoma - Endoscopy (9 of 28)
The image and the video display the final status of the first polypectomy.
Tubulo - Villous Adenoma - Endoscopy (8 of 28)
The argon catheter is observed, stopping a small bleeding.
Tubulo - Villous Adenoma - Endoscopy (7 of 28)
It is observed in the video the loosening of the polyp that was cut with the handle of the endoloop. The purpose was not the cutting but to perform the hemostasis.
Tubulo - Villous Adenoma - Endoscopy (5 of 28)
The image and the video clip display the endoop being applied to the pedicle which has been tightened around the stalk of the polyp. Ligation using suture or metallic clips is a basic surgical technique...
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Gottumukkala Raju
Professor
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Ahmad Hormati
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Gastroenterology Atlas
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EUS - ENDO
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SAGES - Society of American Gastrointestinal and Endoscopic Surgeons
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American Association for Primary Care Endoscopy
medical institution
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Colonscopy Quiz by Dr. Raju
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