gastroenterology videos

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STER – Submucosal Tunneling Endoscopic Resection...

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STER procedure due to leiomyoma localized in GE junction. Procedure performed in Centre of Bowel Treatment in Brzeziny, Poland. Size of resected specimen – 4 cm. En block resection confirmed by pathologist....

Colonoscopy: IC valve EMR + Hot Bx Avulsion +...

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Resection can be technically challenging if the lesion could not be positioned in the 6 O' clock position. In such cases, cut with a small snare and try to stay in position without slipping back. This...

Colonoscopy: Ascending Colon - Subtle SSA - EMR...

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An EMR and clip closure of subtle sessile serrated adenoma in ascending colon.

Colonoscopy: Colon Perforation Closure Talk at...

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A short talk on colon perforarion closure

Colonoscopy: Descending Colon Suction EMR of...

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Two prior snare resection attempts tethered the polyp to the colon wall and could not be removed and was recommended to undergo surgery. We used suction to loosen the polyp, very little injection 1 ml,...

Colonoscopy: Rectal Polyp EMR - Large Sessile...

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Rectal polyp: Large sessile polyp Injection: 3.5 ml Epinephrine 1:10,000 and 30 ml of saline with a Methylene Blue Snare: 20 mm stiff snare Endocut Q 3-1-5 Coagulation grasper to cauterize vessels Clip...

Colonoscopy: Sigmoid colon pedunculated polyp...

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Video showing a resection of pedunculated polyp of sigmoid colon. As it is shown, water immersion helps in placing a snare around large pedunculated polyps, even when the polyp head was large.

Colonoscopy: Subtle polyp - transverse colon

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Examining the wall closely helps to identify subtle flat lesions. It is important to resect them completely. Among various techniques lift and cut technique assures complete resection.

Colonoscopy: Subtle Polyp - Descending Colon

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As it's shown on this clip, bleeding after cold biopsy polypectomy interferes with checking completeness of resection. It's vital to have patience to check the site and confirm complete excision

Colonoscopy: Subtle polyp - Hepatic Flexure

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A video showing subtle polyp in the hepatic flexure fo the colon. It is mportant to go back to check around bends to detect subtle lesions and take a photo after removal of even small polyps to document...

Colonoscopy: Subtle Polyp - Cecum

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It is important to take time and scan the walls of the colon. Pulling the endoscope straight out of the center of lumen may not be good enough as subtle flat lesions may be out of focus and can be missed.

Colonoscopy: Cecum - Large EMR for 2 hours

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An EMR of a large cecal polyp followed by hot biopsy avulsion and APC.

Colonoscopy: Rectosigmoid colon underwater EMR

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Clip presented above, shows an underwater EMR of tubular adenoma localized in rectosigmoid colon.

Colonoscopy: Rectosigmoid colon polyp resection

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The following clip presents a resection of rectosigmoid colon polyp. Pathology revealed Tubulovillous adenoma with high grade dysplasia.

Colonoscopy: Submucosal Injection - Tap-tap-tap...

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5

A short clip presenting the technique of submucosal injection

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