Video presents a case of niddle aged woman referred for EMR. The cause of this procedure was a large flat lesion occupying over 1/3 circumference and extends over 3 folds in sigmoid colon.
Serrated adenoma was identified. Sequential injection of Indigo Carmine was performed, followed by 15 and 10 mm stiff snare resection. Hemostasis was achieved with coagulation grasper. Pulsating vessel in the base: clip application to prevent delayed bleeding.
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