Lesion: Flat lesion in the transverse colon - part of it is NG and part G. Optical diagnosis: NICE II - Adenoma Injection: 16 ml saline with Methylene Blue Snare Resection: 10 mm snare; Endocut Q 3-1-3; 8 cuts; used suction to loosen the flat polyp (non-granular segment) to facilitate cut by loosening the polyp. This is the first time I tried suction to facilitate cut; it helped. Hot biopsy avulsion: Endocut I 2-1-1 Coagulation grasper: Soft coagulation 80w APC: 0.8 l flow and 35 W Clip closure. Time: 1 hour 1 min.
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