Middle aged patient
Lesion: Large rectal polyp; referred to surgery.
EMR performed
Lesion: Sessile + flat lesion
Position of patient changed to right lateral to make the lesion non-dependent. This is critical to control bleeding as these lesions tend to bleed and if the lesion is dependent, it will be hard to find the bleeding spot as blood pools in the dependent area.
Injection resulted in a good lift (25 ml saline and Methylene Blue); Snare resection 15 mm - EndoCut Q 3-1-4
Coagulation grasper - soft coagulation 100 W
APC of the edges with 0.8 l and 35 w.
Clip closure of the defect.
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