Tethered polyp after prior incomplete cut are difficult to remove with EMR; in such cases use underwater EMR with general anesthesia to have a stable operating field and an experienced technician assisting you and make the cut fast with a tap and tap on yellow pedal using 3-1-3 and be prepared to control bleeding with clips. Treat with 50 Watts APC, 0.8 lt flow to get rid of any microscopic disease stuck in the scar tissue. Clip close the defect to avoid delayed perforation.
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