Endoscopic video case: a 86/M with triple vessel disease + post PTCA with CCF-severe LVD, was admitted with bleeding PR. A colonoscopy was done - showed a short pedunculated polyp of <20mm at 25cms from anal verge. EMR polypectomy was done & hemoclipping of base done. HPE was poorly differentiated adenocarcinoma with signet ring cell features reaching upto base. Oncologist opinion was obtained after PET, which showed no uptake. Curative surgery was offered but due to high risk he was planned for endoscopic full thickness resection (EFTR). EFTR specimen showed no evidence of malignancy - showing a curative loco-regional resection.
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