Giant Tubulo - Villous Adenoma (8 of 17)

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added:
13 years ago
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2704
specialty:
Gastroenterology

Case description

Injecting a solution of dextrose 50% with epinephrine 1:100,000 (because of patient suffer from arterial hypertension otherwise we injected the 1/10.000). The injection of fluid into the submucosal layer facilitates safer and easier removal of sessile polyps. The fluid lifts the polyp and increases the distance between the base of the polyp and the muscularis propria and serosa. This submucosal "cushion" of fluid has been shown to prevent deeper thermal injury during polypectomy.

tags: adenoma colonoscopy adrenaline dextrose

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