Video case endoscopy: piecemeal EMR is the preferred endoscopic treatment of large sessile colonic polyps. The procedure is safe and effective. During piecemeal EMR, small, often flat, pieces of polyp tissue can remain and may be difficult to remove with a snare. After unsuccessful attempts at snare resection, thermal ablative treatment with the use of snare tip coagulation or argon plasma coagulation is often used. After EMR, prophylactic clipping is often performed to prevent clinically significant post-EMR bleeding and other adverse events.
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