Bleeding – From Surgical Hemostasis to Emergency Management
Sessile Polyp - Polypectomy
Status Post Videoendoscopic polypectomy of a huge sessile adenoma. The video clip displays the bleeding and cauterization.
Enormous Polyp - Polypectomy
Note the traction is being performed when the enormous lesion is being removed.
Tubulo - Villous Rectal Adenoma - Endoscopy (10...
Active bleeding is observed It has been well established that there is a greater risk of post polypectomy bleeding with larger polyps, ranging from 2% to 24%. Therefore, the endoscopist should be...
Tubulo - Villous Rectal Adenoma - Endoscopy (4...
A Giant Villous Adenoma: Mimicking Rectal Malignancy Another image of the irregular mass Usually, tubulu- villous adenomas are asymptomatic although they may cause rectal bleeding like malignant...
Colonoscopic Polypectomy (20 of 23)
The resection site should be closely inspected for visible vessels.
Colonoscopic Polypectomy (12 of 23)
Endoscopic clip application, The first triclip was applied. Metallic hemoclips have been endoscopically placed in the gastrointestinal tract for the treatment of bleeding lesions and closure of perforation....
Colonoscopic Polypectomy (11 of 23)
The TriClip´s (Endoscopic Clipping Device) The image and the video show the triclip. The principle of clip ligation for pedunculated polyps prior to polypectomy to stop bleeding or as a prophylactic...
Colonoscopic Polypectomy (9 of 23)
Most pedunculated polyps are removed by transection of the stalk with a polypectomy snare. The major risk with this approach is postpolypectomy bleeding. As a result, many endoscopists use one or more...
Rectal Adenocarcinoma (12 of 12)
Rectal Endosonography. Endoscopic Ultrasound (EUS) Different treatment concepts, including local excision, radical resection and multimodality therapy, are available for colorectal cancer depending...
Rectal Adenocarcinoma (11 of 12)
Rectal Endosonography. EUS can also obtain information about the layers of the intestinal wall as well as adjacent structures such as lymph nodes and the blood vessels.
Rectal Adenocarcinoma (10 of 12)
Rectal Endosonography (EUS) In this image made with the help of Endoscopic Ultrasound (EUS), the tumour is shown to have infiltrated all wall layers.
Rectal Adenocarcinoma (9 of 12)
This magnifying image displays polymorphism of this rectal adenocarcinoma.
Rectal Adenocarcinoma (8 of 12)
The pit pattern analysis of colorectal lesions by magnifying colonoscopy is a useful and objective tool for differentiating neoplastic from nonneoplastic lesions of the large bowel. In its current...
Rectal Adenocarcinoma (7 of 12)
Using magnifying chromoendoscopy, it is possible to establish a surface neoplastic profile that corresponds to the histological picture obtained with a vertical tissue section. Optical zooming increases...
Rectal Adenocarcinoma (6 of 12)
With the levels of magnification of the scope and structural enhancement image processing function of the processor set at maximal levels.
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